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Apnea after Routine Eye Examinations in Premature Infants
- Source :
- American Journal of Perinatology. 34:199-203
- Publication Year :
- 2016
- Publisher :
- Georg Thieme Verlag KG, 2016.
-
Abstract
- Objective To determine the frequency of cardiorespiratory events following routine exams for retinopathy of prematurity (ROP). Study Design This is a retrospective review of 79 premature infants in the neonatal intensive care unit at the University of Rochester Medical Center. The baseline for each infant (mean cardiorespiratory events in the 72 hours before the exam) was compared with the number of cardiorespiratory events during the subsequent 24 hours using generalized estimating equation and the Mantel–Haenszel chi-square test to determine if there was an association between cardiorespiratory events and potential risk factors. Results Approximately 19 to 25% of infants experienced an increase in cardiorespiratory events in the 24 hours following their eye exams. These newborns were generally of a younger gestational age and lower birthweight. Conclusion The frequency of cardiorespiratory events following routine ROP exams is similar to that following routine immunizations in this population. Thus, in infants being continuously monitored during the 24 hours after the exam, alterations in medical care in the absence of other clinical signs suggestive of sepsis or clinical deterioration may not be required, limiting unnecessary antibiotic exposure, prolonged caffeine administration, unwarranted gastroesophageal reflux treatment, and undue family stress.
- Subjects :
- Pediatrics
medicine.medical_specialty
Neonatal intensive care unit
Apnea
education
Population
Gestational Age
Sepsis
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Bradycardia
medicine
Birth Weight
Humans
Retinopathy of Prematurity
Apnea of prematurity
Retrospective Studies
education.field_of_study
business.industry
Infant, Newborn
Obstetrics and Gynecology
Gestational age
Retinopathy of prematurity
Cardiorespiratory fitness
medicine.disease
Ophthalmoscopy
Oxygen
Pediatrics, Perinatology and Child Health
030221 ophthalmology & optometry
medicine.symptom
business
Infant, Premature
Subjects
Details
- ISSN :
- 10988785 and 07351631
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- American Journal of Perinatology
- Accession number :
- edsair.doi.dedup.....7fd9c95c4fd5c59231b5579f75564c0f