Variations in Oxygen Saturation Targeting, and Retinopathy of Prematurity Screening and Treatment Criteria in Neonatal Intensive Care Units: An International Survey

Data de publicació: 01/01/2018

Autors de IIS La Fe

Máximo Vento Torres

Autor

Autors aliens a IIS La Fe

Darlow, Brian A.
Beltempo, Marc
Lehtonen, Liisa
Hakansson, Stellan
Reichman, Brian
Helenius, Kjell
Sjors, Gunnar
Sigali, Emilio
Lee, Shoo
Noguchi, Akihiko
Morisaki, Naho
Kusuda, Satoshi
Bassler, Dirk
San Feliciano, Laura
Adams, Mark
Isayama, Tetsuya
Shah, Prakesh S.
Lui, Kei
Int Network Evaluating Outcomes iN

Grups d'Investigació

Perinatología

Leader

Máximo Vento Torres

Abstract

Background: Rates of retinopathy of prematurity (ROP) and ROP treatment vary between neonatal intensive care units (NICUs). Neonatal care practices, including oxygen saturation (SpO(2)) targets and criteria for the screening and treatment of ROP, are potential contributing factors to the variations. Objectives: To survey variations in SpO(2) targets in 2015 (and whether there had been recent changes) and criteria for ROP screening and treatment across the networks of the International Network for Evaluating Outcomes in Neonates (iNeo). Methods: Online prepiloted questionnaires on treatment practices for preterm infants were sent to the directors of 390 NICUs in 10 collaborating iNeo networks. Nine questions were asked and the results were summarized and compared. Results: Overall, 329/390 (84%) NICUs responded, and a majority (60%) recently made changes in upper and lower SpO(2) target limits, with the median set higher than previously by 2-3% in 8 of 10 networks. After the changes, fewer NICUs (15 vs. 28%) set an upper SpO(2) target limit >95% and fewer (3 vs. 5%) a lower limit <85%. There were variations in ROP screening criteria, and only in the Swedish network did all NICUs follow a single guideline. The initial retinal examination was carried out by an ophthalmologist in all but 6 NICUs, and retinal photography was used in 20% but most commonly as an adjunct to indirect ophthalmoscopy. Conclusions: There is considerable variation in SpO(2) targets and ROP screening and treatment criteria, both within networks and between countries. (C) 2018 S. Karger AG, Basel

Dades de la publicació

ISSN/ISSNe:: 1661-7800, 1661-7819
Tipus:: Article
Pàgines:: 323-331
DOI:: 10.1159/000490372
PubMed:: 30089298
Factor d'Impacte:: 1,210 SCImago ℠
Quartil:: Q1 SCImago ℠

Documents

No hi ha documents

Mètriques

Filiacions

Darlow, Brian A.:: Univ Otago, Dept Paediat, Australian & New Zealand Neonatal Network, Christchurch, New Zealand
Vento, Maximo:: Instituto de Investigación. Hlth Res Inst La Fe, Spanish Neonatal Network, Ave Fernando Abril Martorell, Valencia, Spain
Beltempo, Marc:: McGill Univ, Montreal Childrens Hosp, Dept Pediat, Montreal, PQ, Canada
Lehtonen, Liisa:: Turku Univ Hosp, Dept Pediat, Finnish Med Birth Register, Turku, Finland

Turku Univ Hosp, Dept Pediat, Register Congenital Malformat, Turku, Finland
Hakansson, Stellan:: Umea Univ Hosp, Dept Pediat Neonatal Serv, Swedish Neonatal Qual Register, Umea, Sweden
Reichman, Brian:: Sheba Med Ctr, Gertner Inst Epidemiol & Hlth Policy Res, Israel Neonatal Network, Tel Hashomer, Israel
Helenius, Kjell:: Turku Univ Hosp, Dept Pediat, Finnish Med Birth Register, Turku, Finland

Turku Univ Hosp, Dept Pediat, Register Congenital Malformat, Turku, Finland
Sjors, Gunnar:: Uppsala Univ, Dept Womens & Childrens Hlth, Swedish Neonatal Qual Register, Uppsala, Sweden
Sigali, Emilio:: Univ Hosp Pisa, Dept Pediat, Div Neonatol, TIN Toscane Online, Pisa, Italy

Univ Hosp Pisa, Dept Pediat, Neonatal Intens Care Unit, Pisa, Italy
Lee, Shoo:: Mt Sinai Hosp, Canadian Neonatal Network, Dept Paediat, Toronto, ON, Canada

Univ Toronto, Toronto, ON, Canada
Noguchi, Akihiko:: Illinois Neonatal Network, St Louis, IL USA
Morisaki, Naho:: Natl Ctr Child Hlth & Dev, Dept Social Med, Neonatal Res Network Japan, Tokyo, Japan
Kusuda, Satoshi:: Tokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Res Network Japan, Tokyo, Japan
Bassler, Dirk:: Univ Zurich, Univ Hosp Zurich, Dept Neonatol, Swiss Neonatal Network, Zurich, Switzerland
San Feliciano, Laura:: Univ Salamanca, Dept Pediat, Spanish Neonatal Network, Salamanca, Spain
Adams, Mark:: Univ Zurich, Univ Hosp Zurich, Dept Neonatol, Swiss Neonatal Network, Zurich, Switzerland
Isayama, Tetsuya:: McMaster Univ, Clin Epidemiol & Biostat, Toronto, ON, Canada
Shah, Prakesh S.:: Mt Sinai Hosp, Dept Pediat, Toronto, ON, Canada

Univ Toronto, Dept Pediat, Toronto, ON, Canada

Mt Sinai Hosp, Maternal Infant Care Res Ctr, Toronto, ON, Canada
Lui, Kei:: Univ New South Wales, Royal Hosp Women, Natl Perinatal Epidemiol & Statist Unit, Australian & New Zealand Neonatal Network, Randwick City, NSW, Australia

Keywords

Very preterm infants; Retinopathy of prematurity; Oxygen saturation targeting; Neonatal intensive care; Neonatal networks; Comparative analysis; Erythropoietin