TY  - JOUR
PY  - 2022//
TI  - Risk factors of falls in elderly patients with visual impairment
JO  - Frontiers in public health
A1  - Ouyang, Shuyi
A1  - Zheng, Chunwen
A1  - Lin, Zhanjie
A1  - Zhang, Xiaoni
A1  - Li, Haojun
A1  - Fang, Ying
A1  - Hu, Yijun
A1  - Yu, Honghua
A1  - Wu, Guanrong
SP  - e984199
EP  - e984199
VL  - 10
IS  - 
N2  - OBJECTIVE: To examine the risk factors for falls in elderly patients with visual impairment (VI) and assess the predictive performance of these factors. <br><br>METHODS: Between January 2019 and March 2021, a total of 251 elderly patients aged 65-92 years with VI were enrolled and then prospectively followed up for 12 months to evaluate outcomes of accidental falls via telephone interviews. Information of demographics and lifestyle, gait and balance deficits, and ophthalmic and systemic conditions were collected during baseline visits. Forward stepwise multivariable logistic regression analysis was performed to identify independent risk factors of falls in elderly patients with VI, and a derived nomogram was constructed. <br><br>RESULTS: A total of 143 falls were reported in 251 elderly patients during follow-up, with an incidence of 56.97%. The risk factors for falls in elderly patients with VI identified by multivariable logistic regression were women [odds ratio (OR), 95% confidence interval (CI): 2.71, 1.40-5.27], smoking (3.57, 1.34-9.48), outdoor activities/3 months (1.31, 1.08-1.59), waking up frequently during the night (2.08, 1.15-3.79), disorders of balance and gait (2.60, 1.29-5.24), glaucoma (3.12, 1.15-8.44), other retinal degenerations (3.31, 1.16-9.43) and best-corrected visual acuity (BCVA) of the better eye (1.79, 1.10-2.91). A nomogram was developed based on the abovementioned multivariate analysis results. The area under receiver operating characteristic curve of the predictive model was 0.779. <br><br>CONCLUSIONS: Gender, smoking, outdoor activities, waking up at night, disorders of balance and gait, glaucoma, other retinal degeneration and BCVA of the better eye were independent risk factors for falls in elderly patients with VI. The predictive model and derived nomogram achieved a satisfying prediction of fall risk in these individuals.<p />  <p>Language: en</p>
LA  - en
SN  - 2296-2565
UR  - http://dx.doi.org/10.3389/fpubh.2022.984199
ID  - ref1
ER  -