medigraphic.com
ISSN 1608-8921 (Print)

2017, Number 2

<< Back Next >>

Gaceta Médica Espirituana 2017; 19 (2)

Retinopathy of prematurity prognosis starting from the new born´s risk factors

Rodríguez RM, Fardales MV, Concepción PJA, Landín SM, Díaz GEC

Language: Spanish
References: 22
Page:
PDF size: 324.11 Kb.


ABSTRACT

Background: Childhood blindness has an impact on children, as it affects their development, education and future life; so it is necessary the early diagnosis of its causes, within which is the retinopathy of prematurity. In the Sancti Spíritus province, an active disease survey was carried out to detect neonates with risk factors for their disease, to diagnose them and treat them on time. Objective: To propose a logistic regression model that predicts the probability of developing retinopathy of prematurity in preterm neonates based on their associated risk factors. Methodology: An observational, analytical study was performed on 751 preterm children who fulfilled the inclusion criteria. A descriptive and inferential analysis, with a classification tree and then logistic regression was used. Results: Risk factors associated with 82 patients diagnosed were exposed, predictors of disease (mechanical ventilation, low gestational age and oxygen) by use of a classification tree identified. From these, a statistical prognostic model was presented to predict the disease. Conclusions: The proposal allows, in relation to a premature neonate, to predict the probability of retinopathy of prematurity.


REFERENCES

  1. OMS. Ceguera y discapacidad visual. Nota Descriptiva No 282. [Internet]. Ginebra: Organización Mundial de la Salud; 2014. [Citado 12 de febrero 2017]. Disponible en: https://www.who.int/es/index.html

  2. Rodríguez Masó S. Diagnóstico situacional de la baja visión en Cuba. Rev Cubana Oftalmol [Internet]. 2016 [citado: 10 abr 2017];29(2):186-8. Disponible en: https://www.revoftalmologia.sld.cu/index.php/oftalmologia/article/view/474/html_192

  3. Hardy RJ, Good WV, Dobson V, Palmer EA, Tung B, Phelps DL, et al. Early Treatment for Retinopathy of Prematurity Cooperative Group. Revised indications for the treatment of retinopathy of prematurity. Results of the early treatment for retinopathy of prematurity randomized trial. Arch Ophthalmol [Internet]. 2003 [citado 10 abr 2017]; 121(12):1684-94. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1857474/

  4. Zamorano Jiménez M, Salgado Valladares M, Velásquez Valassi B. Factores de riesgo asociados a retinopatía del prematuro. Gac Méd Méx. [Internet]. 2012 [citado 12 abr 2017]; 148(1):19-25. Disponible en: http://dialnet.unirioja.es/servlet/articulo?codigo=3895017

  5. Port AD, Chan RV, Ostmo S, Choi D, Chiang MF. Risk factors for Retinopathy of Prematurity: Insights from outlier infants. Graefes Arch Clin Exp Ophthalmol [Internet]. 2014 [cited 2011/jan/11]; 252(10):1669-77. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4183710/

  6. Ortega-Molina JM, Anaya-Alaminos JM, Uberos-Fernández J, Solans-Pérez de Larraya A, Chaves-Samaniego MJ, Salgado-Miranda A et al. Genetic and environmental influences on Retinopathy of Prematurity. Mediators of Inflammation. [Internet]. 2015[cited 2011/jan/11]; 2015. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4454750/

  7. Binenbaum G, Ying GS, Quinn GE, Huang J, Dreiseitl S, Antigua J et al. The CHOP postnatal weight gain, birth weight, and gestational age Retinopathy of Prematurity Risk Model. Arch Ophthalmol. [Internet]. 2012 [cited 12 abr 2017]; 130(12):1560-5. Available from: http://jamanetwork.com/journals/jamaophthalmology/fullarticle/1484682

  8. Lundgren P, Kistner A, Andersson EM, Hansen Pupp I, Holmstrom G, et al. Low Birth Weight Is a Risk Factor for Severe Retinopathy of Prematurity depending on gestational age. PLoS One [Internet]. 2014 Oct [cited 2017/10/11]15;9(10). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198133/

  9. Mier ML. Resultados del programa cubano de prevención de ceguera en el niño con retinopatía de la prematuridad. Visión Panamericana [Internet]. 2008 [citado 9 de abril 2017]; 7(1):12-3. Disponible en: http://www.oftalmologos.org.ar/catalogo/items/show/4124

  10. Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Gilstrap III L, Wenstrom KD. Parto pretérmino. En: Obstetricia de Williams. 22° edición. México: McGraw-Hill Interamericana; 2006. p. 856-62.

  11. Berlanga Silvente V, Rubio Hurtado MJ, Vilà Baños R. Cómo aplicar árboles de decisión en SPSS. REIRE. 2013 Ene; 6(1):65-79. Disponible en: http://diposit.ub.edu/dspace/bitstream/2445/43762/1/618361.pdf

  12. Cantín M. Asociación Médica Mundial. Declaración de Helsinki: Principios éticos para las investigaciones médicas en seres humanos. Int. J. Med. Surg. Sci [Internet]. 2014 [citado 2017/Ene/11]; 1(4):339-46. Disponible en: http://www.ijmss.org/wp-content/uploads/2015/05/art_8_14.pdf

  13. Beauge B, Imbert Puente E, Segura Prevot R, Díaz Matos M, Fuentes Fernández Y, Pérez Beauge B. Retinopatía de la prematuridad. Prevalencia y condiciones relacionadas. Revista médica electrónica PortalesMédicos. Com. [Internet]. 2016 Ene [citado 28 mar 2017]. Disponible en: http://www.revista-portalesmedicos.com/revista-medica/retinopatia-del-prematuro/

  14. Baños Carmona OL, Toledo González Y, Soto García M, Mier Armas M, Rúa Martínez R, Lapido Polanco S. Comportamiento de la retinopatía de la prematuridad en la provincia La Habana. Revista Cubana de Oftalmol [Internet]. 2013 May-ago [citado 29 mar 2017]; 26(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762013000200012

  15. Eliot Fuentes BE, Chávez Morales M, Barrera Villar Y, García Muñóz CL, Portilla Castro MM. Factores de riesgo y comportamiento de la retinopatía de la prematuridad. Rev Ciencias Médicas. [Internet]. 2013 [citado 29 mar 2017]; 17(3):123-33. Disponible en: http://scielo.sld.cu/pdf/rpr/v17n3/rpr13313.pdf

  16. Curbelo Quiñones L, Durán Menéndez R, Villegas Cruz DM Luvia, Broche Hernández A, Alfonso Dávila A. Retinopatía del prematuro. Rev Cubana Pediat [internet]. 2015 [citado 3 de abril 2017]; 87(1):69-81. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312015000100009&lng=es

  17. Torres Leyva M, López Cardet R. Retinopatía de la Prematuridad en Ciudad de la Habana: factores que influyen en su desarrollo [Tesis doctoral en internet]. [La Habana]: Instituto Superior de Ciencias Médicas de La Habana; 2010 [citado 10 de enero 2017]. Disponible en: https://tesis.repo.sld.cu/360/

  18. Yau GS, Lee JW, Tam VT, Liu CC, Wong IY. Risk factors for retinopathy of prematurity in extremely preterm Chinese infants. Medicine (Baltimore). [Internet]. 2014 Dec [citado 18 mar 2017]; 93(28):314. Available from: Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25526484

  19. Hwang JH, Lee EH, Ai-Rhan K. Retinopathy of Prematurity among Very-Low-Birth-Weight Infants in Korea: Incidence, treatment and risk factors. J Korean Med Sci [Internet]. 2015 Oct [cited 2017/01/20]; 30(Suppl 1): S88–S94. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4641069/

  20. Borroni C, Carlevaro C, Morzenti S, De Ponti E, Bozzetti V, Console V, et al.Survey on retinopathy of prematurity (ROP) in Italy. Italian Journal of Pediatrics. [Internet]. 2013 [citado 20 mar 2017]; 39(43):2-7. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716628/

  21. World Health Organization. Born too soon: the Global Action Report on preterm birth. The partnership for maternal, newborn and child health. New York: WHO;2012. [Internet]. 2012 [citado 30 mar 2017]. Available from: http://www.who.int/pmnch/media/news/2012/preterm_birth_report/en/

  22. Ying GS, Quinn GE, Wade KC, Repka MX, Baumritter A, Daniel EY, et al. Predictors for the development of referral-warranted Retinopathy of Prematurity in the telemedicine approaches to evaluating acute-phase Retinopathy of Prematurity (e-ROP) Study. JAMA Ophthalmol. 2015 [cited 2017/01/23]; 133(3):304-11. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4416963/




2020     |     www.medigraphic.com