Incidence, risk factors and severity of retinopathy of prematurity in Turkey (TR-ROP study): A prospective, multicentre study in 69 neonatal intensive care units
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info:eu-repo/semantics/openAccessAttribution-NonCommercial 4.0 Internationalhttps://creativecommons.org/licenses/by-nc/4.0/Date
2018Author
Baş, Ahmet YağmurDemirel, Nihal
Koç, Esin
Ulubaş Işık, Dilek
Hirfanoğlu, İbrahim Murat
Tunç, Turan
Sarı, Fatma Nur
Karatekin, Güner
Köklü, Esad
Altunhan, Hüseyin
Turgut, Hatice
Narter, Fatma
Tarakçı, Nuriye
Tekgündüz, Kadir Şerafettin
Özkiraz, Servet
Aydemir, Cumhur
Özdemir, Ahmet
Çetinkaya, Bilin
Kazancı, Ebru
Taştekin, Ayhan
Calkavur, Şebnem
Özyurt, Banu Mutlu
Demirelli, Yaşar
Asker, Hüseyin Selim
Mutlu, Birgül
Uygur, Özgün
Özkan, Hilal
Armangil, Didem
Özlü, Ferda
Mert, Mustafa Kurthan
Ergin, Hacer
Özcan, Beyza
Baş, Evrim Kiray
Okulu, Emel
Acunaş, Betül
Çelik, Ülker
Uslu, Sait İlker
Mutlu, Mehmet
Demir, Nihat
Eroğlu, Funda
Gökmen, Zeynel
Beken, Serdar
Bayraktar, Bilge Tanyeri
Hakan, Nilay
Küçüktaşçı, Kazım
Orman, Ayşen
Cömert, Serdar
Ertuğrul, Sabahattin
Üstün, Nuran
Şahin, Özlem
Terek, Demet
Kale, Yusuf
Konak, Murat
Yurttutan, Sadık
Aydemir, Özge
Zenciroğlu, Ayşegül
Sarıcı, Dilek
Güzoğlu, Nilüfer
Hamilcikan, Şahin
Gürsoy, Tuğba
Tüzün, Funda
Ors, Rahmi
Arslan, Selda
Akdağ, Arzu
Memişoğlu, Aslı
Yaşa, Beril
Hekimoğlu, Berna
Turan, Özden
Aylanç, Hakan
Takçı, Şahin
Çelik, Tolga
Şahin, Suzan
Kılıç, İlknur
Kara, Caner
Tunay, Zuhal Özen
Çelik, Gökhan
Gözen, İbrahim
Satırtav, Günhal
Polat, Nihat
Oral, Ayşe Yeşim
Tokgöz, Mine
Keleş, Sadullah
Bilgin, Burak
Ugurbaş, Şilay Cantürk
Karaca, Çağatay
Keşkek, Nedime Şahinoğlu
Ekinci, Dilbade Yıldız
Balcı, Özlem
Altan, Emir Volkan
Bakbak, Sevda
Ceylan, Nihan Aksu
Kimyon, Sabit
Alyamaç, Günay
Türe, Gamze
Yıldız, Meral
Çalış, Feyza
Sızmaz, Selçuk
Sükgen, Emine
Çetin, Ebru Nevin
Özçimen, Muammer
Tiryaki Demir, Semra
Atila, Huban
Özal, Altan
Tufaner, Gökhan
Eski Yücel, Özlem
Kola, Mehmet
Seven, Erbil
Özdek, Şengül
Durukan, Ali Hakan
Kal, Ali
Çelebi, Ali Rıza Cenk
Koytak, İbrahim Arif
Alacamlı, Göksu
Esme, Arif
Çatak, Onur
Perente, İrfan
Şahin, Alparslan
Ardagil Akçakaya, Aylin
Kiray, Gülünay
Nalcacı, Serhat
Aksoy, Ümit
Bakbak, Berker
Çömez, Ayşegül
Gürsoy, Hüseyin
Kabataş, Emrah Utku
Petriçli, İkbal Seza
Yumuşak, Mehmet Erhan
Kırgız, Ahmet
Uludağ, Günay
Yaman, Aylin
Dadacı, Zeynep
Karataş, Ali
Çeliker, Hande
Cebeci, Zafer
Esenülkü, Mahmut Cenap
Akkoyun, İmren
Ersan, İsmail
Demir, Selim
Kadayıfçılar, Sibel
Ünsal, Ayşe İpek Akyüz
Hocaoğlu, Mümin
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Baş, A. Y., Demirel, N., Koç, E., Işık, D. U., Hirfanoğlu, İ. M., Tunç, T. ... Hocaoğlu, M. (2018). Incidence, risk factors and severity of retinopathy of prematurity in Turkey (TR-ROP study): A prospective, multicentre study in 69 neonatal intensive care units. British Journal of Ophthalmology, 102(12), 1711-1716. https://dx.doi.org/10.1136/bjophthalmol-2017-311789Abstract
Background To evaluate the prevalence, risk factors and treatment of retinopathy of prematurity (ROP) in Turkey and to establish screening criteria for this condition. Methods A prospective cohort study (TR-ROP) was performed between 1 April 2016 and 30 April 2017 in 69 neonatal intensive care units (NICUs). Infants with a birth weight (BW)=1500 g or gestational age (GA)<= 32 weeks and those with a BW> 1500 g or GA> 32 weeks with an unstable clinical course were included in the study. Predictors for the development of ROP were determined by logistic regression analyses. Results The TR-ROP study included 6115 infants: 4964 (81%) with a GA <= 32 weeks and 1151 (19%) with a GA>32 weeks. Overall, 27% had any stage of ROP and 6.7% had severe ROP. A lower BW, smaller GA, total days on oxygen, late-onset sepsis, frequency of red blood cell transfusions and relative weight gain were identified as independent risk factors for severe ROP in infants with a BW=1500 g. Of all infants, 414 needed treatment and 395 (95.4%) of the treated infants had a BW <= 1500 g. Sixty-six (16%) of the treated infants did not fulfil the Early Treatment for Retinopathy of Prematurity requirements for treatment. Conclusions Screening of infants with a GA <= 34 weeks or a BW<1700 g appears to be appropriate in Turkey. Monitoring standards of neonatal care and conducting quality improvement projects across the country are recommended to improve neonatal outcomes in Turkish NICUs.
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