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Prevention of retinopathy of prematurity in preterm infants through changes in clinical practice and SpO(2) technology

AIM: To identify whether pulse oximetry technology is associated with decreased retinopathy of prematurity (ROP) and laser treatment. METHODS: Inborn infants <1250 g who had eye exams were compared at two centres in three periods. In Period 1, SpO(2) target was ≥93% and pulse oximetry technology...

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Autores principales: Castillo, Armando, Deulofeut, Richard, Critz, Ann, Sola, Augusto
Formato: Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3040295/
https://www.ncbi.nlm.nih.gov/pubmed/20825604
http://dx.doi.org/10.1111/j.1651-2227.2010.02001.x
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author Castillo, Armando
Deulofeut, Richard
Critz, Ann
Sola, Augusto
author_facet Castillo, Armando
Deulofeut, Richard
Critz, Ann
Sola, Augusto
author_sort Castillo, Armando
collection PubMed
description AIM: To identify whether pulse oximetry technology is associated with decreased retinopathy of prematurity (ROP) and laser treatment. METHODS: Inborn infants <1250 g who had eye exams were compared at two centres in three periods. In Period 1, SpO(2) target was ≥93% and pulse oximetry technology was the same in both Centres. In Period 2, guidelines for SpO(2) 88–93% were implemented at both centres and Centre B changed to oximeters with signal extraction technology (SET®) while Centre A did not, but did so in Period 3. One ophthalmology department performed eye exams using international criteria. RESULTS: In 571 newborns <1250 g, birth weight and gestational age were similar in the different periods and centres. At Centre A, severe ROP and need for laser remained the same in Periods 1 and 2, decreasing in Period 3–6% and 3%, respectively. At Centre B, severe ROP decreased from 12% (Period 1) to 5% (Period 2) and need for laser decreased from 5% to 3%, remaining low in Period 3. CONCLUSION: In a large group of inborn infants <1250 g, a change in clinical practice in combination with pulse oximetry with Masimo SET, but not without it, led to significant reduction in severe ROP and need for laser therapy. Pulse oximetry selection is important in managing critically ill infants.
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spelling pubmed-30402952011-02-19 Prevention of retinopathy of prematurity in preterm infants through changes in clinical practice and SpO(2) technology Castillo, Armando Deulofeut, Richard Critz, Ann Sola, Augusto Acta Paediatr Regular Articles AIM: To identify whether pulse oximetry technology is associated with decreased retinopathy of prematurity (ROP) and laser treatment. METHODS: Inborn infants <1250 g who had eye exams were compared at two centres in three periods. In Period 1, SpO(2) target was ≥93% and pulse oximetry technology was the same in both Centres. In Period 2, guidelines for SpO(2) 88–93% were implemented at both centres and Centre B changed to oximeters with signal extraction technology (SET®) while Centre A did not, but did so in Period 3. One ophthalmology department performed eye exams using international criteria. RESULTS: In 571 newborns <1250 g, birth weight and gestational age were similar in the different periods and centres. At Centre A, severe ROP and need for laser remained the same in Periods 1 and 2, decreasing in Period 3–6% and 3%, respectively. At Centre B, severe ROP decreased from 12% (Period 1) to 5% (Period 2) and need for laser decreased from 5% to 3%, remaining low in Period 3. CONCLUSION: In a large group of inborn infants <1250 g, a change in clinical practice in combination with pulse oximetry with Masimo SET, but not without it, led to significant reduction in severe ROP and need for laser therapy. Pulse oximetry selection is important in managing critically ill infants. Blackwell Publishing Ltd 2011-02 /pmc/articles/PMC3040295/ /pubmed/20825604 http://dx.doi.org/10.1111/j.1651-2227.2010.02001.x Text en Acta Pædiatrica © 2011 Foundation Acta Pædiatrica http://creativecommons.org/licenses/by/2.5/ Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation.
spellingShingle Regular Articles
Castillo, Armando
Deulofeut, Richard
Critz, Ann
Sola, Augusto
Prevention of retinopathy of prematurity in preterm infants through changes in clinical practice and SpO(2) technology
title Prevention of retinopathy of prematurity in preterm infants through changes in clinical practice and SpO(2) technology
title_full Prevention of retinopathy of prematurity in preterm infants through changes in clinical practice and SpO(2) technology
title_fullStr Prevention of retinopathy of prematurity in preterm infants through changes in clinical practice and SpO(2) technology
title_full_unstemmed Prevention of retinopathy of prematurity in preterm infants through changes in clinical practice and SpO(2) technology
title_short Prevention of retinopathy of prematurity in preterm infants through changes in clinical practice and SpO(2) technology
title_sort prevention of retinopathy of prematurity in preterm infants through changes in clinical practice and spo(2) technology
topic Regular Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3040295/
https://www.ncbi.nlm.nih.gov/pubmed/20825604
http://dx.doi.org/10.1111/j.1651-2227.2010.02001.x
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