| Longitudinal postnatal weight measurements for the prediction of retinopathy of prematurity. | |
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MedLine Citation:
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PMID: 20385939 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To validate longitudinal postnatal weight gain as a method for predicting severe retinopathy of prematurity (ROP) in a US cohort. METHODS: Both ROP evaluations and weekly weight measurements from birth to postmenstrual week 36 for 318 infants were entered into a computer-based surveillance system, WINROP. This system signaled an alarm when the rate of weight gain decreased compared with control subjects. Infants were classified into 3 groups: (1) no alarm, (2) low-risk alarm, or (3) high-risk alarm. Maximum ROP for each infant was categorized as (1) no ROP (immature or mature vascularization), (2) mild ROP (stage 1 or 2 ROP in zone II or III, without plus disease), or (3) severe ROP (any prethreshold, any stage 3, or threshold ROP). A high-risk alarm identified infants at risk for developing severe ROP. RESULTS: A high-risk alarm occurred in 81 infants (25.5%) and detected all infants who developed severe ROP a median of 9 weeks before diagnosis. The remaining infants received no alarm or a low-risk alarm. None of these infants developed more than mild ROP. CONCLUSIONS: Longitudinal postnatal weight gain may help predict ROP. In a US cohort, the WINROP system had a sensitivity of 100% and identified infants early who developed severe ROP. With further validation, WINROP has the potential to safely reduce the number of ROP examinations. |
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Authors:
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Carolyn Wu; Deborah K Vanderveen; Ann Hellstr?m; Chatarina L?fqvist; Lois E H Smith |
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Publication Detail:
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Type: Journal Article; Validation Studies |
Journal Detail:
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Title: Archives of ophthalmology Volume: 128 ISSN: 1538-3601 ISO Abbreviation: Arch. Ophthalmol. Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-13 Completed Date: 2010-05-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7706534 Medline TA: Arch Ophthalmol Country: United States |
Other Details:
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Languages: eng Pagination: 443-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Ophthalmology, Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA. carolyn.wu@childrens.harvard.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Algorithms Birth Weight / physiology* Female Gestational Age Humans Infant Infant, Newborn Infant, Premature Infant, Very Low Birth Weight Insulin-Like Growth Factor I / analysis Longitudinal Studies Male Retinopathy of Prematurity / blood, diagnosis* Retrospective Studies Sentinel Surveillance Weight Gain / physiology* |
| Chemical | |
Reg. No./Substance:
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67763-96-6/Insulin-Like Growth Factor I |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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