Eyes Wide Open: Exposure Keratopathy in Pediatric Sedation and Radiology

Reilly, Lorie

doi:10.1016/j.jradnu.2016.11.001

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…In addition, the results of this study showed that the prevalence of EK in children was higher than that in adults in the ICU, and thus, EK was the most common ocular disorder for paediatric patients (Reilly, 2017), which suggested that EK in children seems to follow the same patterns as that in adults (Selvan et al, 2020). However, studies on children reported the lowest incidence of EK, which could be related to the outcome definition and the characteristics of the included patients; for example, corneal ulcer was defined as the outcome (Martínez-García et al, 2020), or all patients in the ICU, not just mechanically ventilated patients were enrolled (Hartford et al, 2019).…”

Section: Discussionmentioning

confidence: 69%

Prevalence and risk factors of exposure keratopathy among critically ill patients: A systematic review and meta‐analysis

Chen,

He,

et al. 2023

Nursing Open

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AimsTo identify the incidence, prevalence and risk factors of exposure keratopathy (EK) among critically ill patients.DesignSystematic review and meta‐analysis, in accordance with the PRISMA 2020 Statement.MethodsThe Cochrane Library, PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), China Knowledge Resource Integrated Database (CNKI), Chinese Biomedical Database (CBM), Weipu Database (VIP) and WanFang Database were systematically searched from inception to June 2022. Observational studies that reported EK among paediatric and adult critically ill patients were screened and included original articles based on the inclusion criteria. Two reviewers independently completed data extraction and quality assessments. Subgroup analysis investigated potential causes of heterogeneity.ResultsOf the 4508 studies identified, 23 studies involving 3519 subjects were included. The pooled prevalence of EK was 34.0%, and the pooled incidence rate of EK was 23.0%. Risk factors associated with EK in critically ill patients included lagophthalmos, chemosis, eye blinks <5 times per minute, mechanical ventilation, sedation, lower Glasgow Coma Scale (GCS) score and higher Acute Physiology and Chronic Health Evaluation (APACHE) II score.ConclusionThis review shows that EK rates are high in critically ill patients and are influenced by multiple factors. Medical staff should pay more attention to EK in critically ill patients, conduct professional evaluations and implement targeted eye care protocols to reduce its occurrence.Implications for PracticeThis study shows the frequency of and multiple risk factors for EK in critically ill patients, which provides evidence‐based guidance for nurses to evaluate the risk of EK in critically ill patients and take appropriate precautions to reduce the risk.Protocol RegistrationThe protocol was registered in PROSPERO (https://www.crd.york.ac.uk/prospero/) (CRD42022346964).Patient or Public ContributionNo patient or public contribution.

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