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首页> 外文期刊>Pan African Medical Journal >Retinopathy of prematurity in Kenya: prevalence and risk factors in a hospital with advanced neonatal care
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Retinopathy of prematurity in Kenya: prevalence and risk factors in a hospital with advanced neonatal care

机译：肯尼亚早产儿视网膜病变：一家有新生儿护理中心的医院的患病率和危险因素

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Introduction : Increased survival of preterm babies in sub-saharan Africa has held to an increasing prevalence of Retinopathy of prematurity (ROP). This study was done to determine the ROP prevalence in a hospital with advanced neonatal care in urban Kenya. Methods : A hospitalbased retrospective review of the records of premature infants screened for ROP between January 2010 and December 2015. Records of all premature infants screened for ROP in the neonatal unit and outpatient eye clinic were extracted. Information on Birth weights, Gestational age, Maternal risk factors (mode of delivery, pre-eclampsia/eclampsia) and Neonatal risk factors (neonatal sepsis, days on oxygen, blood transfusion) was recorded in a questionnaire then analysed. Results : 103 infants were included in the study. Mean gestational age was 29.9 ± 2.2 weeks and the mean birth weight was 1280.1 ± 333.0 grams. Forty-three infants were diagnosed with ROP, a prevalence of 41.7%. Majority of these had Stage 1 or 2 ROP in Zone II, which spontaneously regressed with follow up. Nine infants were diagnosed with vision-threatening ROP (any Zone I disease or Stage 2/3 disease in Zone II with plus disease), a prevalence of 20.9%. All of these underwent laser treatment in the neonatal unit. The most significant risk factor was low gestational age. Other risk factors identified were: low birth weight and blood transfusions. Conclusion : ROP prevalence in sub-saharan Africa will match those in middle-income and high income countries in neonatal units with advanced care and low mortality.
机译：简介：撒哈拉以南非洲地区早产儿存活率的提高导致早产儿视网膜病变（ROP）的患病率上升。这项研究是为了确定肯尼亚市区一家拥有先进新生儿护理的医院的ROP患病率。方法：对2010年1月至2015年12月间筛查ROP的早产婴儿的病历进行回顾性医院回顾。提取新生儿和门诊眼科门诊筛查ROP的所有早产儿的病历。在调查表中记录有关出生体重，妊娠年龄，产妇危险因素（分娩方式，先兆子痫/子痫）和新生儿危险因素（新生儿败血症，吸氧天数，输血）的信息，然后进行分析。结果：103名婴儿被纳入研究。平均胎龄为29.9±2.2周，平均出生体重为1280.1±333.0克。确诊为ROP的婴儿为43例，患病率为41.7％。其中大多数在II区具有1或2阶段ROP，并随诊自发性退缩。九名婴儿被诊断出患有威胁视力的ROP（I区疾病或II区中有加病的任何I区疾病或2/3期疾病），患病率为20.9％。所有这些都在新生儿科接受了激光治疗。最重要的危险因素是低胎龄。确定的其他危险因素是：低出生体重和输血。结论：撒哈拉以南非洲的ROP患病率将与中等收入和高收入国家中新生儿病房中具有先进护理和低死亡率的人群中的ROP患病率相匹配。

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