Development of screening criteria for retinopathy of prematurity in ulaanbaatar, mongolia, using a web-based data management system

Shelbi L. Olson, Tsengelmaa Chuluunbat, Emily D. Cole, Karyn E. Jonas, Munkhuu Bayalag, Chimgee Chuluunkhuu, Nita G. Valikodath, D. Hunter Cherwek, Nathan Congdon, Leslie D. MacKeen, Joelle Hallak, Vivien Yap, Susan Ostmo, Wei Chi Wu, J. Peter Campbell, Michael F. Chiang, R. V.Paul Chan

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Purpose: To describe a process for identifying birth weight (BW) and gestational age (GA) screening guidelines in Mongolia. Methods: This was a prospective cohort study in a tertiary care hospital in Ulaanbataar, Mongolia, of 193 premature infants with GA of 36 weeks or younger and/or BW of 2,000 g or less) with regression analysis to determine associations between BW and GA and the development of retinopathy of prematurity (ROP). Results: As BW and GA decreased, the relative risk of developing ROP increased. The relative risk of developing any stage of ROP in infants born at 29 weeks or younger was 2.91 (95% CI: 1.55 to 5.44; P < .001] compared to older infants. The relative risk of developing any type of ROP in infants with BW of less than 1,200 g was 2.41 (95% CI: 1.35 to 4.29; P = .003] and developing type 2 or worse ROP was 2.05 (95% CI: 0.99 to 4.25; P = .05). Conclusions: Infants in Mongolia with heavier BW and older GA who fall outside of current United States screening guidelines of GA of 30 weeks or younger and/or BW of 1,500 g or less developed clinically relevant ROP.

Original languageEnglish (US)
Pages (from-to)333-339
Number of pages7
JournalJournal of pediatric ophthalmology and strabismus
Volume57
Issue number5
DOIs
StatePublished - Oct 2020

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Ophthalmology

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