The impact of first- and second-eye cataract surgery on injurious falls that require hospitalisation: a whole-population study.

Abstract:

BACKGROUND:cataract is a leading cause of reversible vision impairment and may increase falls in older adults. OBJECTIVE:to assess the risk of an injury due to a fall among adults aged 60+, 2 years before first-eye cataract surgery, between first-eye surgery and second-eye surgery and 2 years after second-eye surgery. DESIGN:a retrospective cohort study. SETTING:Western Australian Hospital Morbidity Data System and the Western Australian Death Registry. SUBJECTS:there were 28,396 individuals aged 60+ years who underwent bilateral cataract surgery in Western Australia between 2001 and 2008. METHODS:Poisson regression analysis based on generalised estimating equations compared the frequency of falls 2 years before first-eye cataract surgery, between first- and second-eye surgery and 2 years after second-eye cataract surgery after accounting for potential confounders. RESULTS:the risk of an injurious fall that required hospitalisation doubled (risk ratio: 2.14, 95% confidence interval: 1.82 to 2.51) between first- and second-eye cataract surgery compared with the 2 years before first-eye surgery. There was a 34% increase in the number of injurious falls that required hospitalisation in the 2 years after second-eye cataract surgery compared with the 2 years before first-eye surgery (risk ratio: 1.34, 95% confidence interval: 1.16-1.55). CONCLUSIONS:there was an increased risk of injurious falls after first- and second-eye cataract surgery which has implications for the timely provision of second-eye surgery as well as appropriate refractive management between surgeries.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Meuleners LB,Fraser ML,Ng J,Morlet N

doi

10.1093/ageing/aft177

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

341-6

issue

3

eissn

0002-0729

issn

1468-2834

pii

aft177

journal_volume

43

pub_type

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