Half of geriatric trauma patients have significant ocular disease: Findings of a novel trauma provider eye examination for vision screening
The Journal of Trauma and Acute Care Surgery Jun 28, 2021
Bardes JM, Grabo DJ, Donovan J, et al. - In the United States, a common admission diagnosis for trauma centers is geriatric ground level fall. As visual health has been correlated with fall risk reduction in older adults, researchers herein developed and tested a trauma provider eye examination (TPEE) to screen visual health by using a commercial application and a questionnaire. Using the TPEE, researchers herein examined the prevalence of undiagnosed or undertreated visual disease in geriatric trauma patients and investigated the feasibility and reliability of the TPEE to screen for vision disease. In this prospective study, 96 patients older than 60 years evaluated by the trauma service were enrolled. The most common mechanism of injury was fall (79%). The patients commonly had significant abnormal vision: undiagnosed disease was found in 39% and undertreated in 14%. Researchers identified trauma provider examination as 94% sensitive and 92% specific for significant abnormal vision cases. Overall findings support trauma provider eye examination screening as capable for identifying patients with visual deficits. As visual deficits are associated with fall risk, such a screening or a formal ophthalmology referral may benefit older adults.
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