Assessment of Neonatal Care Standard by the Predictive Model for Retinopathy of Prematurity Based on Weight Gain

Care of extremely premature infants is in constant need for evaluation and progress. WINROP, a predictive model based on weight gain, has been developed to reduce the number of stressful examinations for retinopathy for prematurity. Validation studies of WINROP emphasize the difference of applica...

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Main Authors: Ana Čolić, Nenad Vukojević, Sonja Anić Jurica
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2023-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/443544
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author Ana Čolić
Nenad Vukojević
Sonja Anić Jurica
author_facet Ana Čolić
Nenad Vukojević
Sonja Anić Jurica
author_sort Ana Čolić
collection DOAJ
description Care of extremely premature infants is in constant need for evaluation and progress. WINROP, a predictive model based on weight gain, has been developed to reduce the number of stressful examinations for retinopathy for prematurity. Validation studies of WINROP emphasize the difference of applicability in neonatal units of various practice. The aim of the study was to assess the standard of neonatal care by WINROP. Data on extremely premature infants were collected from medical records and entered in WINROP. High- and low-risk WINROP distribution and retinopathy of prematurity outcomes were analyzed. Fifty-four infants, gestational age ≤28 weeks, were included in the study after exclusion of weight related comorbidities. High risk was noted in 74% (n=40) of infants with 24% (n=13) developing retinopathy of prematurity requiring treatment. In low alarm group, there were 3 cases with severe disease. In conclusion, WINROP is not just a provider of predictive information on the severity of retinopathy of prematurity. High-risk alarm indicates the need of adjustment of nutritional strategies. Infants without pathological growth morbidities who develop severe retinopathy of prematurity in low-risk group point to other risk factors for retinopathy of prematurity to be evaluated and changed in future practice.
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spelling doaj.art-55e9a2d72214474097c4697393d20d252024-04-15T18:49:15ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512023-01-0162.117518210.20471/acc.2023.62.01.20Assessment of Neonatal Care Standard by the Predictive Model for Retinopathy of Prematurity Based on Weight GainAna Čolić0Nenad Vukojević1Sonja Anić Jurica2Division of Neonatology, Department of Gynecology and Obstetrics, Zagreb University Hospital Center, Zagreb, CroatiaSchool of Medicine, University of Zagreb, Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, CroatiaDivision of Neonatology, Department of Gynecology and Obstetrics, Zagreb University Hospital Center, Zagreb, CroatiaCare of extremely premature infants is in constant need for evaluation and progress. WINROP, a predictive model based on weight gain, has been developed to reduce the number of stressful examinations for retinopathy for prematurity. Validation studies of WINROP emphasize the difference of applicability in neonatal units of various practice. The aim of the study was to assess the standard of neonatal care by WINROP. Data on extremely premature infants were collected from medical records and entered in WINROP. High- and low-risk WINROP distribution and retinopathy of prematurity outcomes were analyzed. Fifty-four infants, gestational age ≤28 weeks, were included in the study after exclusion of weight related comorbidities. High risk was noted in 74% (n=40) of infants with 24% (n=13) developing retinopathy of prematurity requiring treatment. In low alarm group, there were 3 cases with severe disease. In conclusion, WINROP is not just a provider of predictive information on the severity of retinopathy of prematurity. High-risk alarm indicates the need of adjustment of nutritional strategies. Infants without pathological growth morbidities who develop severe retinopathy of prematurity in low-risk group point to other risk factors for retinopathy of prematurity to be evaluated and changed in future practice.https://hrcak.srce.hr/file/443544Premature infantNeonatal intensive care unitRetinopathy of prematurityWeight gainNeonatal screeningWINROP
spellingShingle Ana Čolić
Nenad Vukojević
Sonja Anić Jurica
Assessment of Neonatal Care Standard by the Predictive Model for Retinopathy of Prematurity Based on Weight Gain
Acta Clinica Croatica
Premature infant
Neonatal intensive care unit
Retinopathy of prematurity
Weight gain
Neonatal screening
WINROP
title Assessment of Neonatal Care Standard by the Predictive Model for Retinopathy of Prematurity Based on Weight Gain
title_full Assessment of Neonatal Care Standard by the Predictive Model for Retinopathy of Prematurity Based on Weight Gain
title_fullStr Assessment of Neonatal Care Standard by the Predictive Model for Retinopathy of Prematurity Based on Weight Gain
title_full_unstemmed Assessment of Neonatal Care Standard by the Predictive Model for Retinopathy of Prematurity Based on Weight Gain
title_short Assessment of Neonatal Care Standard by the Predictive Model for Retinopathy of Prematurity Based on Weight Gain
title_sort assessment of neonatal care standard by the predictive model for retinopathy of prematurity based on weight gain
topic Premature infant
Neonatal intensive care unit
Retinopathy of prematurity
Weight gain
Neonatal screening
WINROP
url https://hrcak.srce.hr/file/443544
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