@article{ref1,
title="The impact of first- and second-eye cataract surgery on injurious falls that require hospitalisation: A whole-population study",
journal="Age and ageing",
year="2014",
author="Fraser, Michelle Louise and Meuleners, Lynn B. and Morlet, Nigel and Ng, Jonathan",
volume="43",
number="3",
pages="341-346",
abstract="BACKGROUND: cataract is a leading cause of reversible vision impairment and may increase falls in older adults. OBJECTIVE: to assess the risk of an injury due to a fall among adults aged 60+, 2 years before first-eye cataract surgery, between first-eye surgery and second-eye surgery and 2 years after second-eye surgery. DESIGN: a retrospective cohort study. SETTING: Western Australian Hospital Morbidity Data System and the Western Australian Death Registry. SUBJECTS: there were 28,396 individuals aged 60+ years who underwent bilateral cataract surgery in Western Australia between 2001 and 2008. METHODS: Poisson regression analysis based on generalised estimating equations compared the frequency of falls 2 years before first-eye cataract surgery, between first- and second-eye surgery and 2 years after second-eye cataract surgery after accounting for potential confounders. RESULTS: the risk of an injurious fall that required hospitalisation doubled (risk ratio: 2.14, 95% confidence interval: 1.82 to 2.51) between first- and second-eye cataract surgery compared with the 2 years before first-eye surgery. There was a 34% increase in the number of injurious falls that required hospitalisation in the 2 years after second-eye cataract surgery compared with the 2 years before first-eye surgery (risk ratio: 1.34, 95% confidence interval: 1.16-1.55). CONCLUSIONS: there was an increased risk of injurious falls after first- and second-eye cataract surgery which has implications for the timely provision of second-eye surgery as well as appropriate refractive management between surgeries.<p /> <p>Language: en</p>",
language="en",
issn="0002-0729",
doi="10.1093/ageing/aft177",
url="http://dx.doi.org/10.1093/ageing/aft177"
}