Trends in Retinopathy of Prematurity Care in the United States 2009-2018 A Nationwide Analysis Using National Inpatient Sample

被引:6
|
作者
Thangamathesvaran, Loka [1 ]
Wang, Jiangxia [2 ]
Repka, Michael X. [1 ]
Scott, Adrienne W. [1 ,3 ]
机构
[1] Johns Hopkins Univ, Dept Ophthalmol & Visual Sci, Sch Med, Baltimore, MD USA
[2] Johns Hopkins Biostat Ctr, Johns Hopkins Bloomberg Sch Publ Hlth, Dept Biostat, Baltimore, MD USA
[3] 600 N Wolfe St,Maumenee 719, Baltimore, MD 21287 USA
来源
OPHTHALMOLOGY RETINA | 2023年 / 7卷 / 04期
关键词
PRETERM; MORTALITY; INFANTS; COST; MORBIDITY;
D O I
10.1016/j.oret.2022.10.010
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: Retinopathy of prematurity (ROP) represents a leading cause of childhood blindness. The purpose of our study was to evaluate incidence, trends in cost and length of hospital stay, and risk factors for ROP using a publicly available population-based dataset, the National Inpatient Sample. Design: This cross-sectional study analyzed data from 2009 to 2018 using the National Inpatient Sample. Participants: Premature neonates (n = 717 277) who met the screening criteria for ROP with gestational age of < 30 weeks or birthweight (BW) of < 1500 g were identified. Methods: Database analysis. Main Outcome Measures: Incidence, demographics, risk factors for ROP development, trends in cost, and length of stay were evaluated. Results: In total, incidence of ROP increased from 11% in 2009 to 15% in 2018 (P < 0.001). Multivariate logistic regression model of ROP development showed its associations with female sex (odds ratio [OR], 1.13; 95% confidence interval [CI], 1.10-1.17), Hispanic (OR, 1.10; 95% CI, 1.03-1.18), and Black (OR, 0.91; 95% CI 0.86-0.96) ethnicity. Neonates with lower BWs, particularly those in the 500-to 999-g subgroup (OR, 2.64; 95% CI, 2.44-2.85) and younger gestational ages, particularly those born between 25 and 28 weeks gestational age (OR, 2.41; 95% CI, 2.25-2.58), had increased risk of developing ROP. Comorbidities associated with the development of ROP were perinatal jaundice (OR, 1.84; 95% CI, 1.74-1.94), patent ducts arteriosus (OR, 1.67; 95% CI, 1.60-1.75), intraventricular hemorrhage (OR, 1.41; 95% CI, 1.35-1.48), perinatal infection (OR, 1.84; 95% CI, 1.74-1.94), and respiratory distress syndrome (OR, 1.05; 95% CI, 1.01-1.10). Conclusions: Retinopathy of prematurity develops in about 1 of 10 premature infants and incidence has been shown to be increasing. Significant risk factors were female sex, Hispanic ethnicity, lower BW, younger gestational age, and systemic comorbidities, including perinatal jaundice, patent ductus arteriosus, intraven-tricular hemorrhage, perinatal sepsis, and respiratory distress syndrome.
引用
收藏
页码:360 / 366
页数:7
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