The utility non-mydriatic fundus photography in a regional Australian emergency department

Not Applicable

Completed

• Conditions: headache; visual disturbance; neurological disturbance; hypertensive urgency; Emergency medicine - Other emergency care; Neurological - Other neurological disorders; Eye - Diseases / disorders of the eye

• Registration Number: ACTRN12620000274976
• Lead Sponsor: Discipline of Clinical Ophthalmology & Eye Health, Faculty of Medicine & Health, University of Sydney

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2019-08-06
• Study Start: 2020-03-02
• Last Update Posted: 10 March 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 133

Inclusion Criteria

Patients presenting to ED Monday-Friday between the hours of 8am - 5pm with:
*Headache
*New neurological disturbance (defined as motor and/or sensory deficits, speech impairment or dizziness)
*Visual disturbance
*Hypertensive urgency (defined as a diastolic blood pressure over 110 mmHg, and/or a systolic blood pressure over 180 mmHg)

Exclusion Criteria

* Unable to give informed consent: normal guardianship consent hospital regulations will be followed
* Medically unstable: once immediate care is provided and the patient is deemed medically stable, inclusion may be considered
* Self-discharge from ED prior to medical review

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The proportion of patients amongst whom the addition of fundus photography results in a change to emergency management.<br>* changes to management by ED physicians, and additional changes requested after telemedicine ophthalmic review as determined by study specific questionnaire will be included[Changes within 48hours of enrolment will be assessed<br>Proportions will be determined after 5 months trial completion ]