Age-Related Cataract Extraction Is Associated With Decreased Falls, Fractures, and Intracranial Hemorrhages in Older Adults

IF 4.5 2区医学 Q1 GERIATRICS & GERONTOLOGY

Journal of the American Geriatrics Society Pub Date : 2025-03-18 DOI:10.1111/jgs.19441

Caitlin M. Hackl, Brady P. Moore, Imanouel M. Samai, Brian R. Wong

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引用次数: 0

Abstract

Background

Cataract extraction with intraocular lens insertion (CEIOL) is among the most frequently performed surgeries in the United States and is indicated for individuals with age-related cataracts causing visual impairment. The association between CEIOL and falls and hip fractures has been described, but there is a paucity of literature describing the association between CEIOL and various other common morbidity and mortality-increasing age-related traumatic injuries.

Methods

This retrospective cohort study utilized TriNetX, a health database, to access de-identified electronic medical records. Cohorts of patients aged 60 years and older were identified using diagnostic and procedural codes. Cohort 1 was defined as patients with age-related cataracts who underwent CEIOL within 10 years of documented diagnosis of cataracts. Cohort 2 was defined as patients with age-related cataracts who did not undergo CEIOL within 10 years of documented diagnosis of cataracts. Propensity score matching for demographics and other relevant comorbidities was completed. Chi-square analysis was performed, and data were reported as odds ratios with 95% confidence intervals. Outcomes analyzed included proximal humerus fracture, distal radius fracture, hip fracture, ankle fracture, fall, subdural hemorrhage, and epidural hemorrhage.

Results

Patients who underwent CEIOL demonstrated significantly lower odds of falls (p < 0.0001), proximal humerus fracture (p = 0.016), distal radius fracture (p = 0.0004), hip fracture (p < 0.0001), ankle fracture (p = 0.0002), subdural hemorrhage (p < 0.0001), and epidural hemorrhage (p = 0.006) as compared to patients with a documented diagnosis of age-related cataract without CEIOL.

Conclusions

CEIOL was significantly associated with decreased falls and reductions in major fall-related injuries among patients with age-related cataracts. These findings strongly support improved screening protocols to detect vision loss secondary to age-related cataracts, as this may decrease the incidence of common major fall-related injuries among patients with age-related cataracts.

查看原文本刊更多论文

年龄相关性白内障摘除与老年人跌倒、骨折和颅内出血的减少有关。

背景：白内障摘出合并人工晶状体植入术（CEIOL）是美国最常见的手术之一，适用于年龄相关性白内障导致视力损害的患者。CEIOL与跌倒和髋部骨折之间的关系已被描述，但缺乏文献描述CEIOL与各种其他常见发病率和死亡率增加的年龄相关创伤性损伤之间的关系。方法：本回顾性队列研究利用TriNetX，一个健康数据库，访问去识别的电子医疗记录。使用诊断和程序代码确定60岁及以上的患者队列。队列1定义为年龄相关性白内障患者，在确诊白内障后10年内行CEIOL。队列2定义为年龄相关性白内障患者，在有记录的白内障诊断后10年内未接受CEIOL。完成了人口统计学和其他相关合并症的倾向评分匹配。进行卡方分析，并以95%置信区间的优势比报告数据。结果分析包括肱骨近端骨折、桡骨远端骨折、髋部骨折、踝关节骨折、跌倒、硬膜下出血和硬膜外出血。结果：接受CEIOL的患者摔倒的几率明显降低(p)。结论：在年龄相关性白内障患者中，CEIOL与摔倒的减少和主要跌倒相关损伤的减少显著相关。这些发现强烈支持改进筛查方案，以检测老年性白内障继发性视力丧失，因为这可能会降低老年性白内障患者常见的主要跌倒相关损伤的发生率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Geriatrics Society 医学-老年医学

CiteScore

10.00

自引率

6.30%

发文量

504

审稿时长

3-6 weeks

期刊介绍： Journal of the American Geriatrics Society (JAGS) is the go-to journal for clinical aging research. We provide a diverse, interprofessional community of healthcare professionals with the latest insights on geriatrics education, clinical practice, and public policy—all supporting the high-quality, person-centered care essential to our well-being as we age. Since the publication of our first edition in 1953, JAGS has remained one of the oldest and most impactful journals dedicated exclusively to gerontology and geriatrics.