与早产儿视网膜病变眼科工作量相关的因素。
Factors associated with retinopathy of prematurity ophthalmology workload.
机构信息
Alaska Neonatology Associates/Mednax Medical Group, Anchorage, AK, USA.
Glacier Medical Software, Anchorage, AK, USA.
出版信息
J Perinatol. 2018 Nov;38(11):1588-1593. doi: 10.1038/s41372-018-0212-x. Epub 2018 Aug 31.
OBJECTIVE
This article reports on retinopathy of prematurity (ROP) workload in the NICU related to severity of disease, gestational age at discharge, and practice variation.
STUDY DESIGN
Data analysis on 1771 patients ≤ 30 weeks of gestation at birth from a de-identified data set of 13 NICUs.
RESULTS
There was a positive relationship between the severity of ROP and (1) the number of exams per patient, (2) the severity of ROP, and (3) postmenstrual age at discharge. The progression between the stages of ROP added to exam workload and postmenstrual age at NICU discharge. The addition of plus disease did not increase the exam burden. There was significant practice variation in the number of exams performed independent of ROP severity.
CONCLUSION
The progression of the severity of ROP independent of plus disease, and practice variations both contribute to ROP workload. Addressing these factors could decrease ROP workload without compromising American Academy of Pediatrics (AAP) guidelines.
目的
本文报告了与疾病严重程度、出院时的胎龄以及实践差异相关的新生儿重症监护病房（NICU）早产儿视网膜病变（ROP）的工作量。
研究设计
对来自 13 个 NICU 的一个去识别数据集中的 1771 名出生时胎龄≤30 周的患者进行数据分析。
结果
ROP 的严重程度与（1）每位患者的检查次数、（2）ROP 的严重程度以及（3）出院时的校正胎龄之间呈正相关。ROP 阶段的进展增加了检查工作量和 NICU 出院时的校正胎龄。附加疾病的存在并没有增加检查负担。尽管 ROP 的严重程度不同，但检查次数的实际操作差异很大。
结论
ROP 严重程度的进展，以及独立于附加疾病的实践差异，都会导致 ROP 的工作量增加。解决这些因素可以在不影响美国儿科学会（AAP）指南的情况下降低 ROP 的工作量。
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