Incidence and related factors of surface eye disorders in traumatic intensive care unit patients in Iran.

IF 1.4 Q3 EMERGENCY MEDICINE
International Journal of Burns and Trauma Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Mahdi Shaeri, Mehrdad Mahdian, Hossein Akbari, Sara Azizzadeh Asl
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Abstract

Background: Intensive care unit (ICU) patients are exposed to several surface eye disorders ranged from minor complications like corneal dryness to more serious ones such as corneal perforation and blindness. This study is then to assess the incidence of the ocular complications and related factors.

Materials and methods: During a prospective cross sectional study in a general adult ICU, ocular complications of the patients were assessed by an ophthalmologist. Data were analyzed using descriptive analysis. A P-value of ≤0.05 was considered significant.

Results: Out of 155 patients, 130 cases (260 eyes) were covered during the study period, 2016-2017. The most common complications among the patients included dry eye and corneal abrasion (25.8%) followed by conjunctivitis (25%). The mean time of occurrence for dryness and corneal abrasion was 4±2.93 days after admission to the ICU. Lower Glasgow coma scale (GCS) and longer hospital stay were significantly associated with ocular complications in the ICU (P<0.05).

Conclusion: Eye surface complications are commonplace in critically ill patients admitted in the ICU. Dry eye, corneal abrasion, and conjunctivitis have been revealed as the most prevalent complications in this study. Lower GCS and longer stay in the ICU predisposed the cases to these complications. Efficient eye care protocol and training the ICU staff are both recommended to reduce complication rates as such.

伊朗创伤性重症监护病房患者表面眼病的发病率及相关因素
背景:重症监护病房(ICU)患者暴露于多种表面眼病,从轻微的并发症如角膜干燥到更严重的并发症如角膜穿孔和失明。本研究旨在评估眼部并发症的发生率及相关因素。材料和方法:在一项普通成人ICU的前瞻性横断面研究中,眼科医生评估了患者的眼部并发症。数据分析采用描述性分析。p值≤0.05为显著性。结果:在2016-2017年的研究期间,155例患者中有130例(260只眼睛)被覆盖。最常见的并发症是干眼和角膜磨损(25.8%),其次是结膜炎(25%)。患者入ICU后出现干燥、角膜擦伤的平均时间为4±2.93天。较低的格拉斯哥昏迷评分(GCS)和较长的住院时间与ICU的眼部并发症显著相关(结论:眼表并发症在ICU入住的危重患者中很常见。本研究显示,干眼、角膜磨损和结膜炎是最常见的并发症。较低的GCS和较长的ICU住院时间使病例易发生这些并发症。有效的眼科护理方案和对ICU工作人员的培训都是减少并发症发生率的建议。
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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