Assessment of Eye Disease and Visual Impairment in the Nursing Home Population Using Mobile Health Technology.
Ophthalmic Surg Lasers Imaging Retina
; 51(5): 262-270, 2020 05 01.
Article
em En
| MEDLINE
| ID: mdl-32511729
ABSTRACT
BACKGROUND AND OBJECTIVE:
To characterize the burden of eye disease and the utility of teleophthalmology in nursing home patients, a population with ophthalmic needs not commensurate with care received. PATIENTS ANDMETHODS:
Informed consent was obtained from 78 California Bay Area skilled nursing facility patients. Near visual acuity (VA) and anterior/posterior segment photographs were taken with a smartphone-based VA app and ophthalmic camera system. The Nursing Home Vision-Targeted Health-Related Quality of Life questionnaire was also administered. Risk factors for visual impairment were assessed. Institutional review board approval was obtained from Stanford University.RESULTS:
Cataracts (51%), diabetic retinopathy (DR) (12%), optic neuropathy (12%), and age-related macular degeneration (AMD) (10%) were common findings; 11.7% had other referral-warranted findings. AMD and DR correlated with a higher risk of poor VA, with adjusted odds ratios of 22 (P = .01) and 43 (P = .004).CONCLUSIONS:
This study demonstrated a high prevalence of poor VA and ophthalmic disease in the nursing home population impacting quality of life. Smartphone-based teleophthalmology platforms have the potential to increase access to eye care for nursing home patients. [Ophthalmic Surg Lasers Imaging Retina. 2020;51262-270.].
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
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Instituições de Cuidados Especializados de Enfermagem
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Acuidade Visual
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Baixa Visão
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Telemedicina
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Tecnologia Biomédica
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Smartphone
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article