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Validation of a new retinopathy of prematurity screening method monitoring longitudinal postnatal weight and insulinlike growth factor I.
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- Löfqvist, Chatarina, 1964 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
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- Pupp, Ingrid (author)
- Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Andersson, Eva M., 1968 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för nationalekonomi med statistik, Statistiska forskningsenheten,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Department of Economics, Statistical Research Unit,Institute of Medicine, School of Public Health and Community Medicine
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- Smith, Lois E H (author)
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- (creator_code:org_t)
- American Medical Association (AMA), 2009
- 2009
- English.
- In: Archives of ophthalmology. - : American Medical Association (AMA). - 1538-3601 .- 0003-9950. ; 127:5, s. 622-7
- Journal article (peer-reviewed)
Abstract
Subject headings
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- OBJECTIVE: To validate in a prospective study the surveillance algorithm WINROP for detecting infants at risk for proliferative retinopathy of prematurity (ROP). METHODS: Fifty preterm infants with a mean gestational age of 26 weeks were included. In the first step of WINROP, weekly measures of body weight and serum insulinlike growth factor I (IGF-I) level from birth until postmenstrual age 36 weeks are entered and compared with expected development. If any of the variables show a negative deviation to a certain degree, an alarm is given. In the second step, gestational age, birth weight, and IGF binding protein 3 level are entered. RESULTS: The WINROP algorithm identified all children (100% sensitivity) who were diagnosed with proliferative ROP 1.1 to 21.6 weeks later. No infants with no alarm or with alarm at low risk developed proliferative ROP. Alarm at high risk before postmenstrual age 32 weeks was given for 22 of 50 infants (44%); 9 of these infants developed proliferative ROP (54% specificity), of whom 8 were treated. CONCLUSION: The WINROP algorithm may be a useful tool for modification of ROP screening.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oftalmologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Ophthalmology (hsv//eng)
Keyword
- Algorithms
- Biological Markers
- blood
- Birth Weight
- physiology
- False Positive Reactions
- Female
- Gestational Age
- Humans
- Infant
- Infant
- Newborn
- Infant
- Premature
- blood
- Insulin-Like Growth Factor Binding Protein 3
- blood
- Insulin-Like Growth Factor I
- analysis
- Male
- Predictive Value of Tests
- Prospective Studies
- Radioimmunoassay
- Reproducibility of Results
- Retinopathy of Prematurity
- blood
- etiology
- Risk Factors
- Sensitivity and Specificity
- Biomarkers/blood
- Birth Weight/physiology
- Infant, Newborn
- Infant, Premature/blood
- Insulin-Like Growth Factor Binding Protein 3/blood
- Insulin-Like Growth Factor I/analysis
- Retinopathy of Prematurity/blood
Publication and Content Type
- ref (subject category)
- art (subject category)
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- About the subject
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