*** effect of eyemasks on reducing stress associated with retinopathy of prematurity screening

作     者：Andrei-Alexandru Szigiato Matthew Speckert Jeanne Zielonka Kathleen Hollamby Mary Debono Filiberto Altomare Eugene Ng Rosane Nisenbaum Michael Sgro 

作者机构：Département d'OphtalmologieUniversitéde MontréalMontréalQuébecCanada Department of Ophthalmology and Vision SciencesUniversity of TorontoTorontoOntarioCanada Department of PaediatricsNorthern Ontario School of MedicineThunder BayOntarioCanada Department of NeonatologySt.Michael’s HospitalTorontoOntarioCanada Faculty of Arts and SciencesUniversity of TorontoTorontoOntarioCanada Department of NeonatologySunnybrook Health Sciences CentreTorontoOntarioCanada Department of BiostatisticsSt Michael’s HospitalTorontoOntarioCanada 

出 版 物：《Annals of Eye Science》 (眼科学年鉴（英文）)

年 卷 期：2018年第1期

页      面：438-438页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Retinopathy of prematurity(ROP) pain photophobia neonate 

摘      要：Background:Retinopathy of prematurity(ROP)is a disorder of retinal development in the low birthweight preterm *** screening is routinely performed for infants at risk of developing this *** these examinations help prevent blindness,they can be physiologically stressful for infants,with changes in oxygen saturation,blood pressure and heart rate occurring during the exam and increased apneic episodes reported the 24-48 hours period *** cause of these increased apneic episodes is not currently *** Background is to evaluate the effect of decreasing light simulation during mydriasis using an eye mask on the frequency of stressful episodes after ROP ***:Multi-centre randomized clinical *** study was approved by hospital ethics boards at all *** informed consent was obtained,infants with a birthweight1,500 g or gestational age of≤32 weeks and scheduled for their first ROP screening were randomized to receive either standard of care or a phototherapy mask during pupil dilation in addition to routine *** retinal exams were performed by retinal surgeons and *** primary outcome was the frequency of any desaturation,bradycardic event,or apneic event 12 hours following the examination,compared to a baseline rate 12 hours prior to the *** rate,respiratory rate and oxygen saturation were recorded for up to 48 hours following the examination and compared to ***:A total of 51 infants were examined;28 randomized to the masked group and 23 to the control *** and 13 infants were on ventilator support at the time of examination in each group,*** was a 57.7%decrease in the total number of all stressful events in the masked group compared to controls in the 12-hour post exam period(rate ratio 0.42,95%CI,0.2-0.9,P=0.024).There was a 61.3%decrease in the number of bradycardic events in the masked group compared to controls(RR 0.39,95%CI,0.2-1.0,P=0.042).Heart rate was si