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199908

Relationship between Retinopathy of Prematurity (ROP) and Bronchopulmonary Dysplasia (BPD): A Retrospective-Analytical Study

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Neonatal Ophthalmology
Neonatal Respiratory
Neonatal Screening

Abstract

Background: Retinopathy of prematurity (ROP) and Bronchopulmonary dysplasia (BPD) share the common risk factors of perinatal inflammation and oxidative stress exposure. Moreover, both diseases have a genetic background. Aim of work: is to explore the ROP prevalence and severity among preterm infants diagnosed with BPD and to identify and examine the shared risk factors. Patients and methods: This was a retrospective case-control study consisting of 44 preterm infants with BPD and 62 gestational age-matched controls. Infants' birth and postnatal medical records were revised. Results: BPD and ROP corresponded with the duration of administration of CPAP, oxygen blender, head box, incubator oxygen, mechanical ventilation, duration of admission, oxygenation, caffeine citrate, TPN, administration and duration of inhaled steroids, inotropic support, surfactant administration, PDA, ICH, PRBCs and plasma transfusion, LOS and infectious episodes. Severe cases of ROP occurred in BPD cases, and this connection extended to varying grades in both diseases. The use of inotropic support was the most predisposing factor to BPD. By contrast, utilizing mechanical ventilation was the most predisposing factor to ROP. Conclusions: BPD and ROP share common risk factors, and there is a connection between them in regard to the varying grades of severity. Though, hemodynamic instability, longer inotropic support, hemodynamically significant PDA, prolonged ventilation act as cofactors.  

DOI

10.21608/anj.2021.100450.1038

Keywords

BPD, ROP, Inotropic support, Preterms, Mechanical Ventilation

Authors

First Name

Nancy

Last Name

Gomaa

MiddleName

A.S.

Affiliation

Lecturer of Pediatrics, Faculty of Medicine, Cairo University,Cairo,Egypt

Email

lastsonnet@hotmail.com

City

Cairo

Orcid

0000-0003-1390-0457

First Name

Ahmed

Last Name

El-Shewy

MiddleName

M.

Affiliation

Department of Ophthalmology, Faculty of Medicine, Cairo University,Cairo, Egypt

Email

ahmed.elshewy@kasralainy.edu.eg

City

Cairo

Orcid

-

Volume

4

Article Issue

1

Related Issue

30119

Issue Date

2022-01-01

Receive Date

2021-09-04

Publish Date

2022-01-01

Page Start

45

Page End

70

Online ISSN

2636-3569

Link

https://anj.journals.ekb.eg/article_199908.html

Detail API

https://anj.journals.ekb.eg/service?article_code=199908

Order

4

Type

Original Article

Type Code

959

Publication Type

Journal

Publication Title

Annals of Neonatology Journal

Publication Link

https://anj.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023