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Sun H, Dong Y, Liu Y, Chen Q, Wang Y, Cheng B, Qin S, Meng L, Li S, Zhang Y, Zhang A, Yan W, Dong Y, Cheng S, Li M, Yu Z. Using ROPScore and CHOP ROP for early prediction of retinopathy of prematurity in a Chinese population. Ital J Pediatr 2021; 47:39. [PMID: 33602298 PMCID: PMC7890862 DOI: 10.1186/s13052-021-00991-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 02/09/2021] [Indexed: 11/10/2022] Open
Abstract
Purpose Retinopathy of prematurity (ROP) is a disease that causes vision loss, vision impairment, and blindness, most frequently manifesting among preterm infants. ROPScore and CHOP ROP (Children’s Hospital of Philadelphia ROP) are similar scoring models to predict ROP using risk factors such as postnatal weight gain, birth weight (BW), and gestation age (GA). The purpose of this study was to compare the accuracy and difference between using ROPScore and CHOP ROP for the early prediction of ROP. Methods A retrospective study was conducted from January 2009 to December 2019 in China. Patients eligible for enrollment included infants admitted to NICU at ≤32 weeks GA or those with ≤1500 g BW. The sensitivity and specificity of ROPScore and CHOP ROP were analyzed, as well as its suitability as an independent predictor of ROP. Results Severe ROP was found in 5.0% of preterm infants. The sensitivity and specificity of the ROPScore test at any stage of ROP was 55.8 and 77.8%, respectively. For severe ROP, the sensitivity and specificity was 50 and 87.0%, respectively. The area under the receiver operating characteristic curve for the ROPScore for predicting severe ROP was 0.76. This value was significantly higher than the values for birth weight (0.60), gestational age (0.73), and duration of ventilation (0.63), when each was category measured separately. For the CHOP ROP, it correctly predicted infants who developed type 1 ROP (sensitivity, 100%, specificity, 21.4%). Conclusions The CHOP ROP model predicted infants who developed type 1 ROP at a sensitivity of 100% whereas ROPScore had a sensitivity of 55.8%. Therefore, the CHOP ROP model is more suitable for Chinese populations than the ROPScore test. Clinical registration number and STROBE guidelines This article was a retrospective cohort study and reported the results of the ROPScore and CHOP ROP algorithms. No results pertaining to interventions on human participants were reported. Thus, registration was not required and this study followed STROBE guidelines.
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Affiliation(s)
- Huiqing Sun
- Department of Neonatology, Children's Hospital of Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, 33 Longhuwaihuan Road, Zhengzhou, 450018, China.
| | - Yubin Dong
- Department of Neonatology, Zhoukou Central Hospital, Zhoukou, China
| | - Yanxia Liu
- Department of Neonatology, Pingdingshan People's Hospital NO.1, Pingdingshan, China
| | - Qingqin Chen
- Department of Neonatology, Xinmi Maternal and Child Health Hospital, Zhengzhou, China
| | - Yanxi Wang
- Department of Neonatology, Zhoukou Yongshan Hospital, Zhoukou, China
| | - Bin Cheng
- Department of Neonatology, Xihua People's Hospital, Zhoukou, China
| | - Shaobo Qin
- Department of Neonatology, Pingyu People's Hospital, Zhumadian, China
| | - Liping Meng
- Department of Neonatology, Jiaozuo Second People's Hospital, Jiaozuo, China
| | - Shanxiu Li
- Department of Neonatology, Pingdingshan Pingmei General Hospital, Pingdingshan, China
| | - Yanlun Zhang
- Department of Neonatology, Pingdingshan Maternal and Child Health Hospital, Pingdingshan, China
| | - Aiguo Zhang
- Department of Neonatology, Jiyuan People's Hospital, Jiyuan, China
| | - Weiling Yan
- Department of Neonatology, Xinzheng People's Hospital, Zhengzhou, China
| | - Yuhong Dong
- Department of Neonatology, Sanmenxia Central Hospital, Sanmenxia, China
| | - Shuyi Cheng
- Department of Neonatology, Biyang People's Hospital, Zhumadian, China
| | - Mingchao Li
- Department of Neonatology, Children's Hospital of Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, 33 Longhuwaihuan Road, Zhengzhou, 450018, China
| | - Zengyuan Yu
- Department of Neonatology, Children's Hospital of Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, 33 Longhuwaihuan Road, Zhengzhou, 450018, China
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Prethreshold retinopathy of prematurity: VEGF inhibition without VEGF inhibitors. J Perinatol 2018; 38:1295-1300. [PMID: 30046180 DOI: 10.1038/s41372-018-0177-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Accepted: 06/19/2018] [Indexed: 12/20/2022]
Abstract
The risk of developing treatment-warranted Type 1 retinopathy of prematurity (ROP) might be reduced in preterm infants by modifying certain systemic factors. There are steps that can be taken both early and late in the course of retinal vascular maturation that may potentially reduce an infant's risk of developing Type 1 ROP. In prethreshold stage 2-3 ROP without plus disease, a combination of supplemental oxygen, correction of severe anemia, and light adaptation to reduce rod photoreceptor oxygen consumption helped us to reduce ROP severity, and encouraged a return to a more physiologic retinal vascular maturation pattern. Thus, it may be possible to reduce the risk of developing Type 1 ROP by making adjustments in certain systemic parameters aimed at reducing retinal hypoxia, thereby gently lowering pathologically elevated levels of vascular endothelial growth factor (VEGF) within the eye.
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