Indications for Admission and Its Association with Ocular Surface Disorders among Patients Admitted In Adult Intensive Care Unit of a Tertiary Care Hospital

Ankush Sharma, R. Tuli, R. Sharma, U. Kumari, Devender Pal Bhardwaj
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Abstract

Background: Present study was done to evaluate the Indications for admission and its association with ocular surface disorders among Patients admitted in Adult Intensive Care Unit of a Tertiary Care Hospital. Material and Methods: It was a prospective observational study carried in AICU over period of one year by Department of Ophthalmology, Dr. RPGMC Kangra at Tanda. All the patients who were admitted in AICU greater than 48 hours between ages of 18-65 years were included and evaluated for socio-demographic information like age, gender, indications for admission etc. Thorough ophthalmic examination was also done for ocular surface disorders and analysed using epi info v7 software. Results: A total of 126 patients were included in the study. Mean age of the study participants was 41.8 years. Maximum patients, 23.8% of the patients were in age group of 51 and 60 years followed by 23% between 21 and 30 years and 41 and 50 years each. 64.3% of the patients were males while 35.7% were females. The most common indication for AICU admission was post-operative monitoring (30.9%) followed by head injury (19.8%) and orthopaedic injury (11.1%). In the present study, 74 (58.7%) of the patients had ocular surface disorders. Ocular surface disorders were observed most commonly among patients who had head injury Followed by Post-operative monitoring and Respiratory Insufficiency as indication for AICU admission. Conclusion: The present study concluded that post-operative monitoring was the most common indication for AICU admission and Ocular surface disorders were observed most commonly among patients who had head injury.
某三级医院成人重症监护病房住院患者的入院指征及其与眼表疾病的关系
背景:本研究旨在评价某三级医院成人重症监护病房住院患者的入院指征及其与眼表疾病的关系。材料与方法:这是一项由Tanda眼科RPGMC Kangra博士在AICU进行的为期一年的前瞻性观察研究。纳入所有年龄在18-65岁之间入住AICU超过48小时的患者,并评估其年龄、性别、入院指征等社会人口学信息。对眼表疾病进行全面眼科检查,并应用epi info v7软件进行分析。结果:共纳入126例患者。研究参与者的平均年龄为41.8岁。51 - 60岁年龄组占23.8%,21 - 30岁年龄组和41 - 50岁年龄组各占23%。男性占64.3%,女性占35.7%。AICU住院最常见的指征是术后监护(30.9%),其次是颅脑损伤(19.8%)和骨科损伤(11.1%)。在本研究中,74例(58.7%)患者有眼表疾病。眼表疾病最常见于颅脑损伤患者,术后监测和呼吸功能不全是AICU入院的指征。结论:术后监护是AICU住院最常见的指征,颅脑损伤患者最常观察到眼表疾病。
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