Validation of the postnatal growth and retinopathy of prematurity (G-ROP) screening criteria in a Thai cohort
Issued Date
2023-01-01
Resource Type
ISSN
00215155
eISSN
16132246
Scopus ID
2-s2.0-85162271226
Journal Title
Japanese Journal of Ophthalmology
Rights Holder(s)
SCOPUS
Bibliographic Citation
Japanese Journal of Ophthalmology (2023)
Suggested Citation
Trinavarat A., Najmuangchan N., Ngerncham S., Piampradad S., Nunthanid P., Tatritorn D., Amnartpanich T., Limkongngam N., Praikanarat T., Arjkongharn N., Udompunthurak S., Atchaneeyasakul L.o. Validation of the postnatal growth and retinopathy of prematurity (G-ROP) screening criteria in a Thai cohort. Japanese Journal of Ophthalmology (2023). doi:10.1007/s10384-023-01003-9 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/87735
Title
Validation of the postnatal growth and retinopathy of prematurity (G-ROP) screening criteria in a Thai cohort
Author's Affiliation
Other Contributor(s)
Abstract
Purpose: To validate Postnatal Growth and Retinopathy of Prematurity (G-ROP) criteria for Thai infants. Study design: A retrospective review of infants receiving ROP screening during 2009–2020. Methods: Baseline characteristics, clinical progression and final ROP outcomes were collected. G-ROP was applied to infants who met at least one of the following 6 criteria: birth weight (BW) below 1051 g, gestational age (GA) under 28 weeks, weight gain (WG) less than 120 g during postnatal day 10–19, WG less than 180 g during day 20–29, WG less than 170 g during day 30–39 and hydrocephalus. Results: A total of 684 infants (boys, 53.4%) were included. Median (IQR) BW was 1200 (960–1470) grams and median GA was 30 (28–32) weeks. Prevalence of ROP was 26.6%, with 28 (4.1%) having type 1, 19 (2.8%) type 2 and, 135 (19.7%) having other ROP. Treatment was performed in 26 infants (3.8%). Sensitivity of G-ROP to include type 1, 2 or treatment-requiring ROP cases was 100% with 36.9% specificity, excluding 235 (34.4%) cases of unnecessary screening. To adjust for our setting of initial eye examination at 4 weeks’ postnatal date, the last 2 criteria of G-ROP were replaced by the occurrence of grade 3 or 4 intraventricular hemorrhage (IVH). This modified G-ROP criteria yielded 100% sensitivity, 42.5% specificity and excluded 271 (39.6%) cases of unnecessary screening. Conclusion: G-ROP criteria can be applied to our hospital setting. Occurrence of IVH grade 3 or 4 was proposed as an alternative in modified G-ROP criteria.