TY - JOUR
T1 - Colorado Retinopathy of Prematurity Screening Algorithm (CO-ROP)
T2 - a validation study at a tertiary care center
AU - Huang, Jason M.
AU - Lin, Xihui
AU - He, Yu Guang
AU - Cao, Jennifer H.
N1 - Funding Information:
Research supported in part by an unrestricted research grant from Research to Prevent Blindness, New York, New York as well as a Core research grant from the University of Texas Southwestern Medical School. The funding organizations had no role in the design or conduct of this research.
Publisher Copyright:
© 2017 American Association for Pediatric Ophthalmology and Strabismus
PY - 2017/4
Y1 - 2017/4
N2 - Purpose The Colorado Retinopathy of Prematurity Screening Algorithm (CO-ROP) recommends screening for infants meeting the following criteria for retinopathy of prematurity (ROP): gestational age ≤30 weeks, birth weight of ≤1500 g, and net weight gain of ≤650 g between birth and 4 weeks of age. This study was performed to evaluate the validity of CO-ROP in a tertiary referral county hospital. Methods CO-ROP was used to retrospectively analyze the data from consecutive newborns screened for ROP using national screening guidelines at Parkland Hospital, Dallas, Texas, between April 1, 2009, to August 30, 2013. Sensitivities and specificities for identifying ROP were calculated. Results A total of 374 infants were included, of whom 29 (7.8%) developed type 1 ROP and 12 (3.2%) developed type 2 ROP. The CO-ROP model would have decreased number of infants screened by 34% compared to current national screening criteria. CO-ROP had sensitivity of 93.1% (95% CI, 77.2-99.1) and 92.7% (95% CI, 61.5-99.8) for identifying type 1 and type 2 ROP, respectively. Of 29 patients who developed type 1 ROP, 2 were not identified using CO-ROP. Conclusions The CO-ROP model significantly reduced total number screened but failed to detect 2 infants with type 1 ROP, suggesting the need for further modification of the algorithm.
AB - Purpose The Colorado Retinopathy of Prematurity Screening Algorithm (CO-ROP) recommends screening for infants meeting the following criteria for retinopathy of prematurity (ROP): gestational age ≤30 weeks, birth weight of ≤1500 g, and net weight gain of ≤650 g between birth and 4 weeks of age. This study was performed to evaluate the validity of CO-ROP in a tertiary referral county hospital. Methods CO-ROP was used to retrospectively analyze the data from consecutive newborns screened for ROP using national screening guidelines at Parkland Hospital, Dallas, Texas, between April 1, 2009, to August 30, 2013. Sensitivities and specificities for identifying ROP were calculated. Results A total of 374 infants were included, of whom 29 (7.8%) developed type 1 ROP and 12 (3.2%) developed type 2 ROP. The CO-ROP model would have decreased number of infants screened by 34% compared to current national screening criteria. CO-ROP had sensitivity of 93.1% (95% CI, 77.2-99.1) and 92.7% (95% CI, 61.5-99.8) for identifying type 1 and type 2 ROP, respectively. Of 29 patients who developed type 1 ROP, 2 were not identified using CO-ROP. Conclusions The CO-ROP model significantly reduced total number screened but failed to detect 2 infants with type 1 ROP, suggesting the need for further modification of the algorithm.
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U2 - 10.1016/j.jaapos.2017.03.009
DO - 10.1016/j.jaapos.2017.03.009
M3 - Article
C2 - 28315736
AN - SCOPUS:85017107152
SN - 1091-8531
VL - 21
SP - 152
EP - 155
JO - Journal of AAPOS
JF - Journal of AAPOS
IS - 2
ER -