title: Retinopathy of Prematurity and Ethnicity in Hawai'i: A Retrospective Study (1996 - 2006) of Medical Records from Kapi'olani Medical Center for Women and Children.
abstract: The objective of this research was to identify risk factors for Retinopathy of Prematurity (ROP) in Hawai'i's ethnically unique population, with a focus on ethnicity. The study design focused on a 10-year retrospective chart review of neonates at Kapi'olani Medical Center in Honolulu, Hawai'i. Results showed that 23.3% of infants of Native Hawaiian and/or Pacific Islander ethnicity (NHPI) developed ROP. Necrotizing enterocolitis, intraventricular hemorrhage, and the severity of respiratory disease were significantly related (P < .001) to the incidence and severity of ROP. In a multiple logistic regression model, gestational age, birth weight, bronchopulmonary dysplasia, and postnatal steroids were significant predictors (P < .001) for presence of ROP. Significant predictors for severe ROP included gestational age (P < .001), birth weight (P = .001), postnatal steroids (P = .001), necrotizing enterocolitis (P = .025), and NHPI ethnicity (P = .004). Further research is recommended.
authors.affiliation: Anthropology, University of Hawai'i at Hilo, Hilo, HI (LMW).
authors.forename: Lynne Mackin
authors.initials: LM
authors.lastname: Wolforth
authors.affiliation: Anthropology, University of Hawai'i at Hilo, Hilo, HI (LMW).
authors.forename: Sherry W
authors.initials: SW
authors.lastname: Loo
authors.affiliation: Anthropology, University of Hawai'i at Hilo, Hilo, HI (LMW).
authors.forename: Sneha L
authors.initials: SL
authors.lastname: Sood
mesh_terms: D005006:Ethnicity; D005260:Female; D005500:Follow-Up Studies; D006254:Hawaii / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D008297:Male; D008499:Medical Records; D012178:Retinopathy of Prematurity / Q000208:ethnology*; D012189:Retrospective Studies; D012307:Risk Factors
keywords: co-morbidities of prematurity; multiple logistic regression; retinopathy of prematurity; retrospective review