Evaluation of the frequency, risk factors and outcomes of ROP in preterm infants with a BW >1500 g or GA >32 weeks in Turkiye (TR-ROP 2) and medicolegal fears: a Turkish Neonatal Society multicentre study - Summary - MDSpire
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Assessment of the Incidence, Contributing Factors, and Outcomes of Retinopathy of Prematurity in Preterm Infants with Birth Weights Over 1500 g or Gestational Ages Beyond 32 Weeks in Turkey (TR-ROP 2) and Associated Legal Concerns: A Multicenter Study by the Turkish Neonatal Society
To assess the prevalence and risk factors associated with the development of retinopathy of prematurity (ROP) in preterm infants with a birth weight >1500 g or a gestational age >32 weeks, and to investigate the impact of medicolegal concerns on screening decisions.
Approach:
Key Findings:
Being small for gestational age and having multiple systemic comorbidities are significant risk factors for ROP in larger preterm infants.
Medicolegal concerns influence the decision to screen for ROP beyond established guidelines.
Interpretation:
The study suggests a need to refine existing ROP screening guidelines to better reflect population-specific risk factors and reduce unnecessary screenings.
Limitations:
The study may not capture all potential risk factors due to exclusion criteria.
Data collection was limited to infants who underwent all screening sessions.
Conclusion:
Refining ROP screening guidelines could improve resource utilization and maintain patient safety in middle-income settings.