دورية أكاديمية
أعرض في EDS

Visual field loss and falls requiring hospitalisation: results from the eFOVID study.

التفاصيل البيبلوغرافية
العنوان: Visual field loss and falls requiring hospitalisation: results from the eFOVID study.
المؤلفون: Manners S; School of Population and Global Health, The University of Western Australia, Clifton Street Building, Clifton Street, Nedlands 6009, Australia., Meuleners LB; Western Australian Centre for Road Safety, School of Psychology, The University of Western Australia, Nedlands, Australia., Ng JQ; School of Population and Global Health, The University of Western Australia, Clifton Street Building, Clifton Street, Nedlands 6009, Australia., Wood JM; School of Optometry and Vision Science, Queensland University of Technology, Nedlands, Australia., Morgan B; Lions Eye Institute, Nedlands, Australia., Morlet N; School of Population and Global Health, The University of Western Australia, Clifton Street Building, Clifton Street, Nedlands 6009, Australia.
المصدر: Age and ageing [Age Ageing] 2024 Sep 01; Vol. 53 (9).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: England NLM ID: 0375655 Publication Model: Print Cited Medium: Internet ISSN: 1468-2834 (Electronic) Linking ISSN: 00020729 NLM ISO Abbreviation: Age Ageing Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Oxford University Press
Original Publication: London, Baillière, Tindall.
مواضيع طبية MeSH: Accidental Falls*/statistics & numerical data , Hospitalization*/statistics & numerical data , Visual Fields*/physiology , Vision Disorders*/epidemiology , Vision Disorders*/physiopathology , Vision Disorders*/diagnosis, Humans ; Aged ; Male ; Female ; Middle Aged ; Western Australia/epidemiology ; Aged, 80 and over ; Risk Factors ; Cross-Sectional Studies
مستخلص: Background: Visual fields are important for postural stability and ability to manoeuvre around objects.
Objective: Examine the association between visual field loss and falls requiring hospitalisation in adults aged 50 +.
Methods: Older adults aged 50+ with and without visual field loss were identified using a fields database obtained from a cross-section of ophthalmologists' practices in Western Australia (WA). Data were linked to the Hospital Morbidity Data Collection and WA Hospital Mortality System to identify participants who experienced falls-related hospitalisations between 1990 and 2019. A generalised linear negative binomial regression model examined the association between falls requiring hospitalisation for those with and without field loss, based on the better eye mean deviation (mild: -2 to -6 dB, moderate: -6.01 dB to -12 dB, severe < -12.01 dB) in the most contemporaneous visual field test (3 years prior or if not available, 2 years after the fall), after adjusting for potential confounders.
Results: A total of 31 021 unique individuals of whom 6054 (19.5%) experienced 11 818 falls requiring hospitalisation during a median observation time of 14.1 years. Only mean deviation index of <-12.01 dB (severe) was significantly associated with an increased rate of falls requiring hospitalisations by 14% (adjusted IRR 1.14, 95% CI 1.0-1.25) compared with no field loss, after adjusting for potential confounders. Other factors included age, with those aged 80+ having an increased rate (IRR 29.16, 95% CI 21.39-39.84), other comorbid conditions (IRR 1.49, 95% CI 1.38-1.60) and diabetes (IRR 1.25, 95% CI 1.14-1.37). Previous cataract surgery was associated with a decreased rate of falls that required hospitalisations by 13% (IRR 0.87, 95% CI 0.81-0.95) compared with those who did not have cataract surgery.
Conclusion: The findings highlight the importance of continuous clinical monitoring of visual field loss and injury prevention strategies for older adults with visual field loss.
(© The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
References: Clin Geriatr Med. 2017 Aug;33(3):357-368. (PMID: 28689568)
Optom Vis Sci. 2011 Nov;88(11):1275-82. (PMID: 21873923)
Invest Ophthalmol Vis Sci. 2007 Oct;48(10):4445-50. (PMID: 17898264)
Clin Exp Ophthalmol. 2024 Jul 28;:. (PMID: 39073299)
J Am Geriatr Soc. 2007 Mar;55(3):357-64. (PMID: 17341237)
Clin Ophthalmol. 2012;6:327-31. (PMID: 22399845)
Invest Ophthalmol Vis Sci. 2019 Nov 1;60(14):4711-4716. (PMID: 31725170)
Arch Ophthalmol. 2000 Dec;118(12):1639-52. (PMID: 11115258)
Invest Ophthalmol Vis Sci. 2011 Jul 07;52(8):5088-92. (PMID: 21474773)
Clin Exp Optom. 2016 Sep;99(5):462-8. (PMID: 27530283)
J Clin Epidemiol. 2006 Sep;59(9):940-6. (PMID: 16895817)
Am J Ophthalmol. 2012 Sep;154(3):445-451.e3. (PMID: 22633358)
Psychogeriatrics. 2013 Dec;13(4):237-43. (PMID: 24118634)
BMC Ophthalmol. 2014 Jan 28;14:10. (PMID: 24472499)
Ophthalmology. 2015 Feb;122(2):293-301. (PMID: 25444345)
Prog Retin Eye Res. 2017 Jan;56:107-147. (PMID: 27773767)
Acta Ophthalmol. 2013 Sep;91(6):e445-9. (PMID: 23586972)
Ophthalmic Physiol Opt. 2021 Mar;41(2):245-254. (PMID: 33368495)
Aust N Z J Public Health. 1999 Oct;23(5):453-9. (PMID: 10575763)
Clin Interv Aging. 2018 Aug 23;13:1457-1464. (PMID: 30197507)
Int J Popul Data Sci. 2018 Nov 12;3(3):435. (PMID: 32935016)
Invest Ophthalmol Vis Sci. 2020 Mar 9;61(3):30. (PMID: 32186671)
Age Ageing. 2001 Nov;30 Suppl 4:33-9. (PMID: 11769787)
Ethiop J Health Sci. 2022 Sep;32(5):937-946. (PMID: 36262700)
BMC Geriatr. 2022 Feb 17;22(1):134. (PMID: 35177024)
J Cataract Refract Surg. 2017 Oct;43(10):1313-1321. (PMID: 29056303)
Indian J Ophthalmol. 2001 Jun;49(2):125-40. (PMID: 15884520)
Am J Nurs. 2011 Nov;111(11):40-8; quiz 49-50. (PMID: 22005051)
Am J Occup Ther. 2019 Sep/Oct;73(5):7305345010p1-7305345010p6. (PMID: 31484033)
Am J Ophthalmol. 2015 Jul;160(1):114-122.e1. (PMID: 25868760)
Age Ageing. 2010 Mar;39(2):239-45. (PMID: 20065356)
معلومات مُعتمدة: DP0987089 Department of Education and Training, Australian Research Council
فهرسة مساهمة: Keywords: falls; injury; linked administrative databases; older drivers; older people; visual field loss
تواريخ الأحداث: Date Created: 20240904 Date Completed: 20240904 Latest Revision: 20240906
رمز التحديث: 20240906
مُعرف محوري في PubMed: PMC11371543
DOI: 10.1093/ageing/afae191
PMID: 39228096
قاعدة البيانات: MEDLINE
الوصف
تدمد:1468-2834
DOI:10.1093/ageing/afae191