The utility of serial plasma sE-selectin measurements in the prediction of retinopathy of prematurity in premature infants

作者：Cetinkaya Merih^*; Erener Ercan Tugba; Cansev Mehmet; Buyukkale Gokhan; Cekmez Ferhat; Aydemir Gokhan; Pirhan Dilara; Genc Fatih Alparslan; Acar Esra; Taskin Necati

来源：Early Human Development, 2014, 90(9): 517-521.

DOI：10.1016/j.earlhumdev.2014.03.009

• Preterm
• Retinopathy of prematurity
• sE-selectin

Background: sE-selectin has recently been suggested as a surrogate marker for prediction of ROP development.
Aims: The possible role of serial plasma sE-selectin measurements in early prediction and diagnosis of ROP was evaluated.
Study Design: Prospective observational study
Subjects: Forty six preterm infants aged <34 weeks of gestation and weighing <1500 g were enrolled. Of these, 26 constituted the ROP group and 20 constituted the no-ROP group. sE-selectin levels were measured serially in blood samples on the 1st day and on 14th and 28th postnatal days.
Outcome measures: The primary outcome measure was to evaluate the role of sE-selectin concentrations in prediction of ROP.
Results: The mean gestational age and birth weight were significantly lower in the ROP group. The mean sE-selectin concentrations in ROP group were significantly greater than those in no-ROP group at each time point (1st, 14th and 28th days of postnatal life). A receiver operating characteristic (ROC) analysis showed that at a plasma concentration of >= 86 ng/mL on the 1st postnatal day, sE-selectin had a sensitivity of 100% and a specificity of 94.1% with a positive predictive value of 96.3% and a negative predictive value of 100%. Plasma sE-selectin concentrations were significantly greater in infants who developed ROP in three different time points.
Conclusions: This study shows for the first time that measurement of plasma sE-selectin concentrations as early as the first day of life might help identify preterm infants at risk of ROP.

• 出版日期2014-9
• 单位中国人民解放军军事医学科学院