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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Retinopathy of prematurity in 7 neonatal units in Rio de Janeiro: screening criteria and workload implications.
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Retinopathy of prematurity in 7 neonatal units in Rio de Janeiro: screening criteria and workload implications.

机译：里约热内卢7个新生儿单位的早产儿视网膜病变：筛查标准和工作量影响。

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OBJECTIVES: The goals were to determine optimal screening criteria for retinopathy of prematurity (ROP) in 7 neonatal units in Rio de Janeiro, Brazil, and to explore the workload implications of applying different criteria. METHODS: Infants with birth weights of < or = 2000 g or gestational age of <37 weeks were examined by 3 ophthalmologists in 7 of the largest units in Rio de Janeiro, during a 34-month period. ROP was classified by using the international classification, and laser treatment was given to infants developing type 1 ROP. RESULTS: A total of 3437 (87%) of 3953 eligible infants were examined, of whom 124 (3.6% [range: 2.1%-7.8%]) were treated. Eleven infants were treated for aggressive posterior ROP. Appropriate screening criteria for the 2 NICUs with high survival rates (ie, > or =80% among infants with birth weights of <1500 g) would be < or =1500 g or <32 weeks. For NICUs with low survival rates (ie, <80%), appropriate criteria would be < or =1500 g or < or =35 weeks. UK, US, and previous Brazilian criteria would all miss infants needing treatment. CONCLUSIONS: ROP programs in Brazil should use the wider criteria of < or =1500 g or < or =35 weeks until further evidence-based criteria become available, although this would mean a slight increase in workload across the city, compared with use of the narrower criteria in the better units. Whether survival rates can be used as a proxy to indicate screening criteria requires further investigation.
机译：目的：目的是确定巴西里约热内卢7个新生儿单位的早产儿视网膜病变（ROP）最佳筛查标准，并探讨采用不同标准对工作量的影响。方法：由三名眼科医生在里约热内卢的7个最大病房中对34个月内出生体重≤2000 g或胎龄≤37周的婴儿进行了检查。通过使用国际分类对ROP进行分类，并对发展为1型ROP的婴儿进行激光治疗。结果：对3953名合格婴儿中的3437名（87％）进行了检查，其中124名（3.6％[范围：2.1％-7.8％]）被治疗。对11例婴儿进行了积极的后路ROP治疗。对于两个存活率较高的新生儿重症监护病房（即出生体重<1500 g的婴儿中≥80％）的适当筛查标准应≤1500g或<32周。对于存活率低（即<80％）的NICU，适当的标准是<或= 1500 g或<或= 35周。英国，美国和先前的巴西标准都会错过需要治疗的婴儿。结论：巴西的ROP计划应使用更宽泛的标准，即<或= 1500 g或<或= 35周，直到获得进一步的循证标准为止，尽管与使用该标准相比，这意味着整个城市的工作量略有增加。在更好的单位中选择更窄的标准。是否可以将存活率用作指示筛查标准的指标，还需要进一步研究。

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