Falls and health status in elderly women following first eye cataract surgery: a randomised controlled trial
| Autor: | Francis Osborn, Rowan H. Harwood, Anwar Zaman, Alexander J E Foss, Tahir Masud, Richard M. Gregson |
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| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Visual acuity genetic structures Health Status medicine.medical_treatment Eye disease Visual Acuity Poison control Cataract Extraction Rate ratio Cataract law.invention Clinical Science - Extended Reports Cellular and Molecular Neuroscience Randomized controlled trial Risk Factors law medicine Humans Depression (differential diagnoses) Aged Aged 80 and over Depth Perception business.industry Cataract surgery medicine.disease eye diseases Sensory Systems Confidence interval Ophthalmology Treatment Outcome Physical therapy Accidental Falls Female sense organs medicine.symptom business |
| Zdroj: | British Journal of Ophthalmology. 89:53-59 |
| ISSN: | 0007-1161 |
| DOI: | 10.1136/bjo.2004.049478 |
| Popis: | Background/aim: A third of elderly people fall each year. Poor vision is associated with increased risk of falls. The authors aimed to determine if first eye cataract surgery reduces the risk of falling, and to measure associated health gain. Methods: 306 women aged over 70, with cataract, were randomised to expedited (approximately 4 weeks) or routine (12 months wait) surgery. Falls were ascertained by diary, with follow up every 3 months. Health status was measured after 6 months. Results: Visual function improved in the operated group (corrected binocular acuity improved by 0.25 logMAR units; 8% had acuity worse than 6/12 compared with 37% of controls). Over 12 months of follow up, 76 (49%) operated participants fell at least once, and 28 (18%) fell more than once. 69 (45%) unoperated participants fell at least once, 38 (25%) fell more than once. Rate of falling was reduced by 34% in the operated group (rate ratio 0.66, 95% confidence interval 0.45 to 0.96, p = 0.03). Activity, anxiety, depression, confidence, visual disability, and handicap all improved in the operated group compared with the control group. Four participants in the operated group had fractures (3%), compared with 12 (8%) in the control group (p = 0.04). Conclusion: First eye cataract surgery reduces the rate of falling, and risk of fractures and improves visual function and general health status. |
| Databáze: | OpenAIRE |
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