| Poor postnatal weight gain: a risk factor for severe retinopathy of prematurity. | |
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MedLine Citation:
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PMID: 11124668 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: This study aimed to investigate the relationship between rate of postnatal weight gain and severity of retinopathy of prematurity (ROP). METHODS: All infants (n = 111) screened for ROP at a single tertiary intensive care nursery over a 2-year period with an estimated gestational age of 30 weeks or less and follow-up to at least 42 weeks' postconception were included. The authors performed a retrospective review of records and statistical analysis of risk factors for ROP using multivariate analysis. RESULTS: Infants with severe (stage 3 or greater) ROP gained an average 10.9 g/kg per day in the first 6 weeks of life, compared to a mean of 9.6 g/kg per day for those with mild or no ROP (P =.04). By multiple regression, which included birth weight, gestational age, and 9 other reported risk factors, there was an association between rate of postnatal weight gain and severity of ROP (P =.02). By stepwise regression, 4 variables were associated with ROP severity: estimated gestational age at birth (P =.002), rate of postnatal weight gain (P = .0002), volume of transfused erythrocytes (P =.0001), and culture-proven sepsis (P = .02). CONCLUSION: Poor postnatal weight gain is a risk factor for the development of severe (stage 3 or greater) ROP. Ophthalmologists should take note of those infants who gain less than 50% of their birth weight in the first 6 weeks of life. |
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Authors:
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D K Wallace; J A Kylstra; S J Phillips; J G Hall |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus Volume: 4 ISSN: 1091-8531 ISO Abbreviation: J AAPOS Publication Date: 2000 Dec |
Date Detail:
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Created Date: 2001-01-10 Completed Date: 2001-01-25 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9710011 Medline TA: J AAPOS Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 343-7 Citation Subset: IM |
Affiliation:
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Departments of Ophthalmology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7040, USA. dkwallac@med.unc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Disease Progression Gestational Age Humans Infant Infant, Low Birth Weight Infant, Newborn Prognosis Retinopathy of Prematurity / diagnosis, etiology* Retrospective Studies Risk Factors Severity of Illness Index Weight Gain* |
| Comments/Corrections | |
Comment In:
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J AAPOS. 2001 Jun;5(3):198
[PMID:
11404749
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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