Cardio-Cerebrovascular Disease Risk in Individuals with Visual Impairment: A Nationwide Cohort Study.

IF 1.7 4区医学 Q3 OPHTHALMOLOGY

Ophthalmic epidemiology Pub Date : 2025-05-05 DOI:10.1080/09286586.2025.2500019

Minah Park, Younghan Cha, Seung Hoon Kim

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引用次数: 0

Abstract

Purpose: Although the associations between cardiovascular diseases and cerebrovascular diseases with visual impairment have been documented, the relationship between cardio-cerebrovascular disease (CCVD) and visual impairment remains unclear. Thus, we aimed to investigate the association between visual impairment and the risk of CCVD among older adults in South Korea.

Methods: This study included 20,398 individuals registered in the Korean National Health Insurance Service-Elderly Cohort between 2005 and 2019. Propensity score matching (1:1) was used to identify pairs of individuals with and without visual impairment from the national disability registry. Cox proportional hazards regression models were used to analyze the associations between CCVD-related variables and visual impairment.

Results: The primary outcome was the occurrence of CCVD. Compared to individuals without visual impairment, those with visual impairment had a higher risk of CCVD. The prevalence of CCVD was higher in patients with visual impairment, regardless of the severity of impairment. The risk of CCVD was highest during the first 12 and 24 months following the diagnosis of visual impairment.

Conclusions: Older individuals with visual impairment are at an increased risk of CCVD, regardless of the degree of impairment. Hence, novel approaches to CCVD care are required for these individuals.

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视力障碍患者的心脑血管疾病风险：一项全国性队列研究

目的：虽然心血管疾病和脑血管疾病与视力损害之间的关系已被证实，但心脑血管疾病（CCVD）与视力损害之间的关系尚不清楚。因此，我们旨在调查韩国老年人视力损害与CCVD风险之间的关系。方法：本研究包括2005年至2019年在韩国国民健康保险服务-老年人队列中注册的20,398人。倾向得分匹配（1:1）用于从国家残疾登记处识别有和没有视力障碍的个体对。采用Cox比例风险回归模型分析ccvd相关变量与视力损害的关系。结果：主要观察指标为CCVD的发生。与没有视力障碍的个体相比，有视力障碍的人患CCVD的风险更高。无论视力损害的严重程度如何，CCVD的患病率在视力损害患者中较高。CCVD的风险在视力障碍诊断后的前12个月和24个月最高。结论：老年视力障碍患者发生CCVD的风险增加，与视力障碍程度无关。因此，这些个体需要新的CCVD治疗方法。

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

Ophthalmic epidemiology 医学-眼科学

CiteScore

3.70

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： Ophthalmic Epidemiology is dedicated to the publication of original research into eye and vision health in the fields of epidemiology, public health and the prevention of blindness. Ophthalmic Epidemiology publishes editorials, original research reports, systematic reviews and meta-analysis articles, brief communications and letters to the editor on all subjects related to ophthalmic epidemiology. A broad range of topics is suitable, such as: evaluating the risk of ocular diseases, general and specific study designs, screening program implementation and evaluation, eye health care access, delivery and outcomes, therapeutic efficacy or effectiveness, disease prognosis and quality of life, cost-benefit analysis, biostatistical theory and risk factor analysis. We are looking to expand our engagement with reports of international interest, including those regarding problems affecting developing countries, although reports from all over the world potentially are suitable. Clinical case reports, small case series (not enough for a cohort analysis) articles and animal research reports are not appropriate for this journal.