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首页> 外文期刊>BMJ paediatrics open. >ROP screening and treatment in four district-level special newborn care units in India: a cross-sectional study of screening and treatment rates
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ROP screening and treatment in four district-level special newborn care units in India: a cross-sectional study of screening and treatment rates

机译:印度四个区级特殊新生儿护理单位的ROP筛选和治疗:筛选和治疗率的横截面研究

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摘要

Objective Blindness from retinopathy of prematurity (ROP) in middle-income countries is generally due to absence of screening or inadequate screening. The objective of this study was to assess uptake of services in an ROP programme in four district-level special newborn care units in India. Design Cross-sectional study. Setting All four neonatal units of a state in India where model programme for ROP had been introduced Patients Infants eligible for screening and treatment of ROP between March and May 2017. Intervention Data on sex, birth weight and gestational age of eligible infants were collected and medical records reviewed for follow-up. Main outcome measures Proportion of eligible infants screened and for those screened, age at first screening, completion of screening, diagnosis and treatment received if indicated. The characteristics of infants screened and not screened were compared. Results 137 (18%) of the 751 infants eligible for screening were screened at least once, with no statistically significant difference by sex. The mean birth weight and gestational age of those screened were significantly lower than those not screened. Among those screened, 43% underwent first screening later than recommended and 44% had incomplete follow-up. Fourteen infants (11% of those screened) were diagnosed with ROP. Five were advised laser treatment and all complied. Conclusion Uptake, completion and timing of first screening was suboptimal. Some planned interventions including training of nursing staff, use of integrated data-management software and providing material for parent counselling, which have been initiated, need to be fully implemented to improve uptake of ROP screening services.
机译:来自中等收入国家的早产儿(ROP)视网膜病变的客观失明通常是由于没有筛查或筛查不足。本研究的目的是评估在印度的四个地区级特殊新生儿护理单位中的ROP计划中的服务。设计横断面研究。在印度设定所有四个国家的新生儿单位,其中曾因罗贝特的模型计划引入婴儿,其中有资格参加3月和2017年5月之间筛选和治疗ROP。收集和医疗有关符合条件婴儿的性别,出生体重和孕龄的干预数据记录进行后续行动。主要结果测量符合条件的婴儿筛选的比例和用于第一次筛查时期的年龄,如果指出,收到的筛查,诊断和治疗。比较了婴儿的特征筛选和未筛选。结果137(18%)有资格筛选筛查的751名婴儿,至少一次筛查,性别没有统计学意义。筛选的那些筛选的平均出生体重和妊娠年龄明显低于未筛选的孕产量。在那些筛选中,晚43%的首次筛选比推荐,44%的后续行动不完整。十四名婴儿(11%的筛查)被诊断为ROP。建议激光治疗和所有人都遵守。结论吸收,首次筛选的完成和时间是次优。一些计划的干预措施包括护理人员的培训,使用综合数据管理软件和为父母咨询提供材料,需要全面实施,以改善ROP筛选服务的吸收。

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