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Manhattan Vision Screening and Follow-up Study (NYC-SIGHT): a nested cross-sectional assessment of falls risk within a cluster randomised trial.
Hark, Lisa A; Wang, Yujia; Gorroochurn, Prakash; Simon, Phyllis R; Maruri, Stefania C; Henriquez, Desiree R; Diamond, Daniel F; Horowitz, Jason D; Park, Lisa; Wang, Qing; Auran, James D; Carrion, Jailine; Friedman, David S; Liebmann, Jeffrey L; Cioffi, George A; Harizman, Noga.
Afiliação
  • Hark LA; Ophthalmology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA lah112@cumc.columbia.edu.
  • Wang Y; Edward S Harkness Eye Institute, New York, NY, USA.
  • Gorroochurn P; Edward S Harkness Eye Institute, New York, NY, USA.
  • Simon PR; Biostatistics, Columbia University Mailman School of Public Health, New York, NY, USA.
  • Maruri SC; Occupational Therapy, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
  • Henriquez DR; Edward S Harkness Eye Institute, New York, NY, USA.
  • Diamond DF; Edward S Harkness Eye Institute, New York, NY, USA.
  • Horowitz JD; Ophthalmology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
  • Park L; Edward S Harkness Eye Institute, New York, NY, USA.
  • Wang Q; Ophthalmology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
  • Auran JD; Edward S Harkness Eye Institute, New York, NY, USA.
  • Carrion J; Ophthalmology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
  • Friedman DS; Edward S Harkness Eye Institute, New York, NY, USA.
  • Liebmann JL; Ophthalmology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
  • Cioffi GA; Edward S Harkness Eye Institute, New York, NY, USA.
  • Harizman N; Ophthalmology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
Br J Ophthalmol ; 2024 Apr 12.
Article em En | MEDLINE | ID: mdl-38609163
ABSTRACT

BACKGROUND:

To investigate the feasibility of using the Stopping Elderly Accidents, Deaths and Injuries (STEADI) Falls Risk Tool Kit during community-based eye health screenings to assess falls risk of participants enrolled in the Manhattan Vision Screening and Follow-Up Study (NYC-SIGHT).

METHODS:

Cross-sectional analysis of data from a 5-year prospective, cluster-randomised clinical trial conducted in affordable housing developments in New York City in adults age 40 years and older. Prescreening questions determined whether participants were at risk of falling. STEADI tests classified participants at low, moderate or high risk of falling. Multivariate logistic regression determined odds of falls risk of all enrolled participants.

RESULTS:

708 participants completed the eye health screening; 351 (49.6%) performed STEADI tests; mean age 71.0 years (SD±11.3); 72.1% female; 53.6% Black, non-Hispanic, 37.6% Hispanic/Latino. Level of falls risk 32 (9.1%) low, 188 (53.6%) moderate and 131 (37.3%) high. Individuals age >80 (OR 5.921, 95% CI (2.383 to 14.708), p=0.000), had blurry vision (OR 1.978, 95% CI (1.186 to 3.300), p=0.009), high blood pressure (OR 2.131, 95% CI (1.252 to 3.628), p=0.005), arthritis (OR 2.29876, 95% CI (1.362 to 3.875), p=0.002) or foot problems (OR 5.239, 95% CI (2.947 to 9.314), p=0.000) had significantly higher odds of falling, emergency department visits or hospitalisation due to falling.

CONCLUSION:

This study detected a significant amount of falls risk in an underserved population. The STEADI Falls Risk screening questions were easy for eye care providers to ask, were highly predictive of falls risk and may be adequate for referral to occupational health and/or physical therapy.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Br J Ophthalmol Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Br J Ophthalmol Ano de publicação: 2024 Tipo de documento: Article