ART-ROP: A real world telemedicine screening for retinopathy of prematurity

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dc.contributor.author Simkin, Samantha en
dc.contributor.author Misra, Stuti en
dc.contributor.author McGhee, Charles en
dc.contributor.author Dai, S en
dc.coverage.spatial Barcelona, Spain en
dc.date.accessioned 2018-10-17T02:54:12Z en
dc.date.issued 2015-09-06 en
dc.identifier.uri http://hdl.handle.net/2292/42543 en
dc.description.abstract Purpose: A real world telemedicine retinopathy of prematurity (ROP) screening network, Auckland Regional Telemedicine ROP (ART-ROP), has been implemented in Auckland Region for over seven years. RetCam wide field digital retinal images (WFDRI) have been used for ROP diagnosis, treatment decision making and decision to discharge patients from active ROP screening. This report aims to study the efficacy of ART-ROP Network in the management of ROP in Auckland, New Zealand. Setting/Venue: Three Neonatal intensive care units (NICU) (one quaternary NICU and two level 2 NICUs) within the ART-ROP Network in Auckland, New Zealand. Methods: A retrospective analysis of the ART-ROP WFDRI database was conducted between the years of 2007 and 2013. Screening occurred for 1048 infants in this time period. Forty infants were randomly selected from each year, based on the estimate of 8% treatment requiring ROP, Their ROP screening images from initial screening to discharge were analysed for stage, need of treatment, treatment outcome and final attendance of out-patient clinic follow up at 3months after discharge. Statistical analysis was performed using SPSS. Results: The average birth weight of infants screened was 1021.4±283.9 grams (450-2550 grams) and average GA of 27.3±2.3 weeks (23-29 weeks) with an average of 3.7 screening sessions per premature infant. No infants who met ROP screening criteria were missed. Twenty-six infants had Type 1 ROP, with a significantly lower average birth weight of 760.0±127.3g (p<0.0005) and gestational age of 25.0±1.5 weeks (p≤0.0005). Seventy-five point nine percent were reviewed at 3-6months with no missed ROP, 4.9% passed away, 13.9% did not attend scheduled appointments and 5.4% were not followed up. Conclusions: ART-ROP Network is the only telemedicine ROP screening program that solely uses RetCam WFDRI for ROP diagnosis, treatment decision making and decision to discharge patients from active ROP screening. Our study demonstrated this telemedicine model for ROP screening is effective and reliable. No infants with treatment requiring ROP were missed by this screening method. In the realm of increasing incidence of ROP and the shortage of skilled paediatric ophthalmologists for ROP screening, the telemedicine model may be an effective alternative. Presented at The Third World Congress of Paediatric Ophthalmology and Strabismus. en
dc.relation.ispartof The Third World Congress of Paediatric Ophthalmology and Strabismus en
dc.relation.ispartof The Third World Congress of Paediatric Ophthalmology and Strabismus en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title ART-ROP: A real world telemedicine screening for retinopathy of prematurity en
dc.type Presentation en
dc.rights.holder Copyright: The author en
pubs.finish-date 2015-09-06 en
pubs.start-date 2015-09-04 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Conference Oral Presentation en
pubs.elements-id 716763 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Ophthalmology Department en
pubs.record-created-at-source-date 2017-11-21 en


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