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

Lucyna Płaszewska-Żywko, Aurelia Sega, Agnieszka Bukowa, Katarzyna Wojnar-Gruszka, Marcelina Podstawa and Maria Kózka
Additional contact information
Lucyna Płaszewska-Żywko: Department of Clinical Nursing, Faculty of Health Sciences, Jagiellonian University Medical College, 31-126 Krakow, Poland
Aurelia Sega: Department of Clinical Nursing, Faculty of Health Sciences, Jagiellonian University Medical College, 31-126 Krakow, Poland
Agnieszka Bukowa: Department of Anesthesiology and Intensive Therapy, University Hospital in Krakow, 31-688 Krakow, Poland
Katarzyna Wojnar-Gruszka: Department of Clinical Nursing, Faculty of Health Sciences, Jagiellonian University Medical College, 31-126 Krakow, Poland
Marcelina Podstawa: Department of Clinical Nursing, Faculty of Health Sciences, Jagiellonian University Medical College, 31-126 Krakow, Poland
Maria Kózka: Department of Clinical Nursing, Faculty of Health Sciences, Jagiellonian University Medical College, 31-126 Krakow, Poland

IJERPH, 2021, vol. 18, issue 21, 1-9

Abstract: 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 ? = 0.05. The most important risk factors for eye complications in the study group were: lagophthalmos ( p < 0.001), sedation ( p < 0.01), use of some cardiological drugs and antibiotics ( p < 0.01), mechanical ventilation ( p < 0.05), use of an open suctioning system ( p < 0.01), presence of injuries ( p < 0.01) including craniofacial trauma ( p < 0.001), high level of care intensity ( p < 0.01), failure to follow eye care protocol ( p < 0.001), length of hospitalization at the ICU ( p < 0.001), and the frequency of ophthalmological consultations ( p < 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.

Keywords: eye complications; critically ill patient; eye care; intensive care unit (ICU) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/21/11178/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/21/11178/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:21:p:11178-:d:663794

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().