Insights into inpatients with poor vision: A high value proposition. - PubMed - NCBI
J Hosp Med. 2015 May;10(5):311-3. doi: 10.1002/jhm.2342. Epub 2015 Mar 9.
Insights into inpatients with poor vision: A high value proposition.
Abstract
BACKGROUND:
Vision impairment is an under-recognized risk factor for adverse events among hospitalized patients, yet vision is neither routinely tested nor documented for inpatients. Low-cost ($8 and up) nonprescription "readers" may be a simple, high-value intervention to improve inpatients' vision. We aimed to study initial feasibility and efficacy of screening and correcting inpatients' vision. METHODS:
From June 2012 through January 2014 we began testing whether participants' vision corrected with nonprescription lenses for eligible participants failing a vision screen (Snellen chart) performed by research assistants (RAs). Descriptive statistics and tests of comparison, including t tests and χ(2) tests, were used when appropriate. All analyses were performed using Stata version 12 (StataCorp, College Station, TX). RESULTS:
Over 800 participants' vision was screened (n = 853). Older (≥65 years; 56%) participants were more likely to have insufficient vision than younger (<65 years; 28%; P < 0.001). Nonprescription readers corrected the majority of eligible participants' vision (82%, 95/116). DISCUSSION:
Among an easily identified subgroup of inpatients with poor vision, low-cost readers successfully corrected most participants' vision. Hospitalists and other clinicians working in the inpatient setting can play an important role in identifying opportunities to provide high-value care related to patients' vision. © 2015 Society of Hospital Medicine.
- PMID:
- 25755206
- [PubMed - in process]
- PMCID:
- PMC4412795
- [Available on 2016-05-01]
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