Postnatal weight gain in very low birth weight infants in Beijing and the risk of retinopathy of prematurity

被引:0
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作者
Zong-Hua Wang [1 ]
Peng-Fen Gao [2 ]
Hua Bai [1 ]
Yao-Yu Li [1 ]
机构
[1] Department of Ophthalmology, Beijing General Hospital of the Chinese PLA
[2] Department of Ophthalmology, Fuzhou General Hospital of the Chinese PLA
关键词
retinopathy of prematurity; weight gain; risk factors; weight gain proportion;
D O I
暂无
中图分类号
R774.1 [视网膜疾病];
学科分类号
100212 ;
摘要
AIM: To analyze the low weight gain(WG) from birth to4 and 6wk of life to predict the development of retinopathy of prematurity(ROP) among very low birth weight(VLBW) preterm babies.·METHODS: Three hundred and three newborns with VLBW were analyzed. Body weight measurements were recorded weekly. In all patients, the proportion of the WG was defined as the preterm weight measured at the 4th and 6thweeks of life minus the birth weight(BW) divided by the BW. Other risk factors for ROP were also analyzed.·RESULTS: Mean gestational age and mean BW of the whole cohort were 29.56 ±1.44 wk and 1270.58 ±176.18 g respectively. WG proportion at 4wk postnatal age(18.89% ±13.58%) were significantly lower in infants with ROP(P =0.003). WG proportion at 6wk was not different between ROP and no ROP group(42.48% ±20.36% vs46.43%±15.65% P =0.118). When all the other risk factors significant for ROP were included in the logistic regression poor WG did not arise as an independent risk factor. Area under the ROC curve was 0.591(95% CI:0.515-0.666; P =0.016). For ROP, the best discriminative cutoff of 18.06% of the proportional WG at the 4th week over the BW, sensitivity and specificity values were67.3% and 50.0% respectively.·CONCLUSION: Low WG proportion in the first 4wk of life is maybe an additional predictor of ROP in very low BW infants. Preterm babies with low BW and low WG proportion should be followed closely for ROP.
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页码:1207 / 1210
页数:4
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