Retinal Hemorrhages in Critically Ill Children – a Prospective Study Krvarenje mrežnice u kritično bolesne djece – prospektivno istraživanje
Acta Clinica Croatica, cilt.65, sa.1, ss.3-11, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 65 Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.20471/acc.2026.65.01.01
- Dergi Adı: Acta Clinica Croatica
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals
- Sayfa Sayıları: ss.3-11
- Anahtar Kelimeler: Children, critically ill, pediatric intensive care unit, retinal hemorrhages
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
In this observational study, we aimed to define the prevalence, distribution, and extent of retinal hemorrhage (RH) in critically ill children, defining demographic characteristics, clinical features and outcome of patients with RH, excluding those with trauma. We also aimed to describe the impact of age, gender, admission diagnosis, risk factors of respiratory failure, requirement of mechanical ventilation, presence of an endotracheal/tracheostomy tube, cardiopulmonary resuscitation, arrhythmia, hyperkalemia, pneumothorax, sepsis, heart failure, hypo/hypertension, presence of seizures, and presence of coagulation disorders on this distribution as secondary results. Data were collected prospectively, consecutively from April 2013 to April 2014. A total of 150 patients were identified during the study period for the study purposes. The male to female ratio was 1.05. There was no detectable impact of age, age group, gender, admission diagnosis, respiratory failure, requirement of mechanical ventilation, presence of an endotracheal/tracheostomy tube, arrhythmia, sepsis, hypo/hypertension, presence of seizures, pneumothorax, and presence of coagulation disorders/ coagulopathy on the prevalence of RH. The study demonstrated that risk factors of hyperkalemia, cardiopulmonary resuscitation and heart failure were significantly associated with RH. Any child found to have RH might have an underlying medical condition that requires further investigations. In addition, a study focused on the effects of RH on visual acuity and visual outcome in the future will be helpful for understanding the long term impact of RH.