Barriers to screening infants for retinopathy of prematurity after discharge or transfer from a neonatal intensive care unit

被引：35

作者：

Attar M.A. ^{[1
,2
]}

Gates M.R. ^{[1
]}

Iatrow A.M. ^{[1
]}

Lang S.W. ^{[1
]}

Bratton S.L. ^{[1
]}

机构：

[1] Dept. of Pediat./Communic. Diseases, University of Michigan, Ann Arbor, MI

[2] Mott Hospital, Ann Arbor, MI 48109-0254

来源：

Journal of Perinatology | 2005年 / 25卷 / 1期

关键词：

D O I：

10.1038/sj.jp.7211203

中图分类号：

学科分类号：

摘要：

Objective: To assess neonatal intensive care unit (NICU) practices affecting screening and follow-up for retinopathy of prematurity (ROP). Methods: Retrospective study of infants at risk for ROP, eligible for back transport, admitted to a regional NICU from January 1, 1999 until May 31, 2002. Patients failed to receive needed follow-up for ROP after discharge or transfer from a NICU, if we could not verify their ROP screening follow-up within 1 month. Results: A total of 74 infants were identified to need follow-up eye care. Infants who did not receive the follow-up care had greater mean gestational age (mean SD; 30.7±2.3 vs 29.6±2.5 weeks, p = 0.05) and birth weights (mean SD; 1581±366 vs 1360±508 g, p = 0.007), compared to infants who received the recommended care. Infants transported back to the community hospital were significantly more likely to miss follow-up eye care compared to infants discharged from the regional center (relative risk 2.81, 95% confidence interval (CI) (1.09 to 7.20)). Infants not screened for ROP in the NICU had greater risk for missing follow-up care compared to infants who had their first retinal examination in the NICU (relative risk 4.25, 95% CI (1.42 to 12.73)). Conclusions: Infants transferred back or discharged from the NICU before ROP screening represent a high-risk group for not receiving follow-up eye care. © 2005 Nature Publishing Group All rights reserved.

引用

页码：36 / 40

页数：4

共 17 条

[1]

Multicenter trial of cryotherapy for retinopathy of prematurity. Preliminary results, Arch. Ophthalmol., 106, pp. 471-479, (1988)

[2]

Paysse E.A., Lindsey J.L., Coats D.K., Contant Jr. C.F., Steinkuller P.G., Therapeutic outcomes of cryotherapy versus transpupillary diode laser photocoagulation for threshold retinopathy of prematurity, J. AAPOS, 3, pp. 234-240, (1999)

[3]

Multicenter trial of cryotherapy for retinopathy of prematurity. Snellen visual acuity and structural outcome at 5 1/2 years after randomization, Arch. Ophthalmol., 114, pp. 417-424, (1996)

[4]

Multicenter trial of cryotherapy for retinopathy of prematurity: Ophthalmological outcomes at 10 years, Arch. Ophthalmol., 119, pp. 1110-1118, (2001)

[5]

Recchia F.M., Capone Jr. A., Contemporary understanding and management of retinopathy of prematurity, Retina, 24, pp. 283-292, (2004)

[6]

Demorest B.H., Retinopathy of prematurity requires diligent follow-up care, Surv. Ophthalmol., 41, pp. 175-178, (1996)

[7]

Aprahamian A.D., Coats D.K., Paysse E.A., Brady-Mccreery K., Compliance with outpatient follow-up recommendations for infants at risk for retinopathy of prematurity, J. AAPOS, 4, pp. 282-286, (2000)

[8]

Horbar J.D., Badger G.J., Carpenter J.H., Et al., Trends in mortality and morbidity for very low birth weight infants, 1991-1999, Pediatrics, 110, pp. 143-151, (2002)

[9]

Bode M.M., O'Shea T.M., Metzguer K.R., Stiles A.D., Perinatal regionalization and neonatal mortality in North Carolina, 1968-1994, Am. J. Obstet. Gynecol., 184, pp. 1302-1307, (2001)

[10]

Guidelines for Perinatal Care, (2002)

← 1 2 →