Mamta Choudhary, Janardan Sharma, Nisha Dulani, Meghna Solanki, Harish Dulani
Pediatrics Department, Govt. R.D.B.P. Jaipuria Hospital, Attached with RUHS College of Medical Sciences, Jaipur, India.
Department of Ophthalmology, RUHS College of Medical Sciences, Jaipur, India.
Maedica (Bucur). 2023 Jun;18(2):232-237. doi: 10.26574/maedica.2023.18.2.232.
The goal of the current study was to shed light on the previous research on retinopathy of prematurity (ROP) among infants born before 34 weeks of gestation or those with birth weights (BW) under 2000 g and gestational ages between 34 and 36 weeks, with emphasis on prevalence and incidence. A prospective hospital based observational study was conducted on 160 neonates after ethical clearance within a period of four months. The study population comprised neonates less than 34 week of gestational age and those with BW less than 2000 gm and gestational age between 34-36 weeks. Categorical/nominal variables were expressed as number and percentage and were analysed using Chi square test or Fischer exact test. Continuous variables were expressed as mean and standard deviation. Relevant statistical software like SPSS (Statistical Sciences Package for Social) were used for all statistical analysis. Screening of all 160 neonates included in the present study revealed the presence of ROP in 30 of them, with a rate of 18.8% for ROP. Most of the neonates screened for ROP were delivered at a gestational age of 33-34 weeks (56.9%), followed by 30-32 weeks (28.8%); 16 (10%) neonates were delivered at gestational age <30 weeks, while seven (4.4%) had >34 weeks. Among the 30 neonates with ROP, 10 (33.3%) were delivered at gestational age <32 weeks and 20 (66.7%) at gestational age >32 weeks. A significant association was found between gestational age <32 weeks and occurrence of ROP (p=0.044). Among the 30 neonates with ROP, 24 (80%) had a BW of <1500 g and six (20%) >1500 g. Birth weight of <1500 g and occurrence of ROP (p <0.001) were found to be significantly associated. Most of the neonates screened for ROP were delivered at gestational age of 33-34 weeks (56.9%), followed by 30-32 weeks (28.8%). Gestational age of <32 weeks (p=0.044) and BW of <1500 g (p <0.001) were significantly associated with the occurrence of ROP.
本研究的目的是阐明先前关于孕周小于34周出生的婴儿或出生体重(BW)低于2000克且孕周在34至36周之间的婴儿的早产儿视网膜病变(ROP)的研究,重点是患病率和发病率。在伦理批准后,于四个月内对160名新生儿进行了一项基于医院的前瞻性观察研究。研究人群包括孕周小于34周的新生儿以及出生体重小于2000克且孕周在34 - 36周之间的新生儿。分类/名义变量以数量和百分比表示,并使用卡方检验或费舍尔精确检验进行分析。连续变量以均值和标准差表示。所有统计分析均使用SPSS(社会科学统计软件包)等相关统计软件。对本研究纳入的所有160名新生儿进行筛查发现,其中30名存在ROP,ROP发生率为18.8%。大多数接受ROP筛查的新生儿在孕周33 - 34周时分娩(56.9%),其次是30 - 32周(28.8%);16名(10%)新生儿在孕周<30周时分娩,而7名(4.4%)在孕周>34周时分娩。在30名患有ROP的新生儿中,10名(33.3%)在孕周<32周时分娩,20名(66.7%)在孕周>32周时分娩。发现孕周<32周与ROP的发生之间存在显著关联(p = 0.044)。在30名患有ROP的新生儿中,24名(80%)出生体重<1500克,6名(20%)>1500克。发现出生体重<1500克与ROP的发生之间存在显著关联(p <0.001)。大多数接受ROP筛查的新生儿在孕周33 - 34周时分娩(56.9%),其次是30 - 32周(28.8%)。孕周<32周(p = 0.044)和出生体重<1500克(p <0.001)与ROP的发生显著相关。