Assessing an Exposure Keratopathy Prevention Strategy in Mechanically Ventilated Patients: A Retrospective Study.

IF 2 4区医学 Q2 OPHTHALMOLOGY

Eye & Contact Lens-Science and Clinical Practice Pub Date : 2024-02-01 Epub Date: 2023-11-07 DOI:10.1097/ICL.0000000000001055

Ayobami Adebayo, Jenna Tauber, Jennifer Tingley, Lewis A Eisen, Jee Young Moon, Jamie B Rosenberg

{"title":"Assessing an Exposure Keratopathy Prevention Strategy in Mechanically Ventilated Patients: A Retrospective Study.","authors":"Ayobami Adebayo, Jenna Tauber, Jennifer Tingley, Lewis A Eisen, Jee Young Moon, Jamie B Rosenberg","doi":"10.1097/ICL.0000000000001055","DOIUrl":null,"url":null,"abstract":"Objective: Patients who are intubated and sedated are at risk for developing exposure keratopathy, which can lead to permanent vision loss. This retrospective study assesses the incidence of exposure keratopathy (EK) in intensive care unit (ICU) patients before and after implementation of an EK Prevention Order Set.Methods: At one tertiary care hospital (Bronx, NY), an \"Exposure Keratopathy Prevention Order Set\" was implemented to ameliorate this risk which included the application of white petrolatum-mineral oil lubricating ointment every 6 hours in both eyes. This retrospective chart review study analyzed the incidence of EK diagnosis before and after implementation of this EK Prevention Order Set. Patients who were on mechanical ventilation at the time of ophthalmology consult request between January 1, 2021, and December 31, 2021, were included. Ophthalmology consult notes of patients with EK diagnosis were reviewed for details regarding the consult request, examination findings, diagnosis, and treatment plan.Results: There were 247 and 361 ventilated ICU patients before and after the order set, respectively. The number of ophthalmology consults decreased slightly after the order set from 15 of 247 to 20 of 361 ventilated patients. In addition, the rate of EK among ventilated patients decreased from 4.5% (11 of 247 patients over 151 days) to 2.2% (8 of 361 patients over 212 days; P =0.154) with a risk ratio of 0.50 (95% CI 0.20-1.22).Conclusion: The number of patients diagnosed with EK trended down after implementation of the EK Prevention Order Set.","PeriodicalId":50457,"journal":{"name":"Eye & Contact Lens-Science and Clinical Practice","volume":" ","pages":"70-72"},"PeriodicalIF":2.0000,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Eye & Contact Lens-Science and Clinical Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/ICL.0000000000001055","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/7 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: Patients who are intubated and sedated are at risk for developing exposure keratopathy, which can lead to permanent vision loss. This retrospective study assesses the incidence of exposure keratopathy (EK) in intensive care unit (ICU) patients before and after implementation of an EK Prevention Order Set.

Methods: At one tertiary care hospital (Bronx, NY), an "Exposure Keratopathy Prevention Order Set" was implemented to ameliorate this risk which included the application of white petrolatum-mineral oil lubricating ointment every 6 hours in both eyes. This retrospective chart review study analyzed the incidence of EK diagnosis before and after implementation of this EK Prevention Order Set. Patients who were on mechanical ventilation at the time of ophthalmology consult request between January 1, 2021, and December 31, 2021, were included. Ophthalmology consult notes of patients with EK diagnosis were reviewed for details regarding the consult request, examination findings, diagnosis, and treatment plan.

Results: There were 247 and 361 ventilated ICU patients before and after the order set, respectively. The number of ophthalmology consults decreased slightly after the order set from 15 of 247 to 20 of 361 ventilated patients. In addition, the rate of EK among ventilated patients decreased from 4.5% (11 of 247 patients over 151 days) to 2.2% (8 of 361 patients over 212 days; P =0.154) with a risk ratio of 0.50 (95% CI 0.20-1.22).

Conclusion: The number of patients diagnosed with EK trended down after implementation of the EK Prevention Order Set.

查看原文本刊更多论文

评估机械通气患者暴露性角膜病变预防策略：一项回顾性研究。

目的：插管并服用镇静剂的患者有患暴露性角膜病变的风险，这可能导致永久性视力丧失。这项回顾性研究评估了重症监护室（ICU）患者在实施暴露性角膜病变预防令前后暴露性角膜病（EK）的发生率，实施了一套“暴露性角膜病变预防令”来减轻这种风险，其中包括每6小时在双眼涂抹一次白矿脂矿物油润滑膏。这项回顾性图表回顾研究分析了实施该EK预防令集前后EK诊断的发生率。2021年1月1日至2021年12月31日期间，在眼科咨询请求时接受机械通气的患者也包括在内。对诊断为EK的患者的眼科咨询记录进行了审查，以了解有关咨询请求、检查结果、诊断和治疗计划的详细信息。结果：在设定顺序之前和之后，分别有247名和361名ICU通气患者。排序后，眼科咨询的数量略有下降，从247名通气患者中的15名降至361名通气患者的20名。此外，通气患者的EK发生率从4.5%（247名患者中有11名在151天内）下降到2.2%（361名患者中的8名在212天内；P=0.154），风险比为0.50（95%CI 0.20-1.22）。结论：实施EK预防令后，诊断为EK的患者数量呈下降趋势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Eye & Contact Lens-Science and Clinical Practice OPHTHALMOLOGY-

CiteScore

4.50

自引率

4.30%

发文量

150

审稿时长

6-12 weeks

期刊介绍： Eye & Contact Lens: Science and Clinical Practice is the official journal of the Contact Lens Association of Ophthalmologists (CLAO), an international educational association for anterior segment research and clinical practice of interest to ophthalmologists, optometrists, and other vision care providers and researchers. Focusing especially on contact lenses, it also covers dry eye disease, MGD, infections, toxicity of drops and contact lens care solutions, topography, cornea surgery and post-operative care, optics, refractive surgery and corneal stability (eg, UV cross-linking). Peer-reviewed and published six times annually, it is a highly respected scientific journal in its field.