Factors related to incidence of eye disorders in Korean patients at intensive care units

Euigeum Oh, Won Hee Lee, Ji Soo Yoo, So Sun Kim, Il Sun Ko, Sang Hui Chu, Eun Kyeung Song, Se Won Kang

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Aims. The purpose of this study was to identify the incidence rate of eye disorders and further to identify factors related to incidence of eye disorders in intensive care unit patients. Background. Although the incidence of eye disorders in intensive care unit patients is very high, it is difficult to come to an accurate estimate of number of eye disorders in intensive care unit patients because eye disorders are often perceived to be minor problems. Design. A retrospective, descriptive survey design was used. Method. The medical records of a total 235 patients with eye disorders were identified through a review of the medical records of 2500 patients hospitalised in the intensive care units of Yonsei University Hospital, Seoul, Korea from January to December, 2004. To examine factors related to eye disorders, 522 patients without eye disorders from the cohort of 2265 patients were randomly selected. Factors related to incidence of eye disorder were included in a multiple logistic regression model, after screening by the chi-squared test. Results. The incidence rate for eye disorders in the intensive care unit patients was 8·6%. From the multiple regression model, the following odds ratios (95% confidence intervals) of eye disorder were estimated; length of stay in intensive care unit of at least seven days: 2·8 (1·70-4·70) ; death: 2·5 (1·47-4·29); drowsy mental state: 2·2 (1·10-4·37); stupor mental state: 7·0 (3·20- 15·45); coma mental state: 10·8 (3·47-33·74); no self-respiration: 1·9 (1·00-3·52); positive end expiratory pressure: 2·9 (1·66-4·92); sedatives: 4·2 (2·26-7·74); muscle relaxants: 2·3 (1·11- 4·95). Conclusions. Factors related to incidence of eye disorders in intensive care unit patients identified in this study support the need to pay attention to eye problems and eye care in intensive care unit patients. Relevance to clinical practice. An evidence-based eye care protocol should be provided as routine care to prevent eye complication, especially in critically ill patients with mechanical ventilators, positive end expiratory pressure, sedatives or muscle relaxants and for patients whose mental status is decreased.

Original languageEnglish
Pages (from-to)29-35
Number of pages7
JournalJournal of Clinical Nursing
Volume18
Issue number1
DOIs
Publication statusPublished - 2009 Jan 1

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Intensive Care Units
Incidence
Positive-Pressure Respiration
Hypnotics and Sedatives
Medical Records
Logistic Models
Stupor
Muscles
Mentally Ill Persons
Mechanical Ventilators
Korea
Coma
Critical Illness
Length of Stay
Respiration
Odds Ratio

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

Oh, Euigeum ; Lee, Won Hee ; Yoo, Ji Soo ; Kim, So Sun ; Ko, Il Sun ; Chu, Sang Hui ; Song, Eun Kyeung ; Kang, Se Won. / Factors related to incidence of eye disorders in Korean patients at intensive care units. In: Journal of Clinical Nursing. 2009 ; Vol. 18, No. 1. pp. 29-35.
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abstract = "Aims. The purpose of this study was to identify the incidence rate of eye disorders and further to identify factors related to incidence of eye disorders in intensive care unit patients. Background. Although the incidence of eye disorders in intensive care unit patients is very high, it is difficult to come to an accurate estimate of number of eye disorders in intensive care unit patients because eye disorders are often perceived to be minor problems. Design. A retrospective, descriptive survey design was used. Method. The medical records of a total 235 patients with eye disorders were identified through a review of the medical records of 2500 patients hospitalised in the intensive care units of Yonsei University Hospital, Seoul, Korea from January to December, 2004. To examine factors related to eye disorders, 522 patients without eye disorders from the cohort of 2265 patients were randomly selected. Factors related to incidence of eye disorder were included in a multiple logistic regression model, after screening by the chi-squared test. Results. The incidence rate for eye disorders in the intensive care unit patients was 8·6{\%}. From the multiple regression model, the following odds ratios (95{\%} confidence intervals) of eye disorder were estimated; length of stay in intensive care unit of at least seven days: 2·8 (1·70-4·70) ; death: 2·5 (1·47-4·29); drowsy mental state: 2·2 (1·10-4·37); stupor mental state: 7·0 (3·20- 15·45); coma mental state: 10·8 (3·47-33·74); no self-respiration: 1·9 (1·00-3·52); positive end expiratory pressure: 2·9 (1·66-4·92); sedatives: 4·2 (2·26-7·74); muscle relaxants: 2·3 (1·11- 4·95). Conclusions. Factors related to incidence of eye disorders in intensive care unit patients identified in this study support the need to pay attention to eye problems and eye care in intensive care unit patients. Relevance to clinical practice. An evidence-based eye care protocol should be provided as routine care to prevent eye complication, especially in critically ill patients with mechanical ventilators, positive end expiratory pressure, sedatives or muscle relaxants and for patients whose mental status is decreased.",
author = "Euigeum Oh and Lee, {Won Hee} and Yoo, {Ji Soo} and Kim, {So Sun} and Ko, {Il Sun} and Chu, {Sang Hui} and Song, {Eun Kyeung} and Kang, {Se Won}",
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Factors related to incidence of eye disorders in Korean patients at intensive care units. / Oh, Euigeum; Lee, Won Hee; Yoo, Ji Soo; Kim, So Sun; Ko, Il Sun; Chu, Sang Hui; Song, Eun Kyeung; Kang, Se Won.

In: Journal of Clinical Nursing, Vol. 18, No. 1, 01.01.2009, p. 29-35.

Research output: Contribution to journalArticle

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T1 - Factors related to incidence of eye disorders in Korean patients at intensive care units

AU - Oh, Euigeum

AU - Lee, Won Hee

AU - Yoo, Ji Soo

AU - Kim, So Sun

AU - Ko, Il Sun

AU - Chu, Sang Hui

AU - Song, Eun Kyeung

AU - Kang, Se Won

PY - 2009/1/1

Y1 - 2009/1/1

N2 - Aims. The purpose of this study was to identify the incidence rate of eye disorders and further to identify factors related to incidence of eye disorders in intensive care unit patients. Background. Although the incidence of eye disorders in intensive care unit patients is very high, it is difficult to come to an accurate estimate of number of eye disorders in intensive care unit patients because eye disorders are often perceived to be minor problems. Design. A retrospective, descriptive survey design was used. Method. The medical records of a total 235 patients with eye disorders were identified through a review of the medical records of 2500 patients hospitalised in the intensive care units of Yonsei University Hospital, Seoul, Korea from January to December, 2004. To examine factors related to eye disorders, 522 patients without eye disorders from the cohort of 2265 patients were randomly selected. Factors related to incidence of eye disorder were included in a multiple logistic regression model, after screening by the chi-squared test. Results. The incidence rate for eye disorders in the intensive care unit patients was 8·6%. From the multiple regression model, the following odds ratios (95% confidence intervals) of eye disorder were estimated; length of stay in intensive care unit of at least seven days: 2·8 (1·70-4·70) ; death: 2·5 (1·47-4·29); drowsy mental state: 2·2 (1·10-4·37); stupor mental state: 7·0 (3·20- 15·45); coma mental state: 10·8 (3·47-33·74); no self-respiration: 1·9 (1·00-3·52); positive end expiratory pressure: 2·9 (1·66-4·92); sedatives: 4·2 (2·26-7·74); muscle relaxants: 2·3 (1·11- 4·95). Conclusions. Factors related to incidence of eye disorders in intensive care unit patients identified in this study support the need to pay attention to eye problems and eye care in intensive care unit patients. Relevance to clinical practice. An evidence-based eye care protocol should be provided as routine care to prevent eye complication, especially in critically ill patients with mechanical ventilators, positive end expiratory pressure, sedatives or muscle relaxants and for patients whose mental status is decreased.

AB - Aims. The purpose of this study was to identify the incidence rate of eye disorders and further to identify factors related to incidence of eye disorders in intensive care unit patients. Background. Although the incidence of eye disorders in intensive care unit patients is very high, it is difficult to come to an accurate estimate of number of eye disorders in intensive care unit patients because eye disorders are often perceived to be minor problems. Design. A retrospective, descriptive survey design was used. Method. The medical records of a total 235 patients with eye disorders were identified through a review of the medical records of 2500 patients hospitalised in the intensive care units of Yonsei University Hospital, Seoul, Korea from January to December, 2004. To examine factors related to eye disorders, 522 patients without eye disorders from the cohort of 2265 patients were randomly selected. Factors related to incidence of eye disorder were included in a multiple logistic regression model, after screening by the chi-squared test. Results. The incidence rate for eye disorders in the intensive care unit patients was 8·6%. From the multiple regression model, the following odds ratios (95% confidence intervals) of eye disorder were estimated; length of stay in intensive care unit of at least seven days: 2·8 (1·70-4·70) ; death: 2·5 (1·47-4·29); drowsy mental state: 2·2 (1·10-4·37); stupor mental state: 7·0 (3·20- 15·45); coma mental state: 10·8 (3·47-33·74); no self-respiration: 1·9 (1·00-3·52); positive end expiratory pressure: 2·9 (1·66-4·92); sedatives: 4·2 (2·26-7·74); muscle relaxants: 2·3 (1·11- 4·95). Conclusions. Factors related to incidence of eye disorders in intensive care unit patients identified in this study support the need to pay attention to eye problems and eye care in intensive care unit patients. Relevance to clinical practice. An evidence-based eye care protocol should be provided as routine care to prevent eye complication, especially in critically ill patients with mechanical ventilators, positive end expiratory pressure, sedatives or muscle relaxants and for patients whose mental status is decreased.

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