ArticleJournal of health communication2016
Postdischarge Falls and Readmissions: Associations with Insufficient Vision and Low Health Literacy among Hospitalized Seniors.
Article in Journal of health communication, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- The relationship between sensory loss and health literacy in older adults: A systematic review.Geriatric nursing (New York, N.Y.)Pooled it
- Association between visual impairment and recurrent hospitalizations in older US adults.Journal of the American Geriatrics Society · 2025Article
- Development and validation of a fall health literacy scale for Chinese hospitals from the perspective of older adults.Frontiers in public health · 2025Observational
- Health literacy and falls among community-dwelling older people in China: is there a sex difference?Aging clinical and experimental research · 2024Article
- Outpatient compared to inpatient thyroidectomy on 30-day postoperative outcomes: a national propensity matched analysis.Perioperative medicine (London, England) · 2023Article
- A Prospective Observational Study Assessing the Impacts of Health Literacy and Psychosocial Determinants of Health on 30-day Readmission Risk.Journal of patient experience · 2022Article
- Are health websites credible enough for elderly self-education in the most prevalent elderly diseases?BMC medical informatics and decision making · 2021Article
- Evaluating the Need to Address Digital Literacy Among Hospitalized Patients: Cross-Sectional Observational Study.Journal of medical Internet research · 2020Observational
- Association between vision-specific quality of life and falls in community-dwelling older adults: LOHAS.PloS one · 2018Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
The role of patient-level risk factors such as insufficient vision has been understudied. Because insufficient vision may interfere with health literacy assessments, the full impact of low health literacy among older patients with impaired vision is unknown. We sought to determine whether senior inpatients' insufficient vision and low health literacy are associated with adverse outcomes postdischarge, specifically falls and readmissions. We conducted an observational study of adult medicine inpatients at an urban hospital. Visual acuity and health literacy were screened at bedside. Outcomes data were collected by telephone 30 days postdischarge. Among 1,900 participants, 1,244 (65%) were reached postdischarge; 44% had insufficient vision and 43% had low health literacy. Insufficient vision was associated with postdischarge falls among participants ≥65 years (adjusted odds ratio [AOR] 3.38, 95% confidence interval [CI] 1.42-8.05), but not among participants <65 years (AOR 1.44, 95% CI 0.89-2.32). Low health literacy was associated with readmissions among participants ≥65 years (AOR 3.15, 95% CI 1.77-5.61), but not among participants <65 years (AOR 0.78, 95% CI 0.56-1.09). The results suggest the need to implement screening for older inpatients' vision and health literacy. Developing effective interventions to reduce these risks is critical given national priorities to reduce falls and readmissions.
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Registered trials
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