Document Detail


Telemedicine detection of type 1 ROP in a distant neonatal intensive care unit.
MedLine Citation:
PMID:  22681938     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: To demonstrate the feasibility of telemedicine screening for retinopathy of prematurity (ROP) by summarizing the results of our experience screening premature infants at a distant hospital in a rural location.
METHODS: Records of all premature infants remotely screened for ROP at a neonatal intensive care unit in Great Falls, Montana, from January 1, 2007 to June 30, 2011, were retrospectively reviewed. The RetCam II imaging system was used to capture retinal images, which were posted on a secure server for evaluation by one of two pediatric ophthalmologists. Infants suspected of having ROP approaching the criteria for laser treatment were transferred to a hospital, where a diagnostic examination was performed and treatment administered when indicated. All other infants received an outpatient diagnostic examination within 2 weeks of discharge.
RESULTS: A total of 582 telemedicine examinations were performed on 137 infants during the study period. Of 13 infants transferred for referral-warranted ROP, 9 ultimately required laser treatment. Good outcomes were noted in all cases, with none progressing to stage 4 or 5 ROP.
CONCLUSIONS: Telemedicine ROP screening detected patients at a remote site in need of laser treatment, allowing prompt transfer with no poor outcomes over a 4.5-year period. Our experience demonstrates the utility of remote screening for ROP.
Authors:
Daniel T Weaver; Todd J Murdock
Related Documents :
21858548 - Effect of zinc supplementation on growth of low birth weight infants aged 1-6 mo in ard...
25059918 - The use of ultrasound-guided regional anaesthetic techniques in neonates and young infa...
22025008 - Using stable isotope analysis to examine the effect of economic change on breastfeeding...
21852768 - Quantifying risks of preterm birth in the arkansas medicaid population, 2001-2005.
24694748 - Cobedding of twin premature infants: calming effects on pain responses.
10214608 - The relationship between caesarean section and neonatal mortality in very-low-birthweig...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus     Volume:  16     ISSN:  1528-3933     ISO Abbreviation:  J AAPOS     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-06-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9710011     Medline TA:  J AAPOS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  229-33     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.
Affiliation:
Billings Clinic, Billings, Montana.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Digital image analysis in retinopathy of prematurity: A comparison of vessel selection methods.
Next Document:  Fluorescein angiography to estimate normal peripheral retinal nonperfusion in children.