| Author | Zin, Andrea A. | |
| Author | Moreira, Maria Elisabeth Lopes | |
| Author | Bunce, Catey | |
| Author | Darlow, Brian A. | |
| Author | Gilbert, Clare E. | |
| Access date | 2015-03-20T11:41:20Z | |
| Available date | 2015-03-20T11:41:20Z | |
| Document date | 2010 | |
| Citation | ZIN, Andrea A.et al. Retinopathy of prematurity in 7 neonatal units in Rio de Janeiro: screening criteria and workload implications. Pediatrics., Evanston, v. 126, p. 410-417, 2010. | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/9759 | |
| Language | eng | pt_BR |
| Publisher | American Academy of Pediatrics | pt_BR |
| Rights | restricted access | pt_BR |
| Title | Retinopathy of prematurity in 7 neonatal units in Rio de Janeiro: screening criteria and workload implications | pt_BR |
| Type | Article | pt_BR |
| DOI | 10.1542/peds.2010-0090 | |
| Abstract | OBJECTIVES:The goals were to determine optimal screening criteria
for retinopathy of prematurity (ROP) in 7 neonatal units in Rio de Ja-neiro, Brazil, and to explore the workload implications of applying dif-ferent criteria.
METHODS:Infants with birth weights of 2000 g or gestational age of
37 weeks were examined by 3 ophthalmologists in 7 of the largest
units inRio de Janeiro, during a 34-month period. ROPwas classified by
using the international classification, and laser treatment was given to
infants developing type 1 ROP.
RESULTS:A total of 3437 (87%) of 3953 eligible infants were examined,
of whom 124 (3.6% [range: 2.1%–7.8%]) were treated. Eleven infants
were treated for aggressive posterior ROP. Appropriate screening cri-teria for the 2 NICUs with high survival rates (ie, 80% among infants
with birth weights of 1500 g) would be 1500 g or 32 weeks. For
NICUswith lowsurvival rates (ie, 80%), appropriate criteriawould be
1500 g or 35 weeks. UK, US, and previous Brazilian criteria would
all miss infants needing treatment.
CONCLUSIONS:ROP programs in Brazil should use the wider crite-ria of 1500 g or 35 weeks until further evidence-based criteria
become available, although this would mean a slight increase in
workload across the city, compared with use of the narrower cri-teria in the better units. Whether survival rates can be used as a
proxy to indicate screening criteria requires further investigation. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Neonatologia. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Neonatologia. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Moorfields Eye Hospital. Research, and Development. London, England | pt_BR |
| Affilliation | University of Otago. Christchurch School of Medicine and Health Sciences. Department of Paediatrics. Christchurch, New Zealand. | pt_BR |
| Affilliation | International Centre for Eye Health. London School of Hygiene and Tropical Medicine. London, England. | pt_BR |
| Subject | Retinopathy of Prematurity | pt_BR |
| Subject | Brazil | pt_BR |
| Subject | Screening Criteria | pt_BR |
| Subject | Workload | pt_BR |
| DeCS | Retinopatia da Prematuridade | pt_BR |
| DeCS | Brasil | pt_BR |
| DeCS | Seleção de Pacientes | pt_BR |
| DeCS | Carga de Trabalho | pt_BR |
