Evidence map›Paper›PMID 39653643›Full record

ArticleJournal of the American Geriatrics Society2025

Association between visual impairment and recurrent hospitalizations in older US adults.

Niranjani Nagarajan, Karolina Leziak, Yunshu Zhou, Rachel Mumby, Mengyao Hu, Lauren E Ferrante, Lindsey B De Lott, David B Rein, Joshua R Ehrlich

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

9 authors.

Niranjani NagarajanDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-2443-7058
Karolina LeziakUniversity of Michigan Medical School, Ann Arbor, Michigan, USA.
Yunshu ZhouSurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Rachel MumbySurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0009-0003-9287-4943
Mengyao HuSurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Lauren E FerranteSection of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Lindsey B De LottDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.
David B ReinNational Opinion Research Center, Atlanta, Georgia, USA.
Joshua R EhrlichDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-0607-3564

Funding

Vision Impairment in the National Health and Aging Trends StudyR01EY034479 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Joshua Robert Ehrlich · 2023 to 2026
$2.6M
Sensory Aging, Late-Life Wellbeing, and ADRD Research Infrastructure to Catalyze Practice and PolicyR61AG089063 · NIA · JOHNS HOPKINS UNIVERSITY · PI DEAL, JENNIFER ANNE, EHRLICH, JOSHUA ROBERT · 2024 to 2025
$1.6M
NEI NIH HHS R01 EY034479NIA NIH HHS R61 AG089063NIH HHS R01EY034479NIH HHS R61AG089063Research to Prevent BlindnessUniversity of Michigan
6 · The paper itself

Abstract

backgroundVisual impairment (VI) is common in older adults and is associated with adverse health outcomes. However, the association between objectively assessed VI and recurrent hospitalization remains unclear.

objectiveTo investigate the association of different domains of visual function with recurrent hospitalization in older adults in the United States.

methodsWe used data from Round 11 of the National Health and Aging Trends Study (NHATS), a nationally representative survey of Medicare beneficiaries, which included objective measures of distance and near visual acuity and contrast sensitivity. Using multivariable logistic regression models, we analyzed the association between VI (distance and near acuity <20/40, contrast sensitivity <1 SD below the sample mean) and prior year hospitalization and estimated marginal predicted probabilities of any (≥1) and recurrent (>1) hospitalization. Models were adjusted for demographic factors and comorbid medical conditions and accounted for NHATS complex survey design.

resultsThe sample included 2960 respondents aged 71 and older (median age 81 years; 45% male, 82% non-Hispanic White). The predicted probability of hospitalization for those with any type of VI was 19.2% (15.9-22.6) versus 16.7% (14.9-18.6) for those without VI. The predicted probability of recurrent hospitalization for those with any type of VI was 7.2% (4.8-9.7) versus 4.1% (3.1-5.2) for those without VI. Near VI was significantly associated with recurrent hospitalization (OR = 2.04 [1.6, 3.61], p = 0.02), independent of other visual function measures, while other types of VI were not.

conclusionNear VI is significantly associated with recurrent hospitalization in older US adults. Future studies should determine whether improving near vision affects the likelihood of recurrent hospitalization.

Indexed as

HospitalizationVision DisordersAgedAged, 80 and overFemaleHumansMaleMedicareRecurrenceUnited StatesVisual AcuitygerontologyhospitalizationsNational Health and Aging Trends Studyolder adultsvisual impairment

Identifiers

PMID39653643
PMCPMC11907751

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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.