Ayodeji E Sotimehin1, Andrea V Yonge1, Aleksandra Mihailovic2, Sheila K West2, David S Friedman2, Laura N Gitlin3, Pradeep Y Ramulu4. 1. The Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. 2. The Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; The Dana Center for Preventive Ophthalmology, Johns Hopkins University, Baltimore, Maryland, USA. 3. College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania. 4. The Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; The Dana Center for Preventive Ophthalmology, Johns Hopkins University, Baltimore, Maryland, USA. Electronic address: pramulu@jhmi.edu.
Abstract
PURPOSE: To characterize the locations, circumstances, and outcomes of falls in patients with varying degrees of glaucoma. DESIGN: Prospective cohort study. METHODS: Patients with suspected or diagnosed glaucoma completed monthly calendars reporting falls. After each fall, a 30-item questionnaire was administered to determine fall location, circumstances, and injury. Mean deviation on visual field (VF) testing was used to categorize glaucoma severity. Main outcome measures were fall locations, circumstances, and outcomes. RESULTS: One-hundred forty-two patients experienced 330 falls. Falls were most likely to occur in/around the home (71%), and this likelihood did not vary significantly with severity of VF damage (P > .2). The most commonly cited fall circumstances were tripping (43.6%), slipping (31.3%), uneven flooring (23.5%), and poor vision (15.9%). The circumstances related to falls did not vary by severity of VF damage (P > .2), except for poor vision, which was more frequently cited in individuals with more advanced VF damage (P = .001). Forty-three percent of falls resulted in some injury; and the likelihood of injury did not vary by severity of VF loss (P = .60) or any other factor except floor type and number of comorbidities (P < .05 for all). Falls in persons with more severe glaucoma were more likely to result in a fracture (9.4%) or an emergency room visit (18.8%), though these associations did not persist in multivariable models (P > .5 for all). CONCLUSIONS: Glaucoma patients fall mostly in/around the home and demonstrate similar fall circumstances across the spectrum of disease severity, suggesting that current fall prevention interventions, particularly those emphasizing home modification, may be an adequate starting point to prevent falls in this high-risk-group. Published by Elsevier Inc.
PURPOSE: To characterize the locations, circumstances, and outcomes of falls in patients with varying degrees of glaucoma. DESIGN: Prospective cohort study. METHODS:Patients with suspected or diagnosed glaucoma completed monthly calendars reporting falls. After each fall, a 30-item questionnaire was administered to determine fall location, circumstances, and injury. Mean deviation on visual field (VF) testing was used to categorize glaucoma severity. Main outcome measures were fall locations, circumstances, and outcomes. RESULTS: One-hundred forty-two patients experienced 330 falls. Falls were most likely to occur in/around the home (71%), and this likelihood did not vary significantly with severity of VF damage (P > .2). The most commonly cited fall circumstances were tripping (43.6%), slipping (31.3%), uneven flooring (23.5%), and poor vision (15.9%). The circumstances related to falls did not vary by severity of VF damage (P > .2), except for poor vision, which was more frequently cited in individuals with more advanced VF damage (P = .001). Forty-three percent of falls resulted in some injury; and the likelihood of injury did not vary by severity of VF loss (P = .60) or any other factor except floor type and number of comorbidities (P < .05 for all). Falls in persons with more severe glaucoma were more likely to result in a fracture (9.4%) or an emergency room visit (18.8%), though these associations did not persist in multivariable models (P > .5 for all). CONCLUSIONS:Glaucomapatients fall mostly in/around the home and demonstrate similar fall circumstances across the spectrum of disease severity, suggesting that current fall prevention interventions, particularly those emphasizing home modification, may be an adequate starting point to prevent falls in this high-risk-group. Published by Elsevier Inc.
Authors: G A R Zijlstra; J C M van Haastregt; J Th M van Eijk; E van Rossum; P A Stalenhoef; G I J M Kempen Journal: Age Ageing Date: 2007-03-22 Impact factor: 10.668
Authors: Ryo Asaoka; David P Crabb; Takehiro Yamashita; Richard A Russell; Ya Xing Wang; David F Garway-Heath Journal: Invest Ophthalmol Vis Sci Date: 2011-09-01 Impact factor: 4.799
Authors: Rebecca J Reed-Jones; Guillermina R Solis; Katherine A Lawson; Amanda M Loya; Donna Cude-Islas; Candyce S Berger Journal: Maturitas Date: 2013-02-19 Impact factor: 4.342
Authors: Danijela Gnjidic; Sarah N Hilmer; Fiona M Blyth; Vasi Naganathan; Louise Waite; Markus J Seibel; Andrew J McLachlan; Robert G Cumming; David J Handelsman; David G Le Couteur Journal: J Clin Epidemiol Date: 2012-06-27 Impact factor: 6.437
Authors: Anne L Coleman; Steven R Cummings; Fei Yu; Gergana Kodjebacheva; Kristine E Ensrud; Peter Gutierrez; Katie L Stone; Jane A Cauley; Kathryn L Pedula; Marc C Hochberg; Carol M Mangione Journal: J Am Geriatr Soc Date: 2007-03 Impact factor: 5.562
Authors: Rachel L Duckham; Elizabeth Procter-Gray; Marian T Hannan; Suzanne G Leveille; Lewis A Lipsitz; Wenjun Li Journal: BMC Geriatr Date: 2013-12-06 Impact factor: 3.921
Authors: Jian-Yu E; Aleksandra Mihailovic; Jennifer A Schrack; Catalina Garzon; Tianjing Li; David S Friedman; Sheila K West; Laura N Gitlin; Pradeep Y Ramulu Journal: EClinicalMedicine Date: 2021-08-29
Authors: Jian-Yu E; Jennifer A Schrack; Aleksandra Mihailovic; Amal A Wanigatunga; Sheila K West; David S Friedman; Laura N Gitlin; Tianjing Li; Pradeep Y Ramulu Journal: Ophthalmology Date: 2020-06-29 Impact factor: 12.079
Authors: Pradeep Y Ramulu; Aleksandra Mihailovic; Jian-Yu E; Rhonda B Miller; Sheila K West; Laura N Gitlin; David S Friedman Journal: Am J Ophthalmol Date: 2021-05-02 Impact factor: 5.488
Authors: Jian-Yu E; Aleksandra Mihailovic; Catalina Garzon; Jennifer A Schrack; Tianjing Li; Sheila K West; David S Friedman; Laura N Gitlin; Pradeep Y Ramulu Journal: Am J Ophthalmol Date: 2021-05-13 Impact factor: 5.488
Authors: Shaila M Gunn; Kim Lajoie; Kim T Zebehazy; Robert A Strath; David R Neima; Daniel S Marigold Journal: Transl Vis Sci Technol Date: 2019-10-09 Impact factor: 3.283
Authors: Yu Shao; Xinyue Wang; Wenjie Song; Sobia Ilyas; Haibo Guo; Wen-Shao Chang Journal: Int J Environ Res Public Health Date: 2020-12-29 Impact factor: 3.390
Authors: Catalina Garzon; Aleksandra Mihailovic; E Jian-Yu; Sheila K West; Laura N Gitlin; David S Friedman; Pradeep Y Ramulu Journal: BMC Geriatr Date: 2022-02-04 Impact factor: 3.921
Authors: Hursuong Vongsachang; Aleksandra Mihailovic; Jian-Yu E; David S Friedman; Sheila K West; Laura N Gitlin; Pradeep Y Ramulu Journal: Sensors (Basel) Date: 2021-05-14 Impact factor: 3.576
Authors: Anjali M Bhorade; Monica S Perlmutter; Sharon L Sabapathypillai; Manik Goel; Bradley Wilson; Mae O Gordon Journal: Am J Ophthalmol Date: 2021-02-21 Impact factor: 5.488