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

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