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

Authors

  • Andreza Werli-Alvarenga Hospital Universitário Risoleta Tolentino Neves
  • Flávia Falci Ercole Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Fernando Antônio Botoni Universidade Federal de Minas Gerais; Faculdade de Medicina
  • José Aloísio Dias Massote Mourão Oliveira Universidade Federal de Minas Gerais; Hospital das Clínicas
  • Tânia Couto Machado Chianca Universidade Federal de Minas Gerais; Escola de Enfermagem

DOI:

https://doi.org/10.1590/S0104-11692011000500005

Keywords:

Corneal Diseases, Corneal Ulcer, Risk Factors, Diagnosis of Nursing, Intensive Care Units, Nursing

Abstract

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.

Downloads

Download data is not yet available.

Downloads

Published

2011-10-01

Issue

Vol. 19 No. 5 (2011)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Corneal injuries: incidence and risk factors in the Intensive Care Unit . (2011). Revista Latino-Americana De Enfermagem, 19(5), 1088-1095. https://doi.org/10.1590/S0104-11692011000500005