Vinekar Anand, Avadhani Kavitha, Dogra Mangat, Sharma Praveen, Gilbert Clare, Braganza Sherine, Shetty Bhujang
Narayana Nethralaya Postgraduate Institute of Ophthalmology, Bangalore, India.
Ophthalmic Epidemiol. 2012 Oct;19(5):317-21. doi: 10.3109/09286586.2012.698358. Epub 2012 Aug 16.
To report the first-year results of the Red Card for Retinopathy of Prematurity (REDROP) study, a low-cost interim strategy to enroll infants into retinopathy of prematurity (ROP) screening where limited expertise exists, piloted at a multi-specialty general hospital.
Red "warning" cards were placed alongside green "congratulations" cards above the weighing scale in the neonatal unit. Staff weighing the newborn were instructed to give either one of the cards to each mother depending on the weight of the child (≤ 2000 g, red, and > 2000 g, green). Red cards contained information (tri-lingual) about ROP and the venue of screening. Green cards contained general pediatric eye education and recipients were not called. A portion of the red card with the infant's birth date and mother's contact number was retained and collected weekly by volunteers. Mothers were reminded on the mobile phone to come for ROP screening. Screening and treatment were performed free.
During the study period, 224 of 805 (27.8%) infants were born ≤ 2000 g. Of these, 169 (75.4%) survived and were eligible for the red card; 91 (53.8%) received it. Of these, 43 (47.3%) infants completed ROP screening, 14 (32.6%) had some stage ROP, and three (6.9%) required laser treatment. The main reason for the lower turnout for screening was the inability to contact mothers on their provided phone numbers.
REDROP demonstrates the feasibility of this low-cost method of enrolling unscreened infants into a ROP program. The cost of enrolling each infant was less than 5 rupees (US$0.10). Suggested strategies to improve use require multi-center validation.
报告早产儿视网膜病变红卡（REDROP）研究的第一年结果，这是一项低成本的临时策略，用于在专业知识有限的地区将婴儿纳入早产儿视网膜病变（ROP）筛查，该研究在一家多专科综合医院进行试点。
在新生儿病房的体重秤上方，红色“警告”卡与绿色“祝贺”卡并列放置。指示给新生儿称重的工作人员根据婴儿体重（≤2000克为红色，>2000克为绿色）向每位母亲发放其中一张卡片。红色卡片包含有关ROP的信息（三种语言）和筛查地点。绿色卡片包含一般儿科眼科教育内容，收到绿色卡片的人不会被邀请。志愿者每周保留并收集一部分带有婴儿出生日期和母亲联系电话的红色卡片。通过手机提醒母亲前来进行ROP筛查。筛查和治疗免费提供。
在研究期间，805名婴儿中有224名（27.8%）出生时体重≤2000克。其中，169名（75.4%）存活且符合获得红卡的条件；91名（53.8%）收到了红卡。在这些婴儿中，43名（47.3%）完成了ROP筛查，14名（32.6%）患有某种程度的ROP, 3名（6.9%）需要激光治疗。筛查参与率较低的主要原因是无法通过提供的电话号码联系到母亲。
REDROP证明了这种低成本方法将未筛查的婴儿纳入ROP项目的可行性。纳入每名婴儿的成本不到5卢比（0.10美元）。建议的改进使用的策略需要多中心验证。
