{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T07:53:38Z","timestamp":1780732418930,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Pediatrics"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p><jats:italic>Objective.<\/jats:italic>Current American retinopathy of prematurity (ROP) screening guidelines is imprecise for infants \u2265 30 weeks with birth weights between 1500 and 2000\u2009g. Our objective was to evaluate a risk factor based approach for screening premature infants at low risk for severe ROP.<jats:italic>Study Design.<\/jats:italic>We performed a 13-year review from Intermountain Health Care (IHC) data. All neonates born at \u226432 weeks were reviewed to determine ROP screening and\/or development of severe ROP. Severe ROP was defined by stage \u2265 3 or need for laser therapy. Regression analysis was used to identify significant risk factors for severe ROP.<jats:italic>Results.<\/jats:italic>We identified 4607 neonates \u2264 32 weeks gestation. Following exclusion for death, with no retinal exam or incomplete data, 2791 (61%) were included in the study. Overall, severe ROP occurred in 260 (9.3%), but only 11\/1601 \u2265 29 weeks (0.7%). All infants with severe ROP \u2265 29 weeks had at least 2 identified ROP risk factors. Implementation of this risk based screening strategy to the IHC population over the timeline of this study would have eliminated screening in 21% (343\/1601) of the screened population.<jats:italic>Conclusions.<\/jats:italic>Limiting ROP screening for infants \u2265 29 and \u2264 32 weeks to only those with clinical risk factors could significantly reduce screening exams while identifying all infants with severe ROP.<\/jats:p>","DOI":"10.1155\/2017\/9372539","type":"journal-article","created":{"date-parts":[[2017,1,9]],"date-time":"2017-01-09T21:03:13Z","timestamp":1483995793000},"page":"1-8","source":"Crossref","is-referenced-by-count":3,"title":["Can a Risk Factor Based Approach Safely Reduce Screening for Retinopathy of Prematurity?"],"prefix":"10.1155","volume":"2017","author":[{"given":"K. M.","family":"Friddle","sequence":"first","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. A.","family":"Yoder","sequence":"additional","affiliation":[{"name":"School of Medicine, Division of Neonatology, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7270-5670","authenticated-orcid":true,"given":"M. E.","family":"Hartnett","sequence":"additional","affiliation":[{"name":"School of Medicine, Department of Ophthalmology, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Henry","sequence":"additional","affiliation":[{"name":"Intermountain Health Care, Institute for Health Care Delivery Research, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1968-7001","authenticated-orcid":true,"given":"R. 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