Nurses Ability to Assess Visual Acuity in Geriatric Consultation

NCT03076606 | Terminated

• 1 other identifier: AVIGE 16-114
• Study Type: observational
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

Nurses participate to geriatric evaluations for falling patients. For these patients, it is recommended to evaluate,especially, visual acuity but this is not currently done because it is difficult to systematically combine with an ophthalmologic consultation. The HAS french recommendations propose to detect visual acuity deficiency using Monoyer and Parinaud scales, without specifying the professional qualification. According to the nurse competence decree of State Graduates, "sensory disorders" screening is a "non-vulnerable" examination, and can be performed by nurses. Therefore, they can use these scales, after training. We propose to evaluate the correlation between visual acuity scores obtained by nurses in geriatric consultations and an ophthalmologist. This study should include 204 patients over 65 years, who have fallen at least twice in the last 12 months. These patients will benefit from an evaluation by an ophthalmologist, after the geriatric consultation.

Conditions

Visual Acuity; Accidental Fall; Aging; Nurse's Role

Outcome Measures

Primary Outcomes (1)

• visual acuity values concordance between nurses and ophthalmologist

  On 2 (near and far) binocular values per patient with their usual glasses. Concordance is assessed on the assignment of patients to one of the 3 groups: ≤ 5 / 10e, 6-7 / 10 e, ≥ 8/10 e

  day 1

Secondary Outcomes (2)

• new diagnosis or ophthalmologic pathology aggravation

  day 1

• cognitive influence

  day 1

Interventions

ophthalmologist examination DIAGNOSTIC_TEST

ophthalmologist examination after geriatric consultation

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients aged 65 and over referred for Visual Acuity evaluation

You may qualify if:

• at least 2 falls in the last 12 months,
• applied in geriatric evaluation
• talking French
• affiliated to the social security system

You may not qualify if:

• not communicating
• illiterate
• Total blindness

Sponsors & Collaborators

• University Hospital, Caen: lead

Study Sites (1)

Caen University Hospital

Caen, 14033, France

Location

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 6, 2017
• First Posted: March 10, 2017
• Study Start: March 20, 2017
• Primary Completion: May 4, 2020
• Study Completion: May 4, 2020
• Last Updated: September 15, 2023

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)