Incidence, Risk Factors and Severity of Retinopathy of Prematurity (ROP) in Turkey

NCT ID: NCT02814929

Last Updated: 2023-09-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

6115 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-04-01

Study Completion Date

2017-10-17

Brief Summary

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The study includes preterm infants who are being screened for ROP between April 1,2016 and April 30, 2017 in 69 neonatal intensive care units (NICUs) in Turkey. Infants with birth weight (BW) of ≤1500 g or ≤32 weeks' gestation and those with a BW of greater than 1500 g or gestational age (GA) \>32 weeks with an unstable clinical course are included. The incidence of any ROP, severe ROP and treatment modalities will be determined. The risk factors for ROP development will also be evaluated.

Detailed Description

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This study, promoted by the "Turkish Neonatology Society", involved preterm infants who are being screened for ROP between April 1, 2016 and April 30, 2017 in level III Turkish NICUs.

An electronic questionnaire is being filled by certified neonatologists in Turkey via a special network. Neonatologists working in 69 centers who agreed to participate in this study provide their data regarding the ROP in their NICU. The medical records of retinal examinations of preterm infants who met the screening criteria will be evaluated.

A case report form for each patient will be filled including risk factors for the development of ROP such as gestational age, birth weight, small for gestational age (SGA), gender, multiple gestation, antenatal steroid therapy, invitro fertilisation, preeclampsia/eclampsia, infants of diabetic mother, chorioamnionitis, resuscitation in delivery room, respiratory distress syndrome (RDS), duration of mechanical ventilation and oxygen therapy, intracranial hemorrhage, hemodynamically significant patent ductus arteriosus (PDA), early/late sepsis, necrotising enterocolitis (NEC), number of blood transfusions, bronchopulmonary dysplasia (BPD), weight gain at postnatal 28th days and breastfeeding.

Risk factors for developing ROP will be evaluated. Multivariate analysis will be performed among significant variables.

In addition, the incidence of any ROP, severe ROP in relation to GA and BW and treatment modalities will be determined. Severe ROP is defined as ROP requiring treatment.

Since Turkey is receiving many refugees in recent years, the investigators also planned to evaluate the incidence and risk factors for developing ROP in preterm babies of refugees.

Ophthalmologic examination is continued until full vascularisation. So, the maximum stage of ROP detected for every infant will be reported. Data from 69 NICUs will be pooled together and analyzed.

The "International Classification of ROP" guidelines are used to record stage of disease, location by zone, signs of plus disease and signs of regression. Criteria for treatment of ROP are based on the Early Treatment for Retinopathy of Prematurity (ETROP) recommendation. Confirmed forms are also assigned by the parents before the initial screening and treatment.

Conditions

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Retinopathy of Prematurity

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Demographic and Prenatal Characteristics

Gender, multiple pregnancy antenatal steroid therapy, invitro fertilisation, preeclampsia/eclampsia, infants of diabetic mother, chorioamnionitis will be compared among infants with and without ROP

No interventions assigned to this group

Neonatal Characteristics of infants

Neonatal characteristics: GA, BW, SGA, resuscitation in delivery room, RDS, duration of mechanical ventilation and oxygen therapy, intracranial hemorrhage, hemodynamically significant PDA, early/late sepsis, NEC, number of blood transfusions, BPD, breastfeeding and weight gain at postnatal 28th day will be compared among infants with and without ROP.

No interventions assigned to this group

Incidence of any ROP and severe ROP

Incidence of any ROP, severe ROP and its treatment in relation to BW and GA will be evaluated. The same parameters will also be evaluated in preterm babies of refugees.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Infants with BW ≤1500 g or ≤32 weeks' gestation and those with a BW of greater than 1500 g or GA \>32 weeks requiring cardiorespiratory support and who were determined by the attending clinician to be at risk for ROP, are included.

Exclusion Criteria

* Neonates who died before the first ROP examination are excluded from the study.
Minimum Eligible Age

28 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Acibadem Atakent University Hospital

OTHER

Sponsor Role collaborator

Baskent University

OTHER

Sponsor Role collaborator

Adana Numune Training and Research Hospital

OTHER_GOV

Sponsor Role collaborator

Aydin Adnan Menderes University

OTHER

Sponsor Role collaborator

Ankara University

OTHER

Sponsor Role collaborator

Baskent University Ankara Hospital

OTHER

Sponsor Role collaborator

Ankara Guven Hospital

UNKNOWN

Sponsor Role collaborator

Ataşehir Kadıkoy Sifa Hospital

UNKNOWN

Sponsor Role collaborator

Ataturk University

OTHER

Sponsor Role collaborator

Bagcilar Training and Research Hospital

OTHER_GOV

Sponsor Role collaborator

Bezmialem Vakif University

OTHER

Sponsor Role collaborator

Dortcelik Children Hospital

UNKNOWN

Sponsor Role collaborator

Uludag University

OTHER

Sponsor Role collaborator

Bulent Ecevit University

OTHER

Sponsor Role collaborator

Canakkale 18 Mart University

UNKNOWN

Sponsor Role collaborator

Cukurova University

OTHER

Sponsor Role collaborator

Denizli Devlet Hastanesi

OTHER

Sponsor Role collaborator

Denizli Ozel Saglik Hospital

UNKNOWN

Sponsor Role collaborator

Dicle University

OTHER

Sponsor Role collaborator

Dokuz Eylul University

OTHER

Sponsor Role collaborator

Doruk Bursa Hospital

UNKNOWN

Sponsor Role collaborator

Faruk Sukan Maternity and Children Hospital

UNKNOWN

Sponsor Role collaborator

Ege University

OTHER

Sponsor Role collaborator

Erzurum Nenehatun Maternity Hospital

UNKNOWN

Sponsor Role collaborator

Eskisehir Osmangazi University

OTHER

Sponsor Role collaborator

Firat University

OTHER

Sponsor Role collaborator

Cengiz Gokcek Women's and Children's Hospital

OTHER

Sponsor Role collaborator

University of Gaziantep

OTHER

Sponsor Role collaborator

Mustafa Kemal University

OTHER

Sponsor Role collaborator

Hacettepe University

OTHER

Sponsor Role collaborator

Istanbul Medeniyet University

OTHER

Sponsor Role collaborator

Istanbul Medipol University Hospital

OTHER

Sponsor Role collaborator

Istanbul University

OTHER

Sponsor Role collaborator

Dr. Behcet Uz Children's Hospital

OTHER

Sponsor Role collaborator

Kahramanmaras Megapark Hospital

OTHER

Sponsor Role collaborator

Kahramanmaras Sutcu Imam University

OTHER

Sponsor Role collaborator

Kanuni Sultan Suleyman Training and Research Hospital

OTHER

Sponsor Role collaborator

Karadeniz Technical University

OTHER

Sponsor Role collaborator

TC Erciyes University

OTHER

Sponsor Role collaborator

Kecioren Education and Training Hospital

OTHER

Sponsor Role collaborator

Kırıkkale University

OTHER

Sponsor Role collaborator

Konya Baskent University

UNKNOWN

Sponsor Role collaborator

Konya Meram State Hospital

OTHER

Sponsor Role collaborator

Selcuk University

OTHER

Sponsor Role collaborator

Dr. Lutfi Kirdar Kartal Training and Research Hospital

OTHER_GOV

Sponsor Role collaborator

Marmara University

OTHER

Sponsor Role collaborator

Medical Park Gaziantep Hospital

OTHER

Sponsor Role collaborator

Mersin Maternity Hospital

UNKNOWN

Sponsor Role collaborator

NCR International Hospital

UNKNOWN

Sponsor Role collaborator

Necmettin Erbakan University

OTHER

Sponsor Role collaborator

Ozel Medova Hospital

UNKNOWN

Sponsor Role collaborator

Pamukkale University

OTHER

Sponsor Role collaborator

Umraniye Education and Research Hospital

OTHER_GOV

Sponsor Role collaborator

Inonu University

OTHER

Sponsor Role collaborator

Sami Ulus Maternity and Children Hospital

UNKNOWN

Sponsor Role collaborator

Ondokuz Mayıs University

OTHER

Sponsor Role collaborator

Suleymaniye Birth And Women's Health Education And Research Hospital

OTHER_GOV

Sponsor Role collaborator

Sisli Hamidiye Etfal Training and Research Hospital

OTHER

Sponsor Role collaborator

Tepecik Training and Research Hospital

OTHER

Sponsor Role collaborator

Tokat Gaziosmanpasa University

OTHER

Sponsor Role collaborator

Trabzon Kanuni Education and Research Hospital

OTHER

Sponsor Role collaborator

Trakya University

OTHER

Sponsor Role collaborator

Yuksek Ihtisas University

OTHER

Sponsor Role collaborator

Yuzuncu Yıl University

OTHER

Sponsor Role collaborator

Zekai Tahir Burak Women's Health Research and Education Hospital

OTHER

Sponsor Role collaborator

Zeynep Kamil Maternity and Pediatric Research and Training Hospital

OTHER

Sponsor Role collaborator

Muğla Sıtkı Koçman University

OTHER

Sponsor Role collaborator

Koç University

OTHER

Sponsor Role collaborator

Etlik Zubeyde Hanım Women's Health Care, Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ahmet Yagmur BAS

Neonatologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ahmet Y Bas, MD

Role: PRINCIPAL_INVESTIGATOR

Etlik Zubeyde Hanim Womens' Health and Teaching Hospital

Nihal Demirel, MD

Role: PRINCIPAL_INVESTIGATOR

Etlik Zubeyde Hanim Womens' Health and Teaching Hospital

İbrahim M Hirfanoglu, MD

Role: PRINCIPAL_INVESTIGATOR

Gazi University

Dilek U Isik, MD

Role: PRINCIPAL_INVESTIGATOR

Etlik Zubeyde Hanim Womens' Health and Teaching Hospital

Turan Tunc, MD

Role: PRINCIPAL_INVESTIGATOR

Istanbul

Esin Koc, MD

Role: PRINCIPAL_INVESTIGATOR

Gazi University

Locations

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Etlik Zubeyde Hanim Womens' Health and Teaching Hospital

Ankara, Keçi̇ören, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Bas AY, Koc E, Dilmen U; ROP Neonatal Study Group. Incidence and severity of retinopathy of prematurity in Turkey. Br J Ophthalmol. 2015 Oct;99(10):1311-4. doi: 10.1136/bjophthalmol-2014-306286. Epub 2015 Apr 13.

Reference Type RESULT
PMID: 25868788 (View on PubMed)

Bas AY, Demirel N, Koc E, Ulubas Isik D, Hirfanoglu IM, Tunc T; TR-ROP Study Group. Incidence, risk factors and severity of retinopathy of prematurity in Turkey (TR-ROP study): a prospective, multicentre study in 69 neonatal intensive care units. Br J Ophthalmol. 2018 Dec;102(12):1711-1716. doi: 10.1136/bjophthalmol-2017-311789. Epub 2018 Mar 8.

Reference Type DERIVED
PMID: 29519879 (View on PubMed)

Other Identifiers

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Turkey ROP Study

Identifier Type: -

Identifier Source: org_study_id

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