Retinopathy of prematurity: A global perspective of the epidemics, population of babies at risk and implications for control
Retinopathy of prematurity: A global perspective of the epidemics, population of babies at risk and implications for control
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DOI：
10.1016/j.earlhumdev.2007.11.009
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发表时间：
2008-02-01
影响因子：
2.5
通讯作者：
Gilbert, Clare
中科院分区：
文献类型：
--
作者：
Gilbert, Clare
全球至少有 50,000 名儿童因早产儿视网膜病变 (ROP) 失明，这已成为拉丁美洲和东欧许多中等收入国家失明的重要原因。印度和中国等新兴经济体也报告了早产儿视网膜病变。患有严重疾病的婴儿的特征各不相同，中等收入和低收入国家的婴儿出生体重和孕龄的范围比目前工业化国家的情况要大得多。在中低收入国家，需要治疗的疾病发生率也往往较高，这表明婴儿面临着风险因素，而这些因素在很大程度上在工业化国家得到了控制。讨论了 ROP 的“第三次流行”的原因以及控制策略，包括需要制定与当地相关的、基于证据的标准，以确保对所有处于危险中的婴儿进行检查。 (C) 2008 Elsevier Ireland Ltd. 保留所有权利。
Globally at least 50,000 children are blind from retinopathy of prematurity (ROP) which is now a significant cause of blindness in many middle income countries in Latin American and Eastern Europe. Retinopathy of prematurity is also being reported from the emerging economies of India and China. The characteristics of babies developing severe disease varies, with babies in middle and tow income countries having a much wider range of birth weights and gestational ages than is currently the case in industrialized countries. Rates of disease requiring treatment also tend to be higher in middle and low income countries suggesting that babies are being exposed to risk factors which are, to a large extent, being controlled in industrialised countries. The reasons for this "third epidemic" of ROP are discussed as well as strategies for control, including the need for locally relevant, evidence based criteria which ensure that all babies at risk are examined. (C) 2008 Elsevier Ireland Ltd. All rights reserved.