Effectiveness and future implications of COVID-19-related risk stratification for managing retinopathy of prematurity: The Indian twin cities retinopathy of prematurity study report number 10

Autor:	Subhadra Jalali, Akash Belenje, Komal Agarwal, Nukkala Naveen, NirojK Sahoo, DeepikaC Parmeswarappa, Sushma Jayanna, TapasR Padhi, Sameera Nayak, Bhavik Panchal
Rok vydání:	2022
Předmět:	Infant Newborn COVID-19 Infant Gestational Age Risk Assessment Ophthalmology Risk Factors Communicable Disease Control Birth Weight Humans Retinopathy of Prematurity Prospective Studies Cities Pandemics Infant Premature Retrospective Studies
Zdroj:	Indian journal of ophthalmology. 70(9)
ISSN:	1998-3689
Popis:	To evaluate the effectiveness and future implications of COVID-related risk stratification for managing retinopathy of prematurity (ROP).A prospective study was conducted at a tertiary eye care center from the beginning of the lockdown in India from 23 March 2020 till the end of the first phase of lockdown on 29 May 2020. We evaluated 200 prematurely born infants (34 weeks of gestational age) using the new safety guideline protocols for low-risk babies developed in conjunction with the Indian ROP Society for care during the COVID-19 pandemic. Low risk included babies born at more than 30 weeks of gestational age, post menstrual age 34 weeks or above at presentation, more than 1000 grams of birth weight, and stable systemically with good weight gain.New guidelines were implemented in 106 (53%) infants who were low risk while 94 (47%) infants with high risk were followed up as per the old guidelines. Out of the 106 infants (212 eyes) managed by the new guidelines, good outcome (group 1) was seen in 102 (96.2%) infants. Twenty-seven of the 102 infants had some form of ROP and 5 of these infants needed treatment. None of the low-risk babies with no detachment at presentation managed by new guidelines required surgery later (group 2). Two (1.9%) infants came with retinal detachment at presentation and underwent successful surgery (group 3) and two infants (1.9%) were lost to follow up.New risk stratification during the COVID-19 pandemic was an efficient and safe strategy in managing low-risk ROP babies.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7ae15a74a996056ce53956116f6f13dc https://pubmed.ncbi.nlm.nih.gov/36018120 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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