Comparison of Clinical Pupillary Assessment by Healthcare Professionals With Pupillometry
Overview
- Phase
- Not Applicable
- Intervention
- Pupil examination
- Conditions
- Intensive Care
- Sponsor
- CHU de Reims
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- pupil examination
- Status
- Completed
- Last Updated
- 3 months ago
Overview
Brief Summary
This prospective, non interventionneal, mono-centric study aims to evaluate the accuracy and quality of pupil assessment among three different groups: senior physicians, anesthesiology residents, and nurses. Pupil assessment is a critical component in anesthesia and emergency medicine, providing essential information about a patient's neurological status and response to medications.
Detailed Description
This study aims to assess if there is a significant differences in the accuracy and reliability of pupil evaluations between senior physicians, residents, and nurses when compared to the gold standard of pupillometry, an objective and precise measurement technique. The study will involve a series of assessments where each participant will evaluate patients' pupils under controlled conditions. The results will be compared against the measurements obtained from pupillometry to determine how closely each group aligns with this standard. By identifying any discrepancies in pupil assessment skills among the different professional groups, we hope to highlight areas for improvement in training and practice. Ultimately, this research aims to enhance patient care by ensuring that pupil evaluations are performed accurately and consistently across all levels of healthcare providers. The findings from this study could lead to improved training protocols and potentially influence guidelines for pupil assessment in clinical practice, contributing to better patient outcomes in anesthesia and emergency settings.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Hospitalized in Intensive Care
- •Patients who gave their consent to participate to the study, or, if incapable of giving their consent, for whom their designated trusted person has provided their consent.
Exclusion Criteria
- •Aged under 18 years
- •Undergoing ocular surgery
- •Unable to evaluate both pupils
- •Not affiliated with a social security scheme
Arms & Interventions
Patients in Intensive Care
This prospective diagnostic study involves a single cohort of patients undergoing pupil assessment. Within this cohort, the evaluations will be performed by three distinct sub-cohorts of healthcare providers: * Senior physicians : Experienced anesthesiologists or critical care specialists with extensive training in pupil evaluation and neurological assessment. * Anesthesiology Residents: Trainees responsible for assessing the pupils of the patients, focusing on their developing assessment skills. * Nurses: Registered nurses involved in the assessment of patients' pupils as part of their routine care.
Intervention: Pupil examination
Outcomes
Primary Outcomes
pupil examination
Time Frame: Day 1
comparison of pupil examination through an intraclass correlation coefficient for each category of healthcare professional to measure the concordance between the subjective pupillary examination and pupillometry