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Comparison of retinopathy of prematurity incidence between Turkish citizens and Syrian refugees

PURPOSE: More than 3.5 million Syrians came to Turkey seeking refuge and over 470,000 Syrian infants were born since the start of the civil war in 2011. Our aim is to compare the incidence of retinopathy of prematurity (ROP) between Syrian refugees and Turkish citizens. METHODS: This multicenter, re...

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Autores principales: Kimyon, Sabit, Çelemler, Pelin, Mete, Alper, Güngör, Kıvanç
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6552582/
https://www.ncbi.nlm.nih.gov/pubmed/31124492
http://dx.doi.org/10.4103/ijo.IJO_1639_18
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author Kimyon, Sabit
Çelemler, Pelin
Mete, Alper
Güngör, Kıvanç
author_facet Kimyon, Sabit
Çelemler, Pelin
Mete, Alper
Güngör, Kıvanç
author_sort Kimyon, Sabit
collection PubMed
description PURPOSE: More than 3.5 million Syrians came to Turkey seeking refuge and over 470,000 Syrian infants were born since the start of the civil war in 2011. Our aim is to compare the incidence of retinopathy of prematurity (ROP) between Syrian refugees and Turkish citizens. METHODS: This multicenter, retrospective study was conducted in Gaziantep University, Faculty of Medicine and Gaziantep Children's Hospital in Turkey. We included the data of patients who were screened for ROP between July 2015 and June 2017. RESULTS: The above-mentioned data of 906 Turkish infants and 199 Syrian infants were included in this study. Mean gestational ages (GAs) were (32.9 ± 2.7) and (32.1 ± 2.8) weeks as well as mean birth weights (BWs) were (1937.5 ± 582.9) and (1696.8 ± 485.5) g, in Turkish and Syrian infants, respectively. GA and BW were significantly lower in Syrian infants while time spent in neonatal intensive care unit was significantly higher. The zone of ROP was lower in the Syrian infants in the first examination and for the most advanced ROP (P = 0.001). Any stage ROP was present in 392 (43.3%) and 81 (40.7%) patients in Turkish and Syrian population, respectively (P = 0.490). The number of patients who required treatment for ROP were 95 (10.5%) and 20 (10.1%) in Turkish and Syrian groups, respectively (P = 0.882). CONCLUSION: Our findings showed that refugee infants had lower BW and GA than native population but the incidence of ROP did not differ between them. Psychosocial stress is an important risk factor for women at reproductive age as it increases the incidence of prematurity. Additional care and psychological support must be given to refugees during perinatal period to decrease the risk of premature birth.
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spelling pubmed-65525822019-06-13 Comparison of retinopathy of prematurity incidence between Turkish citizens and Syrian refugees Kimyon, Sabit Çelemler, Pelin Mete, Alper Güngör, Kıvanç Indian J Ophthalmol Original Article PURPOSE: More than 3.5 million Syrians came to Turkey seeking refuge and over 470,000 Syrian infants were born since the start of the civil war in 2011. Our aim is to compare the incidence of retinopathy of prematurity (ROP) between Syrian refugees and Turkish citizens. METHODS: This multicenter, retrospective study was conducted in Gaziantep University, Faculty of Medicine and Gaziantep Children's Hospital in Turkey. We included the data of patients who were screened for ROP between July 2015 and June 2017. RESULTS: The above-mentioned data of 906 Turkish infants and 199 Syrian infants were included in this study. Mean gestational ages (GAs) were (32.9 ± 2.7) and (32.1 ± 2.8) weeks as well as mean birth weights (BWs) were (1937.5 ± 582.9) and (1696.8 ± 485.5) g, in Turkish and Syrian infants, respectively. GA and BW were significantly lower in Syrian infants while time spent in neonatal intensive care unit was significantly higher. The zone of ROP was lower in the Syrian infants in the first examination and for the most advanced ROP (P = 0.001). Any stage ROP was present in 392 (43.3%) and 81 (40.7%) patients in Turkish and Syrian population, respectively (P = 0.490). The number of patients who required treatment for ROP were 95 (10.5%) and 20 (10.1%) in Turkish and Syrian groups, respectively (P = 0.882). CONCLUSION: Our findings showed that refugee infants had lower BW and GA than native population but the incidence of ROP did not differ between them. Psychosocial stress is an important risk factor for women at reproductive age as it increases the incidence of prematurity. Additional care and psychological support must be given to refugees during perinatal period to decrease the risk of premature birth. Wolters Kluwer - Medknow 2019-06 /pmc/articles/PMC6552582/ /pubmed/31124492 http://dx.doi.org/10.4103/ijo.IJO_1639_18 Text en Copyright: © 2019 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Kimyon, Sabit
Çelemler, Pelin
Mete, Alper
Güngör, Kıvanç
Comparison of retinopathy of prematurity incidence between Turkish citizens and Syrian refugees
title Comparison of retinopathy of prematurity incidence between Turkish citizens and Syrian refugees
title_full Comparison of retinopathy of prematurity incidence between Turkish citizens and Syrian refugees
title_fullStr Comparison of retinopathy of prematurity incidence between Turkish citizens and Syrian refugees
title_full_unstemmed Comparison of retinopathy of prematurity incidence between Turkish citizens and Syrian refugees
title_short Comparison of retinopathy of prematurity incidence between Turkish citizens and Syrian refugees
title_sort comparison of retinopathy of prematurity incidence between turkish citizens and syrian refugees
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6552582/
https://www.ncbi.nlm.nih.gov/pubmed/31124492
http://dx.doi.org/10.4103/ijo.IJO_1639_18
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