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Incidence and Risk Factors of Retinopathy of Prematurity in Two Neonatal Intensive Care Units in North and South China

摘要Background:To investigate the incidence and risk factors of retinopathy of prematurity (ROP) in two Neonatal Intensive Care Units in North and South of China,respectively.Methods:We studied data concerning 472 infants with gestational age (GA) ≤34 weeks or birth weight (BW) ≤2000 g who were admitted to the Zhujiang Hospital of Southern Medical University and the Fourth Hospital of Shijiazhuang between January 1,2011 and December 31,2011.Clinical information about perinatal neonates was collected and was confirmed by reviewing medical charts.The incidence and severity of ROP were assessed in the screened population.Main outcome measures are the incidence and severity of ROP.The relationship of clinical risk factors and the development of ROP were analyzed.Results:The overall incidence of ROP was 12.7%,and the overall incidence of type 1 ROP was 2.3%; 9.4% of infants in Zhujiang Hospital had ROP compared to 15.0% infants in the Fourth Hospital of Shijiazhuang developed ROP,and the difference is statistically significant.ROP was significantly associated with GA (odds ratio [OR]:0.77 [0.62-0.95],P =0.015),BW (OR:0.998 [0.996-0.999],P =0.008),maternal supplemental oxygen administration before and during delivery (OR:4.27 [1.21-15.10],P =0.024) and preeclampsia (OR:6.07 [1.73-21.36] P =0.005).The risk factors for ROP are different in two hospitals.In Zhujiang Hospital,BW is the independent risk factors for ROP while GA,BW and preeclampsia in the Fourth Hospital in Shijiazhuang Conclusions:Retinopathy ofprematurity incidence is different based on area.Incidence of ROP is still high in China.More efforts need to prevent ROP.

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作者单位 Department of Ophthalmology, People's Hospital, Peking University, Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing 100044, China [1] Department of Ophthalmology, The Fourth Hospital of Shijiazhuang, Shijiazhuang, Hebei 050011, China [2] Department of Pediatric, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, China [3]
栏目名称 Original Articles
DOI 10.4103/0366-6999.154294
发布时间 2015-05-13
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中华医学杂志(英文版)

中华医学杂志(英文版)

2015年128卷7期

914-918页

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