■缺乏眼部护理保护措施,尤其是在无意识和镇静的危重病人,使他们容易患眼表疾病(OSD),例如,暴露性角膜病变。这项研究旨在通过眼部护理束构建一种基于算法的眼部护理方法,以降低危重病人的OSD负担,尤其是在资源有限的环境中。
■在获得机构道德委员会的批准后,进行了为期6个月的准实验性单中心研究.在诱导眼部护理束之前和之后计算暴露性角膜病变的发生率,并进行比较。采用SPSS软件v20进行统计学分析。小于0.05的p值被认为是显著的。
■共有218名患者在获得知情书面同意并满足纳入标准后被纳入研究。将患者分为对照组和实验组,两组的基线特征相似,分别,在性别方面,年龄(40岁),APACHEII得分,和专科分布,实验组主要为内科患者。对照组(n=99),共有69名患者(41名内科患者和28名外科患者)发生暴露性角膜病变,而在实验组(n=109)中,只有15例患者(6例内科和9例外科)发生了暴露性角膜病变,因此观察到显著减少。实验组患者的进一步随访也分别在第5天和第7天进行。
■提出的基于原型算法的眼部护理束显着降低了镇静剂中暴露性角膜病的发生率,机械通风,和脆弱的危重病人。
■SamaS,AbrolR,DhasmanaR,SharmaN,KhandhuriS,ChauhanR,etal.实施眼部护理束对印度北部三级护理中心重症监护病房暴露性角膜病变发生率的影响。印度JCritCareMed2023;27(6):426-432。
UNASSIGNED: Lack of eyecare protective measures especially in unconscious and sedated critically ill patients, make them prone to ocular surface diseases (OSDs), e.g., exposure keratopathy. This study is aimed to frame an algorithm-based approach to eyecare via eyecare bundle to bring down the burden of OSDs in critically ill patients especially in resource-limited settings.
UNASSIGNED: After clearance from institutional ethical committee, a quasi-experimental single center study was conducted over a period of 6 months. Incidence of exposure keratopathy was calculated before and after induction of eyecare bundle and was compared. Statistical analysis was done using SPSS software v20. p-value of less than 0.05 was considered significant.
UNASSIGNED: A total of 218 patients were enrolled in the study after obtaining informed written consent and after fulfilling inclusion criteria. Patients were divided into control and experimental groups, with baseline characteristics similar in both the groups, respectively, in terms of gender, age (40 years), APACHE II score, and specialty distribution except predominantly medical patients in experimental group. In control group (n = 99), total 69 patients (41 medical and 28 surgical) developed exposure keratopathy, while in experimental group (n = 109) only 15 patients (6 medical and 9 surgical) developed exposure keratopathy, hence a significant reduction was observed. Further follow-up of patients in the experimental group was also done on Days 5 and 7, respectively.
UNASSIGNED: The proposed protocolized algorithm-based eyecare bundle significantly reduced the incidence of exposure keratopathy in sedated, mechanically ventilated, and vulnerable critically ill patients.
UNASSIGNED: Sama S, Abrol R, Dhasmana R, Sharma N, Khandhuri S, Chauhan R, et al. Effect of Implementation of an Eyecare Bundle on Incidence of Exposure Keratopathy in Intensive Care Unit of Tertiary Care Center in North India. Indian J Crit Care Med 2023;27(6):426-432.