Retinopathy of prematurity: characterization of the population and associated factors

Introduction: Retinopathy of Prematurity (ROP) is the leading cause of childhood blindness in Colombia and the world. It is a preventable disease; typical to prematurity and low weight newborns. An abnormal vascular neoformation in the immature retina is induced with proliferation of capillaries tha...

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Main Authors: Dolly Vidal, Deivy Lasso, Sandra Ordóñez, Francisco Acosta, Ángela María Merchán, Augusto Muñoz, Mario Delgado-Noguera
Format: Article
Language:Spanish
Published: Universidad del Cauca 2013-12-01
Series:Revista de la Facultad de Ciencias de la Salud
Subjects:
Online Access:http://revistas.unicauca.edu.co/index.php/rfcs/article/view/41
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author Dolly Vidal
Deivy Lasso
Sandra Ordóñez
Francisco Acosta
Ángela María Merchán
Augusto Muñoz
Mario Delgado-Noguera
author_facet Dolly Vidal
Deivy Lasso
Sandra Ordóñez
Francisco Acosta
Ángela María Merchán
Augusto Muñoz
Mario Delgado-Noguera
author_sort Dolly Vidal
collection DOAJ
description Introduction: Retinopathy of Prematurity (ROP) is the leading cause of childhood blindness in Colombia and the world. It is a preventable disease; typical to prematurity and low weight newborns. An abnormal vascular neoformation in the immature retina is induced with proliferation of capillaries that enter, in an irregular way, to the vitreous eventually causing fibrosis and retraction of the retina to the total or partial detachment of the same and subsequent neonatal blindness. Objective: Characterize the neonatal population of ROP at San Jose University Hospital (HUSJ) of Popayan, between 2012 and 2013 and to determine associated socio-demographic factors with the severity of the disease. Methods: Cross-sectional study which included: preterm infants admitted to hospital, weighing less than 1800 grams; or weighing between 1800 and 2000 grams who had risk factors; or were under 32 weeks. Pediatric ophthalmologist performed the assessment and diagnosis of newborns; the demographic and clinical characteristics were obtained on an instrument approved by experts. Statistical analysis was performed using SPSS 14.0. Results: 650 infants were admitted to the neonatal unit, of which, those who fulfilled the inclusion criteria to obtain the sample size (n = 82) were selected. 86.6% of the population came from rural areas, 61% of mothers were under 20 years, 73.2% of pregnancies were greater than 31 weeks gestation, 63.4% were male, and 74.4% weighing less than 1500 grams and 55.6% were affected until Zone II. It was found a significant association between maternal variables and degree of retinopathy as RPMO (p = 0.001), first pregnancy (p = 0.03), grade of incomplete education (p = 0.01), unemployment (p = 0.026) and rural residence (p = 0.043). On clinical features of newborns, it was found a significant association with the presence of phototherapy (p = 0.026), neonatal pneumonia (0.019), perinatal asphyxia (p =
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spelling doaj.art-a734485c9b7b4f78bfe67630c00d0ab32022-12-21T17:58:56ZspaUniversidad del CaucaRevista de la Facultad de Ciencias de la Salud0124-308X2538-99712013-12-01154172442Retinopathy of prematurity: characterization of the population and associated factorsDolly Vidal0Deivy Lasso1Sandra Ordóñez2Francisco Acosta3Ángela María Merchán4Augusto Muñoz5Mario Delgado-Noguera6Universidad del CaucaUniversidad del CaucaHospital Universitario San josé de PopayánUniversidad del Cauca Departamento de PediatríaUniversidad del CaucaUniversidad del Cauca Departamento de FonoaudiologíaUniversidad del Cauca Departamento de PediatríaIntroduction: Retinopathy of Prematurity (ROP) is the leading cause of childhood blindness in Colombia and the world. It is a preventable disease; typical to prematurity and low weight newborns. An abnormal vascular neoformation in the immature retina is induced with proliferation of capillaries that enter, in an irregular way, to the vitreous eventually causing fibrosis and retraction of the retina to the total or partial detachment of the same and subsequent neonatal blindness. Objective: Characterize the neonatal population of ROP at San Jose University Hospital (HUSJ) of Popayan, between 2012 and 2013 and to determine associated socio-demographic factors with the severity of the disease. Methods: Cross-sectional study which included: preterm infants admitted to hospital, weighing less than 1800 grams; or weighing between 1800 and 2000 grams who had risk factors; or were under 32 weeks. Pediatric ophthalmologist performed the assessment and diagnosis of newborns; the demographic and clinical characteristics were obtained on an instrument approved by experts. Statistical analysis was performed using SPSS 14.0. Results: 650 infants were admitted to the neonatal unit, of which, those who fulfilled the inclusion criteria to obtain the sample size (n = 82) were selected. 86.6% of the population came from rural areas, 61% of mothers were under 20 years, 73.2% of pregnancies were greater than 31 weeks gestation, 63.4% were male, and 74.4% weighing less than 1500 grams and 55.6% were affected until Zone II. It was found a significant association between maternal variables and degree of retinopathy as RPMO (p = 0.001), first pregnancy (p = 0.03), grade of incomplete education (p = 0.01), unemployment (p = 0.026) and rural residence (p = 0.043). On clinical features of newborns, it was found a significant association with the presence of phototherapy (p = 0.026), neonatal pneumonia (0.019), perinatal asphyxia (p =http://revistas.unicauca.edu.co/index.php/rfcs/article/view/41Retinopatía del prematuro, ceguera, neonatos
spellingShingle Dolly Vidal
Deivy Lasso
Sandra Ordóñez
Francisco Acosta
Ángela María Merchán
Augusto Muñoz
Mario Delgado-Noguera
Retinopathy of prematurity: characterization of the population and associated factors
Revista de la Facultad de Ciencias de la Salud
Retinopatía del prematuro, ceguera, neonatos
title Retinopathy of prematurity: characterization of the population and associated factors
title_full Retinopathy of prematurity: characterization of the population and associated factors
title_fullStr Retinopathy of prematurity: characterization of the population and associated factors
title_full_unstemmed Retinopathy of prematurity: characterization of the population and associated factors
title_short Retinopathy of prematurity: characterization of the population and associated factors
title_sort retinopathy of prematurity characterization of the population and associated factors
topic Retinopatía del prematuro, ceguera, neonatos
url http://revistas.unicauca.edu.co/index.php/rfcs/article/view/41
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