{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T22:53:29Z","timestamp":1785365609999,"version":"3.55.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,8,4]],"date-time":"2018-08-04T00:00:00Z","timestamp":1533340800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"published-print":{"date-parts":[[2018,9,28]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>\n                      The association between saturation of peripheral oxygenation (SpO\n                      <jats:sub>2<\/jats:sub>\n                      ) fluctuation and severity of retinopathy of prematurity (ROP) is well elucidated in extremely low birth weight (ELBW) infants. Time spent in the Target range of SpO\n                      <jats:sub>2<\/jats:sub>\n                      is also associated with the severity of ROP.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>\n                      In a prospective observational study, the SpO2 of all ELBW infants admitted to our unit were monitored for the first four weeks of life, and averaged every minute for analysis. The percent time spent at SpO2\u200a&lt;90%, 90\u201395%, and\u200a&gt;95% and weekly SpO\n                      <jats:sub>2<\/jats:sub>\n                      fluctuations [as SpO2 coefficient of variation (CoV)] were calculated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      During the study period 21 infants had moderate to severe ROP and 35 infants served as controls. Infants with moderate to severe ROP were smaller and younger than their controls [676\u00b1124 grams vs. 796\u00b1148 grams ( p\u200a&lt;\u200a0.001); and 24.0\u00b11.0 weeks vs. 25.0\u00b11.7 weeks ( p\u200a&lt;\u200a0.001) respectively]. There were no significant differences in time spent in the 90\u201395% range between groups ( p\u200a=\u200a0.66). However there was a significant increase in weekly SpO\n                      <jats:sub>2<\/jats:sub>\n                      CoV in infants with moderate to severe ROP vs. controls ( p\u200a=\u200a0.007).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>\n                      In ELBW infants, there was an association between SpO\n                      <jats:sub>2<\/jats:sub>\n                      fluctuation during the first four weeks of life and severity of ROP, although, no association was established with time spent in the target range of SpO\n                      <jats:sub>2<\/jats:sub>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/npm-1757","type":"journal-article","created":{"date-parts":[[2018,8,5]],"date-time":"2018-08-05T06:44:32Z","timestamp":1533451472000},"page":"257-263","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Effect of fluctuation of oxygenation and time spent in the target range on retinopathy of prematurity in extremely low birth weight infants"],"prefix":"10.1177","volume":"11","author":[{"given":"A.","family":"Das","sequence":"first","affiliation":[{"name":"Department of Neonatology, Cleveland Clinic Children\u2019s Hospital, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Mhanna","sequence":"additional","affiliation":[{"name":"Department of Neonatology, MetroHealth Medical Center, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Sears","sequence":"additional","affiliation":[{"name":"Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.W.","family":"Houdek","sequence":"additional","affiliation":[{"name":"Information Services, The MetroHealth System, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Neonatology, MetroHealth Medical Center, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Gunzler","sequence":"additional","affiliation":[{"name":"Center for Health Care Research and Policy, Case Western Reserve University at MetroHealth Medical Center, Cleveland, OH, 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