Retinopathy of prematurity, a two-year experience at the ROP screening unit from AL-Zahraa Teaching Hospital, AL-Najaf, Iraq

This study aimed to assess the incidence of retinopathy of prematurity (ROP) in Al Najaf city, define the risk factors of ROP, and assess the performance of the newly implemented ROP screening. This retrospective study was performed in the ROP screening clinic in Al Najaf city between January 2018 a...

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Bibliographic Details
Published in:Journal of medicine and life 2022-11, Vol.15 (11), p.1431-1436
Main Authors: Neamah, Giyathaldeen Thajeel, Al Nwuaini, Mohammed Qasim, Abd, Khalid Abbas, Nasrawi, Alaa Jumaah Manji, Hussein, Shamim Riadh Mohammed
Format: Article
Language:English
Subjects:
Birth Weight
Developing countries
Disease
Gestational Age
Hospitals, Teaching
Humans
Infant
Infant, Newborn
Infant, Very Low Birth Weight
Iraq - epidemiology
LDCs
Original
Premature babies
Retina
Retinopathy
Retinopathy of Prematurity - diagnosis
Retinopathy of Prematurity - epidemiology
Retrospective Studies
Risk Factors
Teaching hospitals
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Summary:This study aimed to assess the incidence of retinopathy of prematurity (ROP) in Al Najaf city, define the risk factors of ROP, and assess the performance of the newly implemented ROP screening. This retrospective study was performed in the ROP screening clinic in Al Najaf city between January 2018 and December 2019. 247 neonates were examined at the ROP screening clinic, with gestational age ≤30 weeks, weight ≤1500 g, other fetal and maternal risk factors, and older or heavier newborns with a complicated course. Out of all the neonates, 90 were enrolled in this study because all others lost contact with the ROP clinic. 62 out of 90 enrolled neonates (69%) were diagnosed with ROP. Of them, 82% had stage 1-2 ROP, and 18% had stage 3-4. We found that the higher gestational age was protective for ROP (P-value=0.012, OR=0.434, CI=0.227-0.829). CPAP carried a higher risk of ROP (P-value=0.072, OR=7.276, CI=0.834-63.441). The P-value was significant for maternal age and premature rupture of membranes (PROM) (P-value=0.028 and 0.01, respectively). This study showed the incidence of ROP in the accepted range compared to other countries with similar resources. Furthermore, there was a strong association between ROP and the following factors: decreased gestational age, CPAP, maternal age, and PROM.
ISSN:1844-122X
1844-3117
DOI:10.25122/jml-2022-0060