ROP screening tool assessment and validation in a third-level hospital in argentina: A pilot study

Esposito, Evangelina ORCID: https://orcid.org/0000-0002-7289-7465, Knoll, Erna, Guantay, Carla Daniela ORCID: https://orcid.org/0000-0002-7749-2547, Gonzalez-Castellanos, Alejandro, Miranda, Alejandra, Barros Centeno, Maria F., Flores, Martha Gomez and Urrets Zavalía, Julio ORCID: https://orcid.org/0000-0003-2267-2783 (2020) ROP screening tool assessment and validation in a third-level hospital in argentina: A pilot study. Journal of Pediatric Ophthalmology and Strabismus, 58 (1). pp. 55-61. ISSN 0191-3913

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Resumen

Purpose: To evaluate whether a mathematical tool that predicts severe retinopathy of prematurity (ROP) using clinical parameters at 6 weeks of life (ROPScore calculator smartphone application; PABEX Corporation) can be useful to predict severe ROP in a population of premature infants in Argentina. Methods: In this retrospective study, data from the clinical records of all premature infants examined between 2012 and 2018 in the ophthalmology department of a public third-level hospital in Córdoba, Argentina, were obtained. ROPScore screening was applied using a Microsoft Excel spreadsheet (Microsoft Corporation). The sensitivity, specificity, and positive (PPV) and negative (NPV) predictive values of the algorithm were analyzed. Results: Between 2012 and 2018, a total of 2, 894 pre-term infants were examined and 411 met the inclusion criteria, of whom 34% (n = 139) presented some form of ROP and 6% (n = 25) developed severe forms that required treatment. The sensitivity of the algorithm for any ROP and severe ROP was 100%. The PPV and NPV were 35.64% and 100%, respectively, for any ROP and 9.88% and 100% for severe ROP. Conclusions: One-time only calculation of the ROPScore algorithm could identify severe cases after validation, reducing the number of screened infants by 38% in infants with a birth weight of 1, 500 g or less or a gestational age of 32 weeks or younger.

Tipo de documento:	Artículo
DOI:	https://doi.org/10.3928/01913913-20201102-01
Palabras clave:	Retinopatía. Bebés prematuros. Argentina. Hospital.
Temas:	R Medicina > RE Oftalmología
Unidad académica:	Universidad Católica de Córdoba > Facultad de Ciencias de la Salud
Google Académico:	Ver citaciones
URI:	http://pa.bibdigital.ucc.edu.ar/id/eprint/3388

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