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Systemic fungal infection is associated with the development of retinopathy of prematurity in very low birth weight infants: a meta-review.

OBJECTIVE: To study the association between systemic fungal infection (SFI) and the development of retinopathy of prematurity (ROP) and severe ROP in very low birth weight (VLBW) infants by systematic review and meta-analysis. STUDY DESIGN: A meta-review was performed using a fixed effects model. Th...

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Publicado en:Journal of Perinatology Vol. 28; no. 1; pp. 61 - 67
Autores principales: Bharwani SK, Dhanireddy R
Formato: research systematic review tables/charts Journal Article
Publicado: Springer Nature Jan2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2008
      vid: 28
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      pub: Springer Nature
      place: Dordrecht, <Blank>
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        10.1038/sj.jp.7211878
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        atl: Systemic fungal infection is associated with the development of retinopathy of prematurity in very low birth weight infants: a meta-review.
      aug:
        au:
          Bharwani SK
          Dhanireddy R
        affil: Department of Pediatrics, Division of Neonatology, University of Tennessee Health Science Center, Memphis, TN, USA
      sug:
        subj:
          Mycoses Complications
          Retinopathy of Prematurity Risk Factors
          Birth Weight
          Embase
          Infant, Very Low Birth Weight
          Medline
          Meta Analysis
          Odds Ratio
          Human
      ab: OBJECTIVE: To study the association between systemic fungal infection (SFI) and the development of retinopathy of prematurity (ROP) and severe ROP in very low birth weight (VLBW) infants by systematic review and meta-analysis. STUDY DESIGN: A meta-review was performed using a fixed effects model. The exposure and outcomes studied were SFI and all ROP/severe ROP, respectively in VLBW infants. Results and effect sizes analyzed with Review Manager 4.2 software are expressed as relative risk (RR), odds ratio (OR), risk difference (RD) and number needed to harm (NNH) with 95% confidence intervals. RESULT: Data for severe ROP were available from eight studies and on all ROP from seven of those eight studies. Estimated gestational age ranged from 24.7+/-1.6 to 28.6+/-4 weeks and birth weight from 673 (median) (range 426 to 995) to 1108+/-266 g (mean+/-s.d.). A total of 261 of 303 babies with SFI had all ROP vs 1081 of 1648 babies without SFI (OR 3.4(*), 2.34-4.95) and 118 of 330 babies with SFI had severe ROP vs 235 of 1951 babies without SFI (OR 4.06(*), 3.05-5.42). The NNH was 5.56(*) (4.54-7.14) for all ROP and 4.54(*) (3.70 to 5.88) for severe ROP ((*) P<0.00001). CONCLUSION: SFIs are associated with the development of all degrees of ROP and severe ROP in VLBW infants.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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