Prevalence of chronic disease in older adults in multitier eye-care facilities in South India: Electronic medical records-driven big data analytics report
| Autor: | Brooke Salzman, Anthony Vipin Das, Richard J. Derman, Parth Lalakia, Gumpili Sai Prashanthi, Bharat Panigrahy, Umesh Chandra Behera |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pediatrics genetic structures Visual impairment visual impairment India Glaucoma chronic diseases socioeconomic status eye-care service Diabetes mellitus retinopathy Prevalence medicine Electronic Health Records Humans Socioeconomic status Aged Retrospective Studies Geriatrics Diabetic Retinopathy geriatrics business.industry Medical record Data Science Diabetic retinopathy Middle Aged RE1-994 medicine.disease eye diseases Ophthalmology glaucoma cataract Chronic Disease medicine.symptom business Retinopathy |
| Zdroj: | Indian Journal of Ophthalmology, Vol 69, Iss 12, Pp 3618-3622 (2021) |
| ISSN: | 1998-3689 0301-4738 |
| Popis: | Purpose To study the prevalence of systemic conditions in older adults, either self-reported or discovered during routine eye examinations, at multitier eye-care facilities over the past decade, and to explore their association with vision and common ocular disorders, including cataract, glaucoma, and retinopathy. Methods Retrospective review of a large data set compiled from the electronic medical records of patients older than 60 years who presented to an eye facility of a multitier ophthalmology network located in 200 different geographical locations that included urban and rural eye-care centers spread across four states in India over a 10-year period. Results 618,096 subjects aged 60 or older were identified as visiting an eye facility over the 10-year study period. The mean age of the study individuals was 67·28 (±6·14) years. A majority of older adults (66·96%) reported being free of systemic illnesses. Patients from lower socioeconomic status had a lower prevalence of chronic systemic disease, but the presenting vision was poorer. Hypertension (21·62%) and diabetes (18·77%) were the most commonly reported chronic conditions in patients who had concomitant systemic illness with visual concerns. Conclusion The prevalence of chronic systemic illnesses in older adults presenting to multitier eye-care facilities is relatively low, except in those with diabetic retinopathy. These observations suggest a need to include active screening for common chronic diseases in standalone eye-care facilities to achieve a more accurate assessment of chronic disease burden in the older population. |
| Databáze: | OpenAIRE |
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