Swedish National Register for Retinopathy of Prematurity (SWEDROP) and the Evaluation of Screening in Sweden
(2012) In Archives of Ophthalmology 130(11). p.1418-1424- Abstract
- Objectives: To evaluate screening for retinopathy of prematurity (ROP) in Sweden and to investigate possible modifications of the present screening guidelines. Methods: Infants in Sweden with a gestational age (GA) of 31 weeks + 6 days or less are screened for ROP. Data from the Swedish national register for ROP (SWEDROP) during 2008 and 2009 were extracted and compared with a national perinatal quality register. Results: In SWEDROP, there were 1791 infants born before a GA of 32weeks from January 1, 2008, through December 31, 2009. Another 70 infants were registered in the perinatal quality register but not in SWEDROP (drop-out rate, 3.8% [70 of 1861 infants]). Seven infants died before termination of screening. In the final study cohort... (More)
- Objectives: To evaluate screening for retinopathy of prematurity (ROP) in Sweden and to investigate possible modifications of the present screening guidelines. Methods: Infants in Sweden with a gestational age (GA) of 31 weeks + 6 days or less are screened for ROP. Data from the Swedish national register for ROP (SWEDROP) during 2008 and 2009 were extracted and compared with a national perinatal quality register. Results: In SWEDROP, there were 1791 infants born before a GA of 32weeks from January 1, 2008, through December 31, 2009. Another 70 infants were registered in the perinatal quality register but not in SWEDROP (drop-out rate, 3.8% [70 of 1861 infants]). Seven infants died before termination of screening. In the final study cohort (1784 infants), 15.6% had mild ROP and 8.5% had severe ROP. Treatment was performed in 4.4% of the infants, none of whom had a GA at birth of more than 28 weeks. Nine infants with a GA of more than 28 weeks at birth developed stage 3 ROP, which regressed spontaneously. The total number of examinations was 9286 (964 in infants with a GA of 31 weeks), and the mean (range) number of examinations of each infant was 5.2 (1-30). Conclusions: The SWEDROP, a quality register for ROP, has a national coverage (ie, participation) of 96%. Data from 2008 to 2009 show that it seems possible to reduce the upper limit for screening in Sweden by 1 week, including only infants with a GA of 30 weeks + 6 days or less. However, such a change should be combined with a strong recommendation to neonatologists to refer also severely ill and more "mature" infants. (Less)
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https://lup.lub.lu.se/record/3388291
- author
- Holmstrom, Gerd E. ; Hellstrom, Ann ; Jakobsson, Peter G. ; Lundgren, Pia ; Tornqvist, Kristina LU and Wallin, Agneta
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Archives of Ophthalmology
- volume
- 130
- issue
- 11
- pages
- 1418 - 1424
- publisher
- American Medical Association
- external identifiers
-
- wos:000310986700007
- scopus:84869098474
- pmid:23143441
- ISSN
- 0003-9950
- DOI
- 10.1001/archophthalmol.2012.2357
- language
- English
- LU publication?
- yes
- id
- 3897e6c5-056a-4f85-bbc3-a5d8ce80275b (old id 3388291)
- date added to LUP
- 2016-04-01 09:56:55
- date last changed
- 2022-04-12 00:24:42
@article{3897e6c5-056a-4f85-bbc3-a5d8ce80275b,
abstract = {{Objectives: To evaluate screening for retinopathy of prematurity (ROP) in Sweden and to investigate possible modifications of the present screening guidelines. Methods: Infants in Sweden with a gestational age (GA) of 31 weeks + 6 days or less are screened for ROP. Data from the Swedish national register for ROP (SWEDROP) during 2008 and 2009 were extracted and compared with a national perinatal quality register. Results: In SWEDROP, there were 1791 infants born before a GA of 32weeks from January 1, 2008, through December 31, 2009. Another 70 infants were registered in the perinatal quality register but not in SWEDROP (drop-out rate, 3.8% [70 of 1861 infants]). Seven infants died before termination of screening. In the final study cohort (1784 infants), 15.6% had mild ROP and 8.5% had severe ROP. Treatment was performed in 4.4% of the infants, none of whom had a GA at birth of more than 28 weeks. Nine infants with a GA of more than 28 weeks at birth developed stage 3 ROP, which regressed spontaneously. The total number of examinations was 9286 (964 in infants with a GA of 31 weeks), and the mean (range) number of examinations of each infant was 5.2 (1-30). Conclusions: The SWEDROP, a quality register for ROP, has a national coverage (ie, participation) of 96%. Data from 2008 to 2009 show that it seems possible to reduce the upper limit for screening in Sweden by 1 week, including only infants with a GA of 30 weeks + 6 days or less. However, such a change should be combined with a strong recommendation to neonatologists to refer also severely ill and more "mature" infants.}},
author = {{Holmstrom, Gerd E. and Hellstrom, Ann and Jakobsson, Peter G. and Lundgren, Pia and Tornqvist, Kristina and Wallin, Agneta}},
issn = {{0003-9950}},
language = {{eng}},
number = {{11}},
pages = {{1418--1424}},
publisher = {{American Medical Association}},
series = {{Archives of Ophthalmology}},
title = {{Swedish National Register for Retinopathy of Prematurity (SWEDROP) and the Evaluation of Screening in Sweden}},
url = {{http://dx.doi.org/10.1001/archophthalmol.2012.2357}},
doi = {{10.1001/archophthalmol.2012.2357}},
volume = {{130}},
year = {{2012}},
}