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Increased frequency of retinopathy of prematurity over the last decade and significant regional differences
Uppsala Univ, Sweden.
Lund Univ, Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences.
Umeå Univ, Sweden.
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2018 (English)In: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768, Vol. 96, no 2, p. 142-148Article in journal (Refereed) Published
Abstract [en]

PurposeRetinopathy of prematurity (ROP) causes childhood blindness globally in prematurely born infants. Although increased levels of oxygen supply lead to increased survival and reduced frequency of cerebral palsy, increased incidence of ROP is reported. MethodsWith the help of a Swedish register for ROP, SWEDROP, national and regional incidences of ROP and frequencies of treatment were evaluated from 2008 to 2015 (n=5734), as well as before and after targets of provided oxygen changed from 85-89% to 91-95% in 2014. ResultsRetinopathy of prematurity (ROP) was found in 31.9% (1829/5734) of all infants with a gestational age (GA) of amp;lt;31weeks at birth and 5.7% of the infants (329/5734) had been treated for ROP. Analyses of the national data revealed an increased incidence of ROP during the 8-year study period (p=0.003), but there was no significant increase in the frequency of treatment. There were significant differences between the seven health regions of Sweden, regarding both incidence of ROP and frequency of treatment (pamp;lt;0.001). Comparison of regional data before and after the new oxygen targets revealed a significant increase in treated ROP in one region [OR: 2.24 (CI: 1.11-4.49), p=0.024] and a borderline increase in one other [OR: 3.08 (CI: 0.99-9.60), p=0.052]. ConclusionThe Swedish national ROP register revealed an increased incidence of ROP during an 8-year period and significant regional differences regarding the incidence of ROP and frequency of treatment.

Place, publisher, year, edition, pages
WILEY , 2018. Vol. 96, no 2, p. 142-148
Keywords [en]
incidence; oxygen; retinopathy of prematurity; treatment
National Category
General Practice
Identifiers
URN: urn:nbn:se:liu:diva-145434DOI: 10.1111/aos.13549ISI: 000425369200039PubMedID: 29068172OAI: oai:DiVA.org:liu-145434DiVA, id: diva2:1194623
Note

Funding Agencies|Nordstromer Foundation; Foundation for the Visually Impaired in former Malmohus County; Stig and Ragna Gorthon Foundation

Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2018-04-03

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