Evaluation of the frequency, risk factors and outcomes of ROP in preterm infants with a BW >1500 g or GA >32 weeks in Turkiye (TR-ROP 2) and medicolegal fears: a Turkish Neonatal Society multicentre study
Özet
Background This study aimed to evaluate the prevalence and risk factors of retinopathy of prematurity (ROP) in preterm infants with a birth weight (BW)>1500 g or gestational age (GA) >32 weeks in Turkiye. Methods A prospective cohort study (TR-ROP 2) was conducted in 80 neonatal intensive care units between 30 September 2023 and 1 November 2024. Infants with a BW >1500 g or GA >32 weeks who had an unstable clinical course or were deemed at risk for ROP were included. The effect of medicolegal concerns on the decision to screen was also evaluated. Results The study included 4140 infants at risk for ROP development; 242 (5.8%) developed any stage of ROP, and 17 (0.4%) developed severe ROP requiring treatment. Risk factors independently associated with ROP included lower GA and BW, being small for GA, red blood cell transfusion, oxygen therapy >5 days, mechanical ventilation >1 day, early neonatal sepsis (ENS) with comorbidities or presence of >= 3 comorbidities (excluding ENS). Of those with BW >= 2000 g, 31.4% were screened for medicolegal reasons; 2.2% developed ROP, but none had severe ROP. Conclusions ROP in mature infants is rare but can occur in the presence of multiple risk factors. Medicolegal concerns may contribute to overscreening. Developing evidence-based, risk-adapted screening guidelines is essential to ensure appropriate care without unnecessary interventions.
Atıf için künye
BAŞ, A. Y., KOÇ, E., Unal, S., HIRFANOĞLU, İ. M., Arslan, Z., Gundogdu, S., Iyigun, F., Kale, Y., TANRIVERDİ, S., Mutlu, B., Abbasoglu, A., Karabay, M., Cakir, S. C., Yildirim, T. G., Buyuktiryaki, M., Amet, C., Pehlevan, O. S., Karatekin, G., Uygun, S. S., … Karaalp, U. (2026). Evaluation of the frequency, risk factors and outcomes of ROP in preterm infants with a BW >1500 g or GA >32 weeks in Turkiye (TR-ROP 2) and medicolegal fears: a Turkish Neonatal Society multicentre study. BRITISH JOURNAL OF OPHTHALMOLOGY. https://doi.org/10.1136/bjo-2025-327674
BibTeX
@article{bas2026-216116,
author = {BAŞ, AHMET YAĞMUR and KOÇ, ESİN and Unal, Sezin and HIRFANOĞLU, İBRAHİM MURAT and Arslan, Zehra and Gundogdu, Semra and Iyigun, Fatma and Kale, Yusuf and TANRIVERDİ, SEMA and Mutlu, Birgul and Abbasoglu, Aslihan and Karabay, Meltem and Cakir, Salih Cagri and Yildirim, Tülin Gokmen and Buyuktiryaki, Mehmet and Amet, Chousein and Pehlevan, Ozge Serce and Karatekin, Guner and Uygun, Saime Sundus and Tufekci, Sinan and Varal, Ipek Guney and Er, Ilkay and Kahveci, Hasan and Armangil, Didem and Hakan, Nilay and Yurekturk, Eyyüp and Narter, Fatma and Arayici, Sema and Hekimoglu, Berna Saygin and Tasar, Nurdan Ozturk and Avsar, Hasan and Ince, Deniz Anuk and Simsek, Huseyin and Arman, Didem and Bor, Meltem and Cetinkaya, Bilin and İyigün, Irem and Dorum, Bayram Ali and Ekinci, Murat and Eroglu, Funda and Ozdemir, Ramazan and Beken, Serdar and Ertekin, Omer and Unkar, Zeynep Alp and Yurttutan, Sadık and Isleyen, Fatih and Ercan, Makbule and Acar, Filiz Akturk and Bagdiken, Ebru Yücesoy and Akcan, Abdullah Baris and Gulasi, Selvi and Uslu, Sait İlker and Altunhan, Huseyin and Aktas, Selma and Karagol, Belma Saygılı and Kersin, Sinem Gulcan and Okulu, Emel and Takci, Sahin and Tandircioglu, Umit Ayse and Ozdemir, Ozmert M.A. and Tekgündüz, Kadir Şerafettin and Aydemir, Ozge and Ozdemir, Ahmet and Ozdil, Mine and Donmez, Tugrul and Sarici, Dilek and Cetinkaya, Merih and Say, Birgul Livaoglu and Aylanc, Hakan and Ekmen, Sadrettin and Celik, Istemi Han and Uzlu, Safiye Elif and Taskin, Erdal and Kayki, Gozdem and Tas, Melda and Gursoy, Tugba and Deveci, Mehmet Fatih and Duran, Ridvan and Demir, Nihat and Tosun, Mehtap Durukan and Hamilcikan, Sahin and Cumshudov, Lachin and Akar, Selahattin and Yilmaz, Aslan and Kara, Caner and Erdur, Sevil Karaman and Dursun, Aslihan Dogan and Gunes, Yakup and Mayali, Huseyin and Yilmaz, Ayhan and Güner, Emine Kaya and Cakir, Burcin and Yildiz, Meral and Devebacak, Ali and Ogreden, Tülin and Ersoz, Mehmet Giray and Pirhan, Dilara and Celik, Gokhan and Acar, Ugur and Acar, Ozge Pinar and Ekinci, Asiye and Sumer, Fatma and Ucar, Metin and Asikgarip, Nazife and Alacamli, Goksu and Seven, Erbil and Kaymak, Nilufer Zorlutuna and Doğan, Mehmet Erkan and Esenulku, Cenap Mahmut and Akdogan, Müberra and Karatas, Mehmet Egemen and Ersan, Hatice Bilge Araz and Akkoyun, Imren and Bektas, Fatma Merve and Seymen, Zeynep and Ceylan, Nihan Aksu and Oruz, Oguzhan and Uzun, Aslihan and Yasar, Mustafa and Bayramoglu, Sadik Etka and Tamer, Cengaver and Yazgan, Serpil and Celebi, Ali Riza Cenk and Ozdemir, Ozdemir and Oto, Bilge Batu and Comez, Aysegul and Yildirim, Abdulmutalip and Kucuk, Numan and Gunay, Murat and Mutaf, Cagri and Unsal, Ayse Ipek Akyuz and Cansever, Zeynep Buket and Karaatlı, Suleyman Mesut and Akdeniz, Gunhal Satirtav and Guven, Dilek and Ceylan, Osman Melih and Sahin, Ozlem and Atilla, Huban and Yucel, Ozlem Eksi and Onaran, Zafer and Parca, Osman and Yıldırım, Mustafa and Gursoy, Haluk Huseyin and Koca, Semra and Turan, Meydan and Urdem, Ufuk and Hamurcu, Zeliha Colluoglu and Keskek, Nedime Sahinoglu and Bektas, Caglar and Ekizoglu, Ahmet and Yenice, Esay Kiray and Korkmaz, Safak and Kobat, Sabiha and Kadayifcilar, Sibel and Candan, Ozlem and Kesim, Cem and Sen, Furkan and Cinar, Ayca Kupeli and Tatar, Tamer and Acet, Yakup and Erolur, Hatice and Ozdek, Sengul and Bilen, Abdurrahman and Karaalp, Umit},
title = {Evaluation of the frequency, risk factors and outcomes of ROP in preterm infants with a BW >1500 g or GA >32 weeks in Turkiye (TR-ROP 2) and medicolegal fears: a Turkish Neonatal Society multicentre study},
journal = {BRITISH JOURNAL OF OPHTHALMOLOGY},
year = {2026},
issn = {0007-1161},
doi = {10.1136/bjo-2025-327674},
url = {https://akademik.atauni.edu.tr/yayinlar/216116-evaluation-of-the-frequency-risk-factors-and-outcomes-of-rop-in-preterm-infants}
}