%0 Journal Article %T Efficacy of recombinant erythropoietin for the late treatment of anemia of prematurity in a level IV neonatal intensive care unit: a retrospective single-center cohort study. %A Connolly JM %A McClary JD %A Desai R %A Sundaram A %A Neudecker M %A Nock ML %A Ryan RM %A Marasch JL %J J Perinatol %V 44 %N 6 %D 2024 Jun 21 %M 38773216 %F 3.225 %R 10.1038/s41372-024-02001-6 %X OBJECTIVE: To describe the population to which we administered recombinant erythropoietin and to determine the effectiveness of this treatment as quantified by the change in hematocrit.
METHODS: This retrospective chart review study included infants who received erythropoietin for the treatment of anemia of prematurity.
RESULTS: There were 132 infants representing 162 unique treatment courses included in the study. The average duration of therapy was 9 days (±7) and 6 doses (±2). The average change in hematocrit (Hct) was 6.2% (SD 3.9%, p < 0.001). Rise in Hct was associated with a higher number of rEPO doses (p < 0.001) and higher postmenstrual age (p < 0.001). In our small cohort we did not find an association between the number of rEPO doses and retinopathy of prematurity (ROP) requiring treatment.
CONCLUSIONS: Erythropoietin is safe and effective at treating anemia of prematurity as evidenced by a clinically and statistically significant increase in Hct from baseline.