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Presentation of retinopathy of prematurity and associated risk factors in a referral center in Iraq
, 2, 3
Affiliations- Middle Technical University, Al-Zafarania, Baghdad, Iraq
- Baghdad University, College of Medicine, Baghdad, Iraq
- Al-Shaheed Ghazi Al-Hariri Hospital for Surgical Specialties, Bab-Almuadam, Baghdad, Iraq
open access
Abstract
BACKGROUND: The aim of the study was to report the prevalence of retinopathy of prematurity (ROP) and its classification in a sample of premature Iraqi newborns and to investigate the associated risk factors.
MATERIAL AND METHODS: An observational retrospective cohort study carried out at the Ophthalmology Department, Hemayat Al-Tifil Hospital, Medical City Complex in Baghdad, Iraq. The data were collected from patients’ case files from December 2019 until the end of March 2021, targeting premature newborns with gestational age < 37 weeks who had dilated fundus examination and completed the follow-up.
RESULTS: During the study period, 269 cases were enrolled with a mean gestational age of 31.3 ± 2.2 weeks, 9.3% aged less than 28 weeks, and a birth weight of 1558.7 ± 476.8 grams. From the total sample, 19 (7.1%) had type 1 ROP (T1ROP), 43 (16%) had type 2 ROP (T2ROP), and 70 (26%) had any ROP. T1ROP was significantly associated with low gestational age (16% of cases aged < 28 weeks), respiratory distress syndrome (20%), and low birth weight (21.4% in cases with birth weight less than 1051 g). In multivariate regression analysis, poor weight gain maintained a statistically significant association with T1ROP.
CONCLUSION: The incidence of T1ROP in the study sample was comparable to results in other countries. Factors that were associated with increased risk for ROP after multivariate analysis were only poor weight gain.
Abstract
BACKGROUND: The aim of the study was to report the prevalence of retinopathy of prematurity (ROP) and its classification in a sample of premature Iraqi newborns and to investigate the associated risk factors.
MATERIAL AND METHODS: An observational retrospective cohort study carried out at the Ophthalmology Department, Hemayat Al-Tifil Hospital, Medical City Complex in Baghdad, Iraq. The data were collected from patients’ case files from December 2019 until the end of March 2021, targeting premature newborns with gestational age < 37 weeks who had dilated fundus examination and completed the follow-up.
RESULTS: During the study period, 269 cases were enrolled with a mean gestational age of 31.3 ± 2.2 weeks, 9.3% aged less than 28 weeks, and a birth weight of 1558.7 ± 476.8 grams. From the total sample, 19 (7.1%) had type 1 ROP (T1ROP), 43 (16%) had type 2 ROP (T2ROP), and 70 (26%) had any ROP. T1ROP was significantly associated with low gestational age (16% of cases aged < 28 weeks), respiratory distress syndrome (20%), and low birth weight (21.4% in cases with birth weight less than 1051 g). In multivariate regression analysis, poor weight gain maintained a statistically significant association with T1ROP.
CONCLUSION: The incidence of T1ROP in the study sample was comparable to results in other countries. Factors that were associated with increased risk for ROP after multivariate analysis were only poor weight gain.
Keywords
ROP; retinopathy; prematurity; G-ROP
About this articleTitle
Presentation of retinopathy of prematurity and associated risk factors in a referral center in Iraq
Journal
Issue
Vol 8 (2023): Continuous Publishing
Article type
Original paper
Pages
107-117
Published online
2023-11-16
Page views
329
Article views/downloads
130
DOI
Bibliographic record
Ophthalmol J 2023;8:107-117.
Keywords
ROP
retinopathy
prematurity
G-ROP
Authors
Ali Mohammed Abdulsahib
Najah Kadhum Mohammad
Haider Abdulkareem Aljanabi
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