Nurses Ability to Assess Visual Acuity in Geriatric Consultation

Aging Clinical Trial

— AVIGE  

Official title:

Nurses Ability to Assess Visual Acuity in Geriatric Consultation

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT03076606
• Other study ID #: AVIGE 16-114
• Status: Terminated
• Start date: March 20, 2017
• Est. completion date: May 4, 2020

Study information

• Verified date: January 2020
• Source: University Hospital, Caen
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 15
• Est. completion date: May 4, 2020
• Est. primary completion date: May 4, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

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

Related Conditions & MeSH terms

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

Intervention

Diagnostic Test:
• ophthalmologist examination
ophthalmologist examination after geriatric consultation

Locations

Country	Name	City	State
France	Caen University Hospital	Caen

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Caen

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	new diagnosis or ophthalmologic pathology aggravation	Percentage of patients in whom new diagnosis or ophthalmologic pathology aggravation was identified	day 1
Secondary	cognitive influence	Compare the binocular visual acuity values agreement in each subgroup: with MMSE <18/30 and with MMSE =18/30	day 1