Retinopathy of prematurity detection: a retrospective quality improvement project before-after implementation of retinal digital imaging for screening

Screening of retinopathy of prematurity (ROP) was modified in a level-3 neonatal intensive care unit by the introduction of a wide-field retinal imaging. The aim of this study was to evaluate whether retinopathy of prematurity (ROP) diagnosis was improved or not compared to previously used binocular...

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Published in:European journal of pediatrics 2023-07, Vol.182 (7), p.3093-3099
Main Authors: Desurmont, Marie-Gwenola, Bremond-Gignac, Dominique, Torchin, Héloïse, Vacherot, Brigitte, Jarreau, Pierre-Henri, Daruich, Alejandra
Format: Article
Language:English
Subjects:
Birth weight
Diagnosis
Digital imaging
Eyes & eyesight
Mechanical ventilation
Medical screening
Medicine
Medicine & Public Health
Neonates
Pediatrics
Quality control
Quality improvement
Retina
Retinopathy
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Summary:Screening of retinopathy of prematurity (ROP) was modified in a level-3 neonatal intensive care unit by the introduction of a wide-field retinal imaging. The aim of this study was to evaluate whether retinopathy of prematurity (ROP) diagnosis was improved or not compared to previously used binocular indirect ophthalmoscopy (BIO). This was a retrospective, uncontrolled, quality improvement project. Records of consecutive premature newborns screened for ROP over two 1-year periods were reviewed. Systemic factors potentially influencing the occurrence of ROP were investigated using uni- and multivariable linear regression followed by stepwise forward regression. ROP screening was performed by ophthalmologists using BIO in 2014, and digital wide-field retinal imaging (Panocam™ pro) in 2019. Records of N  = 297 patients were analyzed ( N  = 159 in 2014 and N  = 138 in 2019). The proportion of ROP diagnosed at any stage, over the total number of neonates screened, was significantly higher in 2019 ( n  = 46/138, 33.1%) compared to 2014 ( n  = 11/159, 6.9%) ( p  
ISSN:1432-1076
0340-6199
1432-1076
DOI:10.1007/s00431-023-04951-z