Should fewer premature infants be screened for retinopathy of prematurity in the managed care era?

Abstract:

OBJECTIVE:To determine appropriate upper limits for gestational age and birth weight when screening infants for retinopathy of prematurity (ROP). DESIGN:Retrospective survey. SETTING:Tertiary neonatal intensive care nursery. PATIENTS:Seven hundred seven infants born July 1, 1990 to June 30, 1996 and screened for ROP according to the 1988 to 1996 American Academy of Pediatrics guidelines. OUTCOME MEASURES:Maximum stage of ROP with respect to birth weight and gestational age. RESULTS:No ROP more than Stage 1 was observed in infants with gestational ages >/=32 weeks or birth weights >/=1500 g. All cases of threshold and Stage 4 ROP were confined to infants with gestational ages 1500 g or gestational ages >28 weeks. If ROP screening is limited to infants with birth weights of

journal_name

Pediatrics

journal_title

Pediatrics

authors

Wright K,Anderson ME,Walker E,Lorch V

doi

10.1542/peds.102.1.31

subject

Has Abstract

pub_date

1998-07-01 00:00:00

pages

31-4

issue

1 Pt 1

eissn

0031-4005

issn

1098-4275

journal_volume

102

pub_type

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