Evidence map›Paper›PMID 29750950›Full record

ArticleAmerican journal of ophthalmology2018

Locations, Circumstances, and Outcomes of Falls in Patients With Glaucoma.

Ayodeji E Sotimehin, Andrea V Yonge, Aleksandra Mihailovic, Sheila K West, David S Friedman, Laura N Gitlin, Pradeep Y Ramulu

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of ophthalmology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. The first step in developing an International Classification of Functioning, Disability and Health Core Set for Vision Loss: A systematic review.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2024
    Pooled it
  2. Article
  3. Review
  4. Quality of life in glaucoma.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Feasibility of Using Floor Vibration to Detect Human Falls.International journal of environmental research and public health · 2020
    Article
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Ayodeji E SotimehinThe Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Andrea V YongeThe Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Aleksandra MihailovicThe Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; The Dana Center for Preventive Ophthalmology, Johns Hopkins University, Baltimore, Maryland, USA.
Sheila K WestThe Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; The Dana Center for Preventive Ophthalmology, Johns Hopkins University, Baltimore, Maryland, USA.
David S FriedmanThe Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; The Dana Center for Preventive Ophthalmology, Johns Hopkins University, Baltimore, Maryland, USA.
Laura N GitlinCollege of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania.
Pradeep Y RamuluThe Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; The Dana Center for Preventive Ophthalmology, Johns Hopkins University, Baltimore, Maryland, USA. Electronic address: pramulu@jhmi.edu.
Johns Hopkins Medicine · USJohns Hopkins University · USDrexel University · US

Funding

Optimizing Safety and Functionality in the Visually ImpairedR01EY022976 · NEI · JOHNS HOPKINS UNIVERSITY · PI RAMULU, PRADEEP YAMMANURU · 2013 to 2024
$5.2M
NEI NIH HHS R01 EY022976
6 · The paper itself

Abstract

purposeTo characterize the locations, circumstances, and outcomes of falls in patients with varying degrees of glaucoma.

designProspective cohort study.

methodsPatients with suspected or diagnosed glaucoma completed monthly calendars reporting falls. After each fall, a 30-item questionnaire was administered to determine fall location, circumstances, and injury. Mean deviation on visual field (VF) testing was used to categorize glaucoma severity. Main outcome measures were fall locations, circumstances, and outcomes.

resultsOne-hundred forty-two patients experienced 330 falls. Falls were most likely to occur in/around the home (71%), and this likelihood did not vary significantly with severity of VF damage (P > .2). The most commonly cited fall circumstances were tripping (43.6%), slipping (31.3%), uneven flooring (23.5%), and poor vision (15.9%). The circumstances related to falls did not vary by severity of VF damage (P > .2), except for poor vision, which was more frequently cited in individuals with more advanced VF damage (P = .001). Forty-three percent of falls resulted in some injury; and the likelihood of injury did not vary by severity of VF loss (P = .60) or any other factor except floor type and number of comorbidities (P < .05 for all). Falls in persons with more severe glaucoma were more likely to result in a fracture (9.4%) or an emergency room visit (18.8%), though these associations did not persist in multivariable models (P > .5 for all).

conclusionsGlaucoma patients fall mostly in/around the home and demonstrate similar fall circumstances across the spectrum of disease severity, suggesting that current fall prevention interventions, particularly those emphasizing home modification, may be an adequate starting point to prevent falls in this high-risk-group.

Indexed as

Accidental FallsAgedAged, 80 and overExfoliation SyndromeFemaleGlaucoma, Angle-ClosureGlaucoma, Open-AngleHumansIntraocular PressureMaleMarylandMiddle AgedProspective StudiesQuality of LifeSickness Impact ProfileSurveys and Questionnaires

Identifiers

PMID29750950
PMCPMC6064672
OpenAlexW2800832865

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.