Table 1.
Assessments of WINROP algorithm for prediction of severe retinopathy of prematurity
| n | Number of centres | NICU level* | Years | Cohort definition | Alarm definition | Definition of severe ROP | Prevalence of severe ROP | Sensitivity | Specificity | PPV | NPV | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hellström et al,98 2009 | 353 | 1 | 3 | 2004–07 | GA <32 weeks | High risk or low risk at <32 weeks’ PMA | Stage 3 | 10% | 100 | 84 | 41 | 100 |
| Flückiger et al,123 2011 | 376 | 1 | 3 | 2003–08 | GA <32 weeks or birthweight <1500 g | High risk or low risk at <32 weeks’ PMA | Stage 3 or threshold | 3% | 90 | 63 | 6 | 99 |
| Zepeda-Romero et al,124 2012 | 192 | 1 | 1 | 2005–10 | GA <32 weeks | High-risk or low risk at <33 weeks’ PMA | Type 1 | 51% | 85 | 27 | 54 | 53 |
| Löfqvist et al,121 2006 | 79 | 2 | 3 | 1999–2002 | GA <32 weeks | ·· | Stage 3 or treated ROP | 16% | 100 | 84 | ·· | ·· |
| Löfqvist et al,125 2009 | 50 | 1 | 3 | 2005–07 | GA <31 weeks | High risk at <32 weeks’ PMA | Type 1 | 18% | 100 | 54 | 41 | ·· |
| Hård et al,126 2010 | 366 | 1 | 3 | 2002–08 | GA <32 weeks | High risk or low risk at <32 weeks’ PMA | Stage 3 | 6% | 91 | 55 | 11 | 99 |
| Wu et al,122 2010 | 318 | 1 | 3 | 2005–08 | GA <32 weeks | High risk | Prethreshold or threshold and stage 3 | 9% | 100 | 82 | 35 | 100 |
| Wu et al,100 2012 | 1706 | 10 | 3 | 2006–09 | GA <32 weeks | High risk or low risk at <32 weeks’ PMA | Type 1 | 9% | 99 | 39 | 13 | 100 |
NICU=neonatal intensive care unit. ROP=retinopathy of prematurity. PPV=positive predictive value. NPV=negative predictive value. GA=gestational age. PMA=post-menstrual age.
NICU levels are 1 (special care), 2 (high-dependency care), and 3 (intensive care).