Article ID Journal Published Year Pages File Type
4013229 Journal of American Association for Pediatric Ophthalmology and Strabismus 2016 5 Pages PDF
Abstract

PurposeTo investigate the association between postnatal steroids and retinopathy of prematurity (ROP) in neonates born with birth weights at the limit of viability (<500 g).MethodsData from the Pediatrix BabySteps Clinical Warehouse were retrospectively reviewed. The study population consisted of 1,472 neonates with birth weights of <500 g who were discharged alive from 167 NICUs between 1996 and 2013. Statistical significance for unadjusted comparisons between groups was determined using the χ2 or t test. Logistic regression was used to calculate odds of ROP.ResultsIn multivariate analysis, the odds of any ROP for steroid treated infants was 1.6 (95% CI, 1.2-2.2) compared to nontreated infants; the odds of advanced ROP was 1.7 (95% CI, 1.3-2.3).ConclusionsIn our large study cohort of critically low birth weight infants ROP was more common in neonates exposed to postnatal steroids.

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Health Sciences Medicine and Dentistry Ophthalmology
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