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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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.