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Contribution of early glycemic status in the development of severe retinopathy of prematurity in a cohort of ELBW infants
Journal article   Peer reviewed

Contribution of early glycemic status in the development of severe retinopathy of prematurity in a cohort of ELBW infants

R Chavez-Valdez, J McGowan, E Cannon and C U Lehmann
Journal of perinatology, v 31(12), pp 749-756
Dec 2011
PMID: 21415837

Abstract

Blood Glucose - analysis Female Humans Infant, Extremely Low Birth Weight Infant, Newborn Infant, Premature Male Retinopathy of Prematurity - blood Retinopathy of Prematurity - complications Retinopathy of Prematurity - therapy
The objective of this study is to investigate the relationship between glycemic status and severe retinopathy of prematurity (ROP). This is a retrospective cohort study of 114 infants <1000 g admitted to a level IV neonatal intensive care unit within 48 h of life. A cumulative, time-weighted glucose level (TWGL) derived from plotting glucose values over time was included in logistic regression analysis to identify predictors for severe ROP. Infants had 26.6 ± 2 weeks gestational age and had a birth weight of 782 ± 136 g. TWGL during first 10 and 30 days of life were greater in the severe ROP group (P<0.01). Unlike single events of glucose levels ≥ 150 mg dl(-1), 10 days TWGL ≥ 100 mg dl(-1) (odds ratio (OR) 5.2, P<0.02) and 30 days TWGL ≥ 118 mg dl(-1) (OR 5.7, P<0.02) were predictors for severe ROP (univariate). Multivariate regression confirmed 30 days TWGL ≥ 118 mg dl(-1) (OR 9.4 to 10) and gram-positive sepsis (OR 4.1 to 5) as predictors for severe ROP (P<0.05). High overall glycemic status is associated with the development of severe ROP.

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Collaboration types
Domestic collaboration
Web of Science research areas
Obstetrics & Gynecology
Pediatrics
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