Comorbidities and care procedures related with retinopathy of prematurity development
DOI:
https://doi.org/10.5433/1679-0367.2021v42n2p115Keywords:
Neonatal nursing, Premature newborn, Retinopathy of prematurity, Neonatal intensive careAbstract
Objective: to describe the main comorbidities and care procedures related with the development of Retinopathy of Prematurity in Premature Newborns hospitalized in a Neonatal Intensive Care Unit.Material and Method: quantitative observational study, with documentary data collection, obtained from 181 hospital records of premature newborns, referring to the period from January 2014 to June 2016, in a medium-sized municipality in Paraná. Statistical analysis was descriptive and inferential. The study was approved in Ethical Research Committee.
Results: Respiratory diseases (41.99%; p-value < 0.109) prevailed, followed by comorbidity sepsis (63.54%; p-value < 0.357). Eighty babies (44.20%; p-value < 0.001) required blood transfusion, and 152 (83.98%; p-value < 0.001) used oxygen therapy. Retinopathy of prematurity prevailed in moderate preterm infants (44%), with grade 3 being the most severe found.
Conclusion: respiratory diseases, sepsis and procedures such as blood transfusion, oxygen therapy and intravenous catheterization influenced the presence of the disease, with a higher incidence in moderate preterm infants.
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References
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Arnts IJJ, Bullens LM, Groenewoud JMM, Liem KD. Comparison of complication rates between umbilical and peripherally inserted central venous catheters in newborns. J Obstet Gynecol Neonatal Nurs [Internet]. 2014 [cited 2017 Nov 06];43(2):205-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24502854
Bassab WO, Miazaki ES, Andrade DF. Introdução a análise de agrupamento. São Paulo: Associação Brasileira de Estatística; 1990.
Carmona OLB, Gonzalez YT, Garcia MS, Armas MM, Martinez RR, Polanco SL, et al. Comportamiento de la retinopatía de la prematuridad en la provincia La Habana. Cuban J Ophthalmol [Internet]. 2013 [citado 2017 nov 30];26(2):1-8. Disponível em: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762013000200012.
Corrêa Junior MD, Patricio EC, Felix LR. Intervenções obstétricas no parto pré-termo: revisão da literatura e atualização terapêutica. Rev Méd Minas Gerais [Internet]. 2013 [citado 2017 nov 15];23(3):323-29. Disponível em: http://pesquisa.bvsalud.org/bvsecuador/resource/pt/lil-702904
Damian A, Waterkemper R, Paludo CA. Perfil de neonatos internados em unidade de tratamento intensiva neonatal: estudo transversal. Arq Ciênc Saúde [Internet]. 2016 [citado 2017 nov 15];23(2):100-5. Disponível em: www.cienciasdasaude.famerp.br/index.php/racs/issue/download/14/Vol.%20Completo.
Dani C, Coviello, C, Panin, F, Frosini, S, Costa, S, Purcaro, V, et al. Incidence and risk factors of retinopathy of prematurity in an Italian cohort of preterm infants. Ital J Pediatr;2021;47(1):64. doi: 10.1186/s13052-021-01011-w
Gonçalves E, Nasser LS, Martelli DR, Alkmim IR, Mourão TV, Caldeira AP, et al. Incidência e fatores de risco para retinopatia da prematuridade em um serviço de referência brasileiro. Med J 2014;132(2):85-91.
Jaberi E, Roksana M. A study on preterm births during 2013–2015, Shiraz, Iran. J Obstet Gynaecol [Internet]. 2017 [cited 2018 Jan 02];20:1-5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28631494
Leal MC, Esteves-Pereira AP, Nakamura-Pereira M, Torres JÁ, Theme-Filha M, Domingues RMSM, et al. Prevalence and risk factors related to preterm birth in Brazil. Reprod Health. 2016;13(3):163-74.
Mota M, Coutinho I, Pedrosa C, Ramalho M, Pires G, Teixeira S, et al. Relação entre a progressão ponderal dos prematuros nas primeiras semanas de vida e o desenvolvimento de retinopatia da prematuridade grave. Oftalmologia [Internet]. 2017 [citado 2018 jul 12];41(3). Disponível em: http://revistas.rcaap.pt/index.php/oftalmologia/article/view/10253/10321
Nakanami CR, Zin A, Belfort R Jr. Oftalmopediatria. São Paulo: Roca; 2010.
Oliveira LL, Gonçalves AC, Costa JSD, Bonilha ALL. Maternal and neonatal factors related to prematurity. Rev Esc Enferm USP. 2016;50(3):382-89. doi: 10.1590/S0080-623420160000400002
Quaresma ME, Almeida AC, Méio MDB, Lopes JMA, Peixoto MVM. Factors associated with hospitalization during neonatal period. J Pediatric. 2018;94(4):390-8. doi: 10.1016/j.jped.2017.07.011
Ramos-Uribe R. Factores de riesgo asociados a la retinopatía de la prematuridad. Rev méd panacea. 2019;8(3):108-15. doi: 10.35563/rmp.v8 i3.194
Reyes ZS, Al-mulaabed SW, Bataclan F, Montemayor C, Ganesh A, Al-zuhaibi S, et al. Retinopathy of prematurity: Revisiting incidence and risk factors from Oman compared to other countries. Oman J Ophthalmol [Internet]. 2017 [cited 2018 Jan 5];10(1):26-32. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5338048/?report=printable.
Santos CN, Bahia NGC, Miranda FP. Retinopatia da Prematuridade: o conhecimento de enfermeiros neonatais. Rev Enferm Contemp. 2015;4(1):23-32.
Silva SMR, Motta GCP, Nunes CR, Schardosim JM, Cunha ML. Sepse neonatal tardia em recém-nascidos pré-termo com peso ao nascer inferior a 1.500g. Rev Gaucha Enferm [Internet]. 2015 [citado 2017 dez 3];36(4): 84-9. Disponível em: http://www.seer.ufrgs.br/RevistaGauchadeEnfermagem/article/view/50892.
Stahl A, Gopel W. Screening and treatment in retinopathy of prematurity. Deutsches Arztrblatt Irternational. [Internet]. 2015 [cited 2018 Jan 5];112(43):730-35. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4647313/pdf/Dtsch_Arztebl_Int-112-0730.pdf
Theiss MB, Grumann A Jr, Rodrigues MRW. Perfil epidemiológico dos recém-nascidos prematuros com retinopatia da prematuridade no Hospital Regional de São José Dr. Homero de Miranda Gomes. Rev Bras Oftalmol [Internet]. 2016 [citado 2017 dez 6];75(2):109-14. Disponível em: http://www.scielo.br/pdf/rbof/v75n2/0034-7280-rbof-75-02-0109.pdf
World Health Organization. Born too soon: the global action report on preterm birth. [Internet]. Geneva: WHO; 2012 [cited 2017 Dez 20]. Available from: https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/9789241503433/en/
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2021-09-28
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Pastro J, Viera CS, Balieiro MMFG, Toso BRG de O. Comorbidities and care procedures related with retinopathy of prematurity development. Semin. Cienc. Biol. Saude [Internet]. 2021 Sep. 28 [cited 2024 Nov. 24];42(2):115-26. Available from: https://ojs.uel.br/revistas/uel/index.php/seminabio/article/view/40401
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