Evidence map›Paper›PMID 33676811›Full record

ArticleIntensive & critical care nursing2021

Risk for corneal injury in intensive care unit patients: A cohort study.

Rosimeire Silva Carneiro E Silva, Fernanda Raphael Escobar Gimenes, Natalia Pimentel Moreno Mantilla, Nauara Naissa Duarte Silva, Carlos Eduardo de Oliveira Pinheiro, Michelly da Silva Lima, Thatiana Lameira Maciel Amaral, Patrícia Rezende do Prado

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Article in Intensive & critical care nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Avoiding complications during prone position ventilation.Intensive & critical care nursing · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Rosimeire Silva Carneiro E SilvaFederal University of Acre, Multiprofessional Residency Program in Intensive Care Unit, Rio Branco, Acre, Brazil.
Fernanda Raphael Escobar GimenesDepartment of General and Specialized Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil. Electronic address: fregimenes@eerp.usp.br.
Natalia Pimentel Moreno MantillaFederal University of Acre, Ophthalmologists, Rio Branco, Acre, Brazil.
Nauara Naissa Duarte SilvaFederal University of Acre, Ophthalmologists, Rio Branco, Acre, Brazil.
Carlos Eduardo de Oliveira PinheiroFederal University of Acre, Nursing Bachelor, Rio Branco, Acre, Brazil.
Michelly da Silva LimaAcre State Hospital Foundation (FUNDHACRE), Intensive Care Unit, Rio Branco, Acre, Brazil.
Thatiana Lameira Maciel AmaralFederal University of Acre, Multiprofessional Residency Program in Intensive Care Unit, Rio Branco, Acre, Brazil; Acre State Hospital Foundation (FUNDHACRE), Intensive Care Unit, Rio Branco, Acre, Brazil.
Patrícia Rezende do PradoFederal University of Acre, Multiprofessional Residency Program in Intensive Care Unit, Rio Branco, Acre, Brazil. Electronic address: patricia.prado@ufac.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify the incidence and risk factors for corneal injury amongst critically ill patients.

methodA prospective cohort study with adult patients from one intensive care unit in Northern Brazil. Logistic regression was performed to predict the risk factors associated with corneal injury.

resultsData from 149 patients revealed 18.8% (28/149) corneal injuries. Factors independently associated with corneal injury were patients with eyeball exposure (OR: 27.31; 95% CI: 3.50-212.78); lagophthalmos (OR: 17.15; 95% CI: 5.78-50.85); chemosis (OR: 7.39; 95% CI: 2.28-23.97), periorbital oedema (OR: 7.99; 95% CI: 2.19-29.13) and hospitalisation >7-days (OR: 11.96; 95% CI: 3.27-43.66) had a significantly higher risk of developing corneal injury in this ICU.

conclusionCorneal injury was a common complication amongst critically ill patients and was associated with altered physiological function of the eyes such as exposure, lagophthalmos, chemosis and periorbital oedema. This study suggests introduction of a corneal injury prevention protocol for nursing and adding lagophthalmos and chemosis to the NANDA-I Taxonomy, thus contributing to the assessment and monitoring for the risk for corneal injury in critically ill patients.

Indexed as

Corneal InjuriesIntensive Care UnitsAdultBrazilCohort StudiesCritical Care NursingCritical IllnessHumansProspective StudiesRisk FactorsCorneal InjuriesCritical Care NursingIntensive Care UnitsNursing ProtocolsPatientsRisk Factors

Identifiers

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.