Corneal injuries: incidence and risk factors in the Intensive Care Unit

Revista Latino-Americana de Enfermagem

Andreza Werli-alvarenga²  Flávia Falci Ercole²  Fernando Antônio Botoni¹  José Aloísio Dias Massote Mourão Oliveira¹  Tânia Couto Machado Chianca² 

[1] ,Universidade Federal de Minas Gerais Escola de Enfermagem ,Brazil

关键词: Corneal Diseases;    Corneal Ulcer;    Risk Factors;    Diagnosis of Nursing;    Intensive Care Units;    Nursing;    Doenças da Córnea;    Úlcera da Córnea;    Fatores de Risco;    Diagnóstico de Enfermagem;    Unidades de Terapia Intensiva;    Enfermagem;    Enfermedades de la Córnea;    Úlceras Corneales;    Factores de Riesgo;    Diagnóstico de Enfermería;    Unidades de Cuidados Intensivos;    Enfermería;   

DOI  :  10.1590/S0104-11692011000500005

来源: SciELO

【 摘 要 】

Patients hospitalized in the Intensive Care Unit (ICU) may present risk for corneal injury due to sedation or coma. This study aimed to estimate the incidence of corneal injuries; to identify the risk factors and to propose a risk prediction model for the development of corneal injury, in adult patients, in an intensive care unit of a public hospital. This is a one year, prospective cohort study with 254 patients. The data were analyzed using descriptive statistics, univariate and logistic regression. Of the 254 patients, 59.4% had corneal injuries and the mean time to onset was 8.9 days. The independent variables that predispose to risk for punctate type corneal injury were: duration of hospitalization, other ventilatory support device, presence of edema and blinking less than five times a minute. The Glasgow Coma Scale and exposure of the ocular globe were the variables related to corneal ulcer type corneal injury. The injury frequencies were punctate type (55.1%) and corneal ulcers (11.8%). Risk prediction models for the development of punctate and corneal ulcer type corneal injury were established.

【 授权许可】

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