Nurses Ability to Assess Visual Acuity in Geriatric Consultation

Terminated

• Conditions: Accidental Fall; Nurse's Role; Aging; Visual Acuity

• Registration Number: NCT03076606
• Lead Sponsor: University Hospital, Caen

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-03-06
• Study First Submitted QC: 2017-03-09
• Study First Posted: 2017-03-10
• Study Start: 2017-03-20
• Status Verified: 2020-01
• Primary Completion: 2020-05-04
• Study Completion: 2020-05-04
• Last Update Submitted: 2023-09-13
• Last Update Posted: 2023-09-15

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 15

Inclusion Criteria

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

Exclusion Criteria

• not communicating
• illiterate
• Total blindness

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
visual acuity values concordance between nurses and ophthalmologist	day 1	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

Secondary Outcome Measures

Name	Time	Method
new diagnosis or ophthalmologic pathology aggravation	day 1	Percentage of patients in whom new diagnosis or ophthalmologic pathology aggravation was identified
cognitive influence	day 1	Compare the binocular visual acuity values agreement in each subgroup: with MMSE \<18/30 and with MMSE ≥18/30

Trial Locations

Locations (1)

Caen University Hospital; 🇫🇷 Caen, France