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Evaluation of new guidelines for ROP screening in Sweden using SWEDROP - a national quality register
University of Uppsala Hospital, Sweden.
University of Gothenburg, Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Ophthalmology in Linköping.
Umeå University, Sweden.
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2015 (English)In: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768, Vol. 93, no 3, 265-268 p.Article in journal (Refereed) Published
Abstract [en]

PurposeTo investigate whether recent Swedish guidelines for Retinopathy of Prematurity (ROP) screening, that is, a gestational age (GA) at birth of less than31weeks (w), are applicable in a new national cohort of prematurely born infants. MethodsSWEDROP is a national register for ROP, initiated in 2006. The present paper reports on data from the register on various aspects of screening for ROP in infants born between 2010 and 2011 and compares the results with those for a previously published cohort born between 2008 and 2009. ResultsDuring the study period, 1744 infants were screened for ROP. Mean GA was 28.4w (22-31), and mean birth weight was 1239g (382-2615). Screening started at postnatal age (PNA) 5.4w (0.4-13.3) and postmenstrual age (PMA) 33.8 w (24.9-50.1) Mean number of examinations was 5.4 per infant (1-38). Mild (stages 1-2) and severe ( stage 3) ROP was found in 15.4% and 8.7%, respectively. Treatment was performed in 4.2% (73/1744) of the infants, but in none with a GA of 30weeks or more. The first treatment was performed at a mean PNA and PMA of 12.7 w (7.7-25.4) and 37.4 w (32.1-51.4), respectively. ConclusionsRecently introduced new guidelines for ROP screening in Sweden remain applicable. Reassuringly, in infants born between 2010 and 2011, incidence of ROP, frequency and timing of treatment, frequency and timing of examinations and national coverage of ROP screening remained almost identical to those for a previous cohort from 2008 to 2009. The two SWEDROP cohorts provide a basis for discussion among Swedish ophthalmologists and neonatologists on the question of further lowering the upper screening limit with 1week.

Place, publisher, year, edition, pages
Wiley , 2015. Vol. 93, no 3, 265-268 p.
Keyword [en]
guidelines; national register; retinopathy of prematurity; screening
National Category
Ophthalmology
Identifiers
URN: urn:nbn:se:liu:diva-117780DOI: 10.1111/aos.12506ISI: 000353053000027PubMedID: 25044161OAI: oai:DiVA.org:liu-117780DiVA: diva2:811294
Note

Funding Agencies|Nordstromer Foundation, the Foundation for the Visually Impaired in former Malmohus County; Region Skane

Available from: 2015-05-11 Created: 2015-05-08 Last updated: 2016-03-24

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Jakobsson, Peter
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Division of Neuro and Inflammation ScienceFaculty of Medicine and Health SciencesDepartment of Ophthalmology in Linköping
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