Evidence map›Paper›PMID 39228096›Full record

ArticleAge and ageing2024

Visual field loss and falls requiring hospitalisation: results from the eFOVID study.

Siobhan Manners, Lynn B Meuleners, Jonathon Q Ng, Joanne M Wood, Bill Morgan, Nigel Morlet

Abstract read
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In one paragraph

Article in Age and ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

6 authors.

Siobhan MannersSchool of Population and Global Health, The University of Western Australia, Clifton Street Building, Clifton Street, Nedlands 6009, Australia.
Lynn B MeulenersWestern Australian Centre for Road Safety, School of Psychology, The University of Western Australia, Nedlands, Australia.
Jonathon Q NgSchool of Population and Global Health, The University of Western Australia, Clifton Street Building, Clifton Street, Nedlands 6009, Australia.
Joanne M WoodSchool of Optometry and Vision Science, Queensland University of Technology, Nedlands, Australia.
Bill MorganLions Eye Institute, Nedlands, Australia.
Nigel MorletSchool of Population and Global Health, The University of Western Australia, Clifton Street Building, Clifton Street, Nedlands 6009, Australia.

Funding

Department of Education and Training, Australian Research Council DP0987089
6 · The paper itself

Abstract

backgroundVisual fields are important for postural stability and ability to manoeuvre around objects.

objectiveExamine the association between visual field loss and falls requiring hospitalisation in adults aged 50 +.

methodsOlder adults aged 50+ with and without visual field loss were identified using a fields database obtained from a cross-section of ophthalmologists' practices in Western Australia (WA). Data were linked to the Hospital Morbidity Data Collection and WA Hospital Mortality System to identify participants who experienced falls-related hospitalisations between 1990 and 2019. A generalised linear negative binomial regression model examined the association between falls requiring hospitalisation for those with and without field loss, based on the better eye mean deviation (mild: -2 to -6 dB, moderate: -6.01 dB to -12 dB, severe < -12.01 dB) in the most contemporaneous visual field test (3 years prior or if not available, 2 years after the fall), after adjusting for potential confounders.

resultsA total of 31 021 unique individuals of whom 6054 (19.5%) experienced 11 818 falls requiring hospitalisation during a median observation time of 14.1 years. Only mean deviation index of <-12.01 dB (severe) was significantly associated with an increased rate of falls requiring hospitalisations by 14% (adjusted IRR 1.14, 95% CI 1.0-1.25) compared with no field loss, after adjusting for potential confounders. Other factors included age, with those aged 80+ having an increased rate (IRR 29.16, 95% CI 21.39-39.84), other comorbid conditions (IRR 1.49, 95% CI 1.38-1.60) and diabetes (IRR 1.25, 95% CI 1.14-1.37). Previous cataract surgery was associated with a decreased rate of falls that required hospitalisations by 13% (IRR 0.87, 95% CI 0.81-0.95) compared with those who did not have cataract surgery.

conclusionThe findings highlight the importance of continuous clinical monitoring of visual field loss and injury prevention strategies for older adults with visual field loss.

Indexed as

Accidental FallsHospitalizationVision DisordersVisual FieldsAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsWestern Australiafallsinjurylinked administrative databasesolder driversolder peoplevisual field loss

Identifiers

PMID39228096
PMCPMC11371543

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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.