Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit

In critically ill patients, normal eye protection mechanisms, such as tear production, blinking, and keeping the eye closed, are impaired. In addition, many other factors related to patients’ severe condition and treatment contribute to ocular surface disease. Reducing risk factors and proper eye ca...

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Autores principales:	Lucyna Płaszewska-Żywko, Aurelia Sega, Agnieszka Bukowa, Katarzyna Wojnar-Gruszka, Marcelina Podstawa, Maria Kózka
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	eye complications critically ill patient eye care intensive care unit (ICU) Medicine R
Acceso en línea:	https://doaj.org/article/5591d90ab920404db764d77b9d6df253
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spelling	oai:doaj.org-article:5591d90ab920404db764d77b9d6df2532021-11-11T16:19:45ZRisk Factors of Eye Complications in Patients Treated in the Intensive Care Unit10.3390/ijerph1821111781660-46011661-7827https://doaj.org/article/5591d90ab920404db764d77b9d6df2532021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11178https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601In critically ill patients, normal eye protection mechanisms, such as tear production, blinking, and keeping the eye closed, are impaired. In addition, many other factors related to patients’ severe condition and treatment contribute to ocular surface disease. Reducing risk factors and proper eye care can have a significant impact on incidences of eye complications and patient quality of life after discharge from the intensive care unit (ICU). The aim of the study was to determine risk factors for ocular complication, especially those related to nursing care. The study was conducted in the ICU of a university hospital. Methods for estimating and analyzing medical records were used. The patient’s evaluation sheet covering 12 categories of risk factors for eye complications was worked out. The study group included 76 patients (34 patients with injuries and 42 without injuries). The Shapiro–Wilk test, the Spearman’s rank correlation test, the Mann–Whitney U test and the Friedman’s ANOVA test were used. The level of significance was set at α = 0.05. The most important risk factors for eye complications in the study group were: lagophthalmos (<i>p</i> < 0.001), sedation (<i>p <</i> 0.01), use of some cardiological drugs and antibiotics (<i>p</i> < 0.01), mechanical ventilation (<i>p</i> < 0.05), use of an open suctioning system (<i>p</i> < 0.01), presence of injuries (<i>p</i> < 0.01) including craniofacial trauma (<i>p <</i> 0.001), high level of care intensity (<i>p</i> < 0.01), failure to follow eye care protocol (<i>p <</i> 0.001), length of hospitalization at the ICU (<i>p <</i> 0.001), and the frequency of ophthalmological consultations (<i>p <</i> 0.001). There was no correlation between the incidence of these complications and the age and gender of the patients. The exposure of critically ill patients to eye complications was high. It is necessary to disseminate protocols and guidelines for eye care in ICU patients to reduce the risk factors.Lucyna Płaszewska-ŻywkoAurelia SegaAgnieszka BukowaKatarzyna Wojnar-GruszkaMarcelina PodstawaMaria KózkaMDPI AGarticleeye complicationscritically ill patienteye careintensive care unit (ICU)MedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11178, p 11178 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	eye complications critically ill patient eye care intensive care unit (ICU) Medicine R
spellingShingle	eye complications critically ill patient eye care intensive care unit (ICU) Medicine R Lucyna Płaszewska-Żywko Aurelia Sega Agnieszka Bukowa Katarzyna Wojnar-Gruszka Marcelina Podstawa Maria Kózka Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit
description	In critically ill patients, normal eye protection mechanisms, such as tear production, blinking, and keeping the eye closed, are impaired. In addition, many other factors related to patients’ severe condition and treatment contribute to ocular surface disease. Reducing risk factors and proper eye care can have a significant impact on incidences of eye complications and patient quality of life after discharge from the intensive care unit (ICU). The aim of the study was to determine risk factors for ocular complication, especially those related to nursing care. The study was conducted in the ICU of a university hospital. Methods for estimating and analyzing medical records were used. The patient’s evaluation sheet covering 12 categories of risk factors for eye complications was worked out. The study group included 76 patients (34 patients with injuries and 42 without injuries). The Shapiro–Wilk test, the Spearman’s rank correlation test, the Mann–Whitney U test and the Friedman’s ANOVA test were used. The level of significance was set at α = 0.05. The most important risk factors for eye complications in the study group were: lagophthalmos (<i>p</i> < 0.001), sedation (<i>p <</i> 0.01), use of some cardiological drugs and antibiotics (<i>p</i> < 0.01), mechanical ventilation (<i>p</i> < 0.05), use of an open suctioning system (<i>p</i> < 0.01), presence of injuries (<i>p</i> < 0.01) including craniofacial trauma (<i>p <</i> 0.001), high level of care intensity (<i>p</i> < 0.01), failure to follow eye care protocol (<i>p <</i> 0.001), length of hospitalization at the ICU (<i>p <</i> 0.001), and the frequency of ophthalmological consultations (<i>p <</i> 0.001). There was no correlation between the incidence of these complications and the age and gender of the patients. The exposure of critically ill patients to eye complications was high. It is necessary to disseminate protocols and guidelines for eye care in ICU patients to reduce the risk factors.
format	article
author	Lucyna Płaszewska-Żywko Aurelia Sega Agnieszka Bukowa Katarzyna Wojnar-Gruszka Marcelina Podstawa Maria Kózka
author_facet	Lucyna Płaszewska-Żywko Aurelia Sega Agnieszka Bukowa Katarzyna Wojnar-Gruszka Marcelina Podstawa Maria Kózka
author_sort	Lucyna Płaszewska-Żywko
title	Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit
title_short	Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit
title_full	Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit
title_fullStr	Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit
title_full_unstemmed	Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit
title_sort	risk factors of eye complications in patients treated in the intensive care unit
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/5591d90ab920404db764d77b9d6df253
work_keys_str_mv	AT lucynapłaszewskazywko riskfactorsofeyecomplicationsinpatientstreatedintheintensivecareunit AT aureliasega riskfactorsofeyecomplicationsinpatientstreatedintheintensivecareunit AT agnieszkabukowa riskfactorsofeyecomplicationsinpatientstreatedintheintensivecareunit AT katarzynawojnargruszka riskfactorsofeyecomplicationsinpatientstreatedintheintensivecareunit AT marcelinapodstawa riskfactorsofeyecomplicationsinpatientstreatedintheintensivecareunit AT mariakozka riskfactorsofeyecomplicationsinpatientstreatedintheintensivecareunit
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Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit

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