Jeffrey Willis1, Pradeep Y Ramulu2. 1. a Department of Ophthalmology , UC Davis Medical Center , Sacramento , CA , USA. 2. b Wilmer Eye Institute , The Johns Hopkins University School of Medicine , Baltimore , MD , USA.
Abstract
PURPOSE: Many hospitalized adults may have limited vision and as a result be at increased risk of worse functional outcomes. Here, we determine the prevalence of poor vision among recently hospitalized United States adults. Additionally, we evaluate the impact of objective vision defects on reading difficulty and external mobility outcomes (difficulty with falls and going down steps). METHODS: Our cross-sectional study included 1,347 adult Americans aged 50 years and older, all recently hospitalized, participating in the 2001-2008 National Health and Nutrition Examination Survey (NHANES). Self-reported difficulty with reading and going down steps/stairs/curbs data were collected for all participants, while data on self-reported falling difficulty were only available for the 2001-2004 NHANES (n=631). Presenting near and distance visual acuity (VA) were measured, with poor vision defined as VA worse than 20/40. RESULTS: Poor near and distance vision were present in 17.4% and 9.8% of individuals, respectively. Multivariable analyses showed that the odds of reading difficulty were greater with worse VA (odds ratio, OR, 1.9 per 0.3 logMAR increment in near VA, 95% confidence interval, CI, 1.6-2.4, P<0.01), as were the odds of difficulty going down steps/stairs/curbs (OR 2.4 per 0.3 logMAR increment in distance VA, 95% CI 1.9-3.1, P<0.01) and odds of falling difficulty (OR 1.6 per 0.3 logMAR increment in distance VA, 95% CI 1.1-2.4, P=0.04). CONCLUSION: About 1 in 10 and 1 in 6 recently hospitalized older Americans had poor distance and near vision, respectively. Many of these individuals may experience trouble reading hospital documents and ambulating, and may be at increased risk of falls.
PURPOSE: Many hospitalized adults may have limited vision and as a result be at increased risk of worse functional outcomes. Here, we determine the prevalence of poor vision among recently hospitalized United States adults. Additionally, we evaluate the impact of objective vision defects on reading difficulty and external mobility outcomes (difficulty with falls and going down steps). METHODS: Our cross-sectional study included 1,347 adult Americans aged 50 years and older, all recently hospitalized, participating in the 2001-2008 National Health and Nutrition Examination Survey (NHANES). Self-reported difficulty with reading and going down steps/stairs/curbs data were collected for all participants, while data on self-reported falling difficulty were only available for the 2001-2004 NHANES (n=631). Presenting near and distance visual acuity (VA) were measured, with poor vision defined as VA worse than 20/40. RESULTS: Poor near and distance vision were present in 17.4% and 9.8% of individuals, respectively. Multivariable analyses showed that the odds of reading difficulty were greater with worse VA (odds ratio, OR, 1.9 per 0.3 logMAR increment in near VA, 95% confidence interval, CI, 1.6-2.4, P<0.01), as were the odds of difficulty going down steps/stairs/curbs (OR 2.4 per 0.3 logMAR increment in distance VA, 95% CI 1.9-3.1, P<0.01) and odds of falling difficulty (OR 1.6 per 0.3 logMAR increment in distance VA, 95% CI 1.1-2.4, P=0.04). CONCLUSION: About 1 in 10 and 1 in 6 recently hospitalized older Americans had poor distance and near vision, respectively. Many of these individuals may experience trouble reading hospital documents and ambulating, and may be at increased risk of falls.
Entities:
Keywords:
Epidemiology; falls; health; low vision; public; visual function
Authors: Nazlee Zebardast; Bonnielin K Swenor; Suzanne W van Landingham; Robert W Massof; Beatriz Munoz; Sheila K West; Pradeep Y Ramulu Journal: Ophthalmology Date: 2015-03-24 Impact factor: 12.079
Authors: Dean Schillinger; Edward L Machtinger; Frances Wang; Jorge Palacios; Maytrella Rodriguez; Andrew Bindman Journal: J Health Commun Date: 2006 Oct-Nov
Authors: Angeline M Nguyen; Suzanne W van Landingham; Robert W Massof; Gary S Rubin; Pradeep Y Ramulu Journal: Invest Ophthalmol Vis Sci Date: 2014-07-22 Impact factor: 4.799
Authors: Jennifer L Y Yip; Anthony P Khawaja; David Broadway; Robert Luben; Shabina Hayat; Nichola Dalzell; Amit Bhaniani; Nicholas Wareham; Kay-Tee Khaw; Paul J Foster Journal: Br J Ophthalmol Date: 2013-12-12 Impact factor: 4.638