Modificación de una escala de riesgo de lesión ocular en niños críticamente enfermos

IF 1.1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2025-01-01 DOI:10.1016/j.enfi.2024.04.007

Beatriz Vilchez-Rodriguez RN , Marta Marcos-López RN , Isabel Manzanal-Martín RN , Pablo González-Navarro MSc , Jesús López-Herce-Cid MD, PhD

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Abstract

Introduction

There is no validated tool that assesses the risk of eye injury in intensive care units. The aim of this study was to analyse the ability to detect keratopathies after modification of an eye injury risk assessment scale in critically ill children.

Methods

Observational, retrospective study. We modified a designed scale of risk of ocular damage tested in 194 children without previous ocular pathology admitted to paediatric intensive care for more than 48 hours. The original scale classified patients as high/medium/low risk according to a sum of 10 risk factors. The scale was simplified by eliminating the face mask and slow blinking. Intubation was replaced by mechanical ventilation. All patients were re-classified with the new scale and the early detection ability of the modified scale for eye damage was compared.

Results

There was no statistically significant difference between the two scales for the ability to detect patients at risk of eye injury (P=.4361). The new scale classified patients’ risk of eye injury with the same reliability, with the exception of one patient whose eye injury with the new scale would have been detected one day later.

Conclusions

The new scale had a similar ability to detect eye injury risk as the original scale in critically ill children.

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修改重症儿童眼外伤风险量表

目前还没有有效的工具来评估重症监护病房中眼睛损伤的风险。本研究的目的是分析危重儿童在修改眼损伤风险评估量表后检测角膜病变的能力。方法采用观察性、回顾性研究。我们修改了一项设计的眼损伤风险量表，对194名在儿科重症监护室住院超过48小时且既往无眼部病理的儿童进行了测试。原始量表根据10个危险因素的总和将患者分为高/中/低风险。通过去除面罩和慢速眨眼来简化量表。插管改为机械通气。所有患者均采用新量表重新分类，并比较修改后的量表对眼损伤的早期检测能力。结果两种量表对眼损伤危险的检测能力比较，差异无统计学意义（P=.4361）。新量表对患者眼损伤风险的分类具有相同的可靠性，但有一名患者的眼损伤在新量表下一天后会被检测到。结论新量表对危重儿童眼损伤风险的检测能力与原量表相近。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Intensiva NURSING-

CiteScore

2.50

自引率

23.10%

发文量

期刊介绍： Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.