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Nurses Ability to Assess Visual Acuity in Geriatric Consultation (AVIGE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT03076606
Recruitment Status : Unknown
Verified March 2017 by University Hospital, Caen.
Recruitment status was:  Recruiting
First Posted : March 10, 2017
Last Update Posted : November 30, 2017
Information provided by (Responsible Party):
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.

Condition or disease Intervention/treatment
Visual Acuity Accidental Fall Aging Nurse's Role Diagnostic Test: ophthalmologist examination

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Study Type : Observational
Estimated Enrollment : 204 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Nurses Ability to Assess Visual Acuity in Geriatric Consultation
Actual Study Start Date : March 20, 2017
Estimated Primary Completion Date : March 20, 2019
Estimated Study Completion Date : March 20, 2019

Intervention Details:
  • Diagnostic Test: ophthalmologist examination
    ophthalmologist examination after geriatric consultation

Primary Outcome Measures :
  1. visual acuity values concordance between nurses and ophthalmologist [ Time Frame: 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 :
  1. new diagnosis or ophthalmologic pathology aggravation [ Time Frame: day 1 ]
    Percentage of patients in whom new diagnosis or ophthalmologic pathology aggravation was identified

  2. cognitive influence [ Time Frame: day 1 ]
    Compare the binocular visual acuity values agreement in each subgroup: with MMSE <18/30 and with MMSE ≥18/30

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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients aged 65 and over referred for Visual Acuity evaluation

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03076606

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Contact: berengere beauplet, PhD +33231065344

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Caen University Hospital Recruiting
Caen, France, 14033
Contact: bérengère Beauplet         
Sponsors and Collaborators
University Hospital, Caen

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Responsible Party: University Hospital, Caen Identifier: NCT03076606     History of Changes
Other Study ID Numbers: AVIGE 16-114
First Posted: March 10, 2017    Key Record Dates
Last Update Posted: November 30, 2017
Last Verified: March 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No