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Retinopathy of prematurity and placental histopathology findings: A retrospective cohort study
AIM: Retinopathy of prematurity (ROP) is a biphasic vaso-proliferative disease that has the potential to cause blindness. In addition to prematurity and hyperoxia, perinatal infection and inflammation have been reported to play a critical role in the pathogenesis of ROP. The aim of this study was to...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9996070/ https://www.ncbi.nlm.nih.gov/pubmed/36911032 http://dx.doi.org/10.3389/fped.2023.1099614 |
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author | Athikarisamy, Sam Ebenezer Lam, Geoffrey C. Cooper, Matthew N. Strunk, Tobias |
author_facet | Athikarisamy, Sam Ebenezer Lam, Geoffrey C. Cooper, Matthew N. Strunk, Tobias |
author_sort | Athikarisamy, Sam Ebenezer |
collection | PubMed |
description | AIM: Retinopathy of prematurity (ROP) is a biphasic vaso-proliferative disease that has the potential to cause blindness. In addition to prematurity and hyperoxia, perinatal infection and inflammation have been reported to play a critical role in the pathogenesis of ROP. The aim of this study was to assess the association between placental inflammation and the severity of ROP. METHODS: A retrospective study of infants (<30 weeks of gestational age) born at the King Edward Memorial Hospital, a tertiary perinatal center in Western Australia. RESULTS: A total of 878 infants were included in this study (ROP stage 0–2 = 829; 3 or more = 49). The presence of maternal chorioamnionitis appeared to show signs of an association with reduced odds of severe ROP: mild chorioamnionitis OR=0.43 (95% CI: 0.17, 1.05) and severe chorioamnionitis OR=0.68 (95% CI: 0.29, 1.60). A strong association was observed for oxygen supplementation at 36 weeks (OR: 5.16; p < 0.001), exposure to postnatal steroids (OR: 6.65; p < 0.001), and receipt of platelet transfusion (OR: 8.21; p < 0.001). CONCLUSION: Maternal chorioamnionitis or fetal chorioamnionitis was associated with reduced odds of severe ROP. A strong association was found in infants who needed oxygen supplementation at 36 weeks and those who required steroids or platelets in the postnatal period. |
format | Online Article Text |
id | pubmed-9996070 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99960702023-03-10 Retinopathy of prematurity and placental histopathology findings: A retrospective cohort study Athikarisamy, Sam Ebenezer Lam, Geoffrey C. Cooper, Matthew N. Strunk, Tobias Front Pediatr Pediatrics AIM: Retinopathy of prematurity (ROP) is a biphasic vaso-proliferative disease that has the potential to cause blindness. In addition to prematurity and hyperoxia, perinatal infection and inflammation have been reported to play a critical role in the pathogenesis of ROP. The aim of this study was to assess the association between placental inflammation and the severity of ROP. METHODS: A retrospective study of infants (<30 weeks of gestational age) born at the King Edward Memorial Hospital, a tertiary perinatal center in Western Australia. RESULTS: A total of 878 infants were included in this study (ROP stage 0–2 = 829; 3 or more = 49). The presence of maternal chorioamnionitis appeared to show signs of an association with reduced odds of severe ROP: mild chorioamnionitis OR=0.43 (95% CI: 0.17, 1.05) and severe chorioamnionitis OR=0.68 (95% CI: 0.29, 1.60). A strong association was observed for oxygen supplementation at 36 weeks (OR: 5.16; p < 0.001), exposure to postnatal steroids (OR: 6.65; p < 0.001), and receipt of platelet transfusion (OR: 8.21; p < 0.001). CONCLUSION: Maternal chorioamnionitis or fetal chorioamnionitis was associated with reduced odds of severe ROP. A strong association was found in infants who needed oxygen supplementation at 36 weeks and those who required steroids or platelets in the postnatal period. Frontiers Media S.A. 2023-02-23 /pmc/articles/PMC9996070/ /pubmed/36911032 http://dx.doi.org/10.3389/fped.2023.1099614 Text en © 2023 Athikarisamy, Lam, Cooper and Strunk. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Athikarisamy, Sam Ebenezer Lam, Geoffrey C. Cooper, Matthew N. Strunk, Tobias Retinopathy of prematurity and placental histopathology findings: A retrospective cohort study |
title | Retinopathy of prematurity and placental histopathology findings: A retrospective cohort study |
title_full | Retinopathy of prematurity and placental histopathology findings: A retrospective cohort study |
title_fullStr | Retinopathy of prematurity and placental histopathology findings: A retrospective cohort study |
title_full_unstemmed | Retinopathy of prematurity and placental histopathology findings: A retrospective cohort study |
title_short | Retinopathy of prematurity and placental histopathology findings: A retrospective cohort study |
title_sort | retinopathy of prematurity and placental histopathology findings: a retrospective cohort study |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9996070/ https://www.ncbi.nlm.nih.gov/pubmed/36911032 http://dx.doi.org/10.3389/fped.2023.1099614 |
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