Document Detail


The positive prognostic implications of crying during exam on threshold ROP.
MedLine Citation:
PMID:  16459476     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Most infants cry with lid speculum, scleral depression and indirect ophthalmoscopy. This simple observation, "did the infant cry?" during the initial 31-week ROP screening exam was prospectively studied. METHODS: From Fall 1989 through Summer 2003, all Alaskan infants with birthweight < or = 1500 grams were examined by RWA. After 1992, at the 31-week initial ROP screening, we recorded whether the infant was able to cry (cry), did not cry (quiet), or was intubated (vent) during indirect ophthalmoscopy with lid speculum and scleral depression. RESULTS: ROP was classified as to threshold in 873 infants. Infants who were able to cry during their 31-week GA screening exam were less likely to progress to threshold (Chi square 600, 2 = 36, p < .001). Using a logistic fit of Threshold, the increased risk of ROP in infants unable to cry persisted independent of gestational age or birthweight. CONCLUSIONS: Respiratory and neurologic co-morbidity may render those infants unable to cry during the first screening examination at increased risk to progress to threshold ROP.
Authors:
Jon Blackledge; Dustin M Lang; Robert W Arnold
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Alaska medicine     Volume:  47     ISSN:  0002-4538     ISO Abbreviation:  Alaska Med     Publication Date:    2005 Jul-Sep
Date Detail:
Created Date:  2006-02-07     Completed Date:  2006-02-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370457     Medline TA:  Alaska Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2-5     Citation Subset:  IM    
Affiliation:
Pediatric Ophthalmology and Strabismus Ophthalmic Associates, 542 West Second Avenue, Anchorage, Alaska 99501-2242, USA.
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MeSH Terms
Descriptor/Qualifier:
Alaska
Chi-Square Distribution
Cohort Studies
Crying*
Female
Humans
Infant, Newborn
Infant, Very Low Birth Weight*
Logistic Models
Male
Neonatal Screening
Prognosis
Prospective Studies
Retinopathy of Prematurity / diagnosis*
Retinoscopy / methods*
Sensitivity and Specificity
Severity of Illness Index

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


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