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FältnamnIndikatorerMetadata
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001oai:gup.ub.gu.se/318280
003SwePub
008240528s2022 | |||||||||||000 ||eng|
009oai:DiVA.org:umu-203221
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0247 a https://gup.ub.gu.se/publication/3182802 URI
0247 a https://doi.org/10.1136/bmjopen-2021-0555672 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-2032212 URI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1504404622 URI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4827382 URI
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0247 a https://lup.lub.lu.se/record/8056ddce-4b63-46a7-b83d-f8c1dee7835c2 URI
040 a (SwePub)gud (SwePub)umud (SwePub)kid (SwePub)uud (SwePub)liud (SwePub)lu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Hellström, Ann,d 1959u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,The Sahlgrenska Centre for Pediatric Ophthalmology Research, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg Sahlgrenska Academy, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci & Physiol, Sahlgrenska Ctr Pediat Ophthalmol Res,Dept Clin N, Gothenburg, Sweden.4 aut0 (Swepub:lu)med-ahe
2451 0a Retrospective evaluation of ophthalmological and neurological outcomes for infants born before 24 weeks gestational age in a Swedish cohort
264 c 2022-08-03
264 1b BMJ,c 2022
500 a Funding Agencies|Swedish Medical Research Council [2020-01092]; Gothenburg Medical Society, Government grants under the ALF agreement [ALFGBG--717971]; Knut and Alice Wallenberg Clinical Scholars; NIH [EY017017, EY030904 BCH IDDRC, 1U54HD090255]
520 a Objectives To retrospectively evaluate ophthalmological and neurological outcomes in a Swedish cohort of infants born before 24 weeks gestational age (GA) and explore risk factors for visual impairment. Setting Eye and paediatric clinics in Sweden. Participants Infants screened for retinopathy of prematurity (ROP) (n=399), born before 24 weeks GA, 2007-2018. Cases were excluded if ophthalmological follow-up records could not be traced. Primary and secondary outcome measures Primary outcomes were ophthalmological, including visual acuity (VA), refractive error, strabismus, nystagmus and cerebral visual impairment (CVI). Secondary outcomes comprised neonatal and neurological morbidities. Data were retrospectively retrieved from medical records. Results The 355 assessed children had a median GA of 23 weeks and 2 days and a median birth weight of 565 g. At the last available ophthalmological examination, the median age was 4.8 years (range 0.5-13.2 years). Nystagmus was recorded in 21.1%, strabismus in 34.8%, and 51.0% wore spectacles. Seventy-three of 333 (21.9%) were visually impaired, defined as being referred to a low vision clinic and/or having a VA less than 20/60 at 3.5 years of age or older. ROP treatment was a significant risk factor for visual impairment (OR 2.244, p=0.003). Visually impaired children, compared with children without visual impairment, more often had neurological deficits such as intellectual disability 63.8% versus 33.3% (p<0.001), epilepsy 21.1% versus 7.5% (p=0.001) and autism spectrum disorders 32.8% versus 20.9% (p=0.043). Nine of the 355 children had been diagnosed with CVI. Conclusions Children born before 24 weeks GA frequently had visual impairment in association with neurological deficits. CVI was rarely diagnosed. A multidisciplinary approach for the evaluation and habilitation of these vulnerable infants is warranted. National follow-up guidelines need to be developed and implemented.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Oftalmologi0 (SwePub)302172 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Ophthalmology0 (SwePub)302172 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Pediatrik0 (SwePub)302212 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Pediatrics0 (SwePub)302212 hsv//eng
653 a paediatric ophthalmology
653 a paediatrics
653 a 
653 a neurodisability
653 a cerebral visual impairment
653 a extremely preterm infants
653 a severe
653 a retinopathy
653 a prematurity
653 a children
653 a association
653 a acuity
653 a birth
653 a eye
653 a General & Internal Medicine
653 a developmental neurology & neurodisability
653 a developmental neurology & neurodisability
7001 a Jacobson, L.u Karolinska Institute,Karolinska Institutet,Karolinska Inst, Dept Clin Neurosci, Sect Eye & Vis, Stockholm, Sweden.;Karolinska Univ Sjukhuset, Astrid Lindgren Childrens Hosp, Neuropediat Dept, Stockholm, Sweden.,Karolinska University Hospital4 aut
7001 a Al-Hawasi, Abbasu Linköping University,Linköpings universitet,Avdelningen för sinnesorgan och kommunikation,Medicinska fakulteten4 aut0 (Swepub:liu)abbal73
7001 a Hellström-Westas, Lena,d 1954-u Uppsala University,Uppsala universitet,Institutionen för kvinnors och barns hälsa,Uppsala Univ, Sweden4 aut0 (Swepub:lu)pedi-lhe
7001 a Rakow, A.u Karolinska Institute,Karolinska Institutet,Karolinska Inst, Dept Woman & Child Hlth, Stockholm, Sweden.4 aut
7001 a Johnson, Mats,d 1956u Gothenburg University,Göteborgs universitet,Gillbergcentrum,Gillberg Neuropsychiatry Centre,Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Gillberg Neuropsychiat Ctr, Gothenburg, Sweden.4 aut0 (Swepub:gu)xjmats
7001 a Sävman, Karin,d 1960u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics,Region Västra Götaland, Department of Neonatology, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden; Institute for Clinical Sciences, Department of Pediatrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Dept Neonatol, Reg Vastra Gotland, Gothenburg, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden.4 aut0 (Swepub:gu)xsavka
7001 a Holmström, Gerd,d 1951-u Uppsala University,Uppsala universitet,Oftalmiatrik,Uppsala Univ, Sweden4 aut0 (Swepub:uu)gerdholm
7001 a Larsson, Eva,d 1961-u Uppsala University,Uppsala universitet,Oftalmiatrik,Uppsala Univ, Sweden4 aut0 (Swepub:uu)evalarss
7001 a Gränse, Lottau Department of Clinical Sciences, Ophthalmology, Skåne University Hospital Lund, Lund, Sweden,Skane Univ Hosp Lund, Dept Clin Sci, Ophthalmol, Lund, Sweden.4 aut0 (Swepub:lu)oft-lgr
7001 a Saric, M.u Umeå University,Umeå universitet,Oftalmiatrik,Umeå Univ, Med Fak, Dept Clin Sci, Ophthalmol, Umeå, Sweden.4 aut
7001 a Sunnqvist, B.u Department of Ophthalmology, Länssjukhuset Ryhov, Jonkoping, Sweden,Lanssjukhuset Ryhov, Dept Ophthalmol, Jönköping, Sweden.4 aut
7001 a Smith, L.u The Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, MA, Boston, United States,Harvard Med Sch, Boston Childrens Hosp, Dept Ophthalmol, Boston, MA 02115 USA.4 aut
7001 a Hård, Anna-Lena,d 1949u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,The Sahlgrenska Centre for Pediatric Ophthalmology Research, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg Sahlgrenska Academy, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci & Physiol, Sahlgrenska Ctr Pediat Ophthalmol Res,Dept Clin N, Gothenburg, Sweden.4 aut
7001 a Morsing, Evau Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neonatalogi,Forskargrupper vid Lunds universitet,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Neonatology,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)med-emg
7001 a Lundgren, Pia,d 1967u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,The Sahlgrenska Centre for Pediatric Ophthalmology Research, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg Sahlgrenska Academy, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci & Physiol, Sahlgrenska Ctr Pediat Ophthalmol Res,Dept Clin N, Gothenburg, Sweden.4 aut0 (Swepub:gu)xlpiad
7102 a Göteborgs universitetb Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap4 org
7730 t Bmj Opend : BMJg 12:8q 12:8x 2044-6055
8564 u https://doi.org/10.1136/bmjopen-2021-055567y Fulltext
8564 u https://umu.diva-portal.org/smash/get/diva2:1727708/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://uu.diva-portal.org/smash/get/diva2:1690348/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u http://dx.doi.org/10.1136/bmjopen-2021-055567x freey FULLTEXT
8564 8u https://gup.ub.gu.se/publication/318280
8564 8u https://doi.org/10.1136/bmjopen-2021-055567
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-203221
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:150440462
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-482738
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-187883
8564 8u https://lup.lub.lu.se/record/8056ddce-4b63-46a7-b83d-f8c1dee7835c

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