Manhattan Vision Screening and Follow-up Study (NYC-SIGHT): a nested cross-sectional assessment of falls risk within a cluster randomised trial

Details

• Alternative Title:
  Br J Ophthalmol
• Personal Author:
  Hark, Lisa A ; Wang, Yujia ; Gorroochurn, Prakash ; Simon, Phyllis R ; Maruri, Stefania C ; Henriquez, Desiree R ; Diamond, Daniel F ; Horowitz, Jason D ; Park, Lisa ; Wang, Qing ; Auran, James D ; Carrion, Jailine ; Friedman, David S ; Liebmann, Jeffrey L ; Cioffi, George A ; Harizman, Noga
• Description:
  Background
  
  To investigate the feasibility of using the Stopping Elderly Accidents, Deaths and Injuries (STEADI) Falls Risk Tool Kit during community-based eye health screenings to assess falls risk of participants enrolled in the Manhattan Vision Screening and Follow-Up Study (NYC-SIGHT).
  
  Methods
  
  Cross-sectional analysis of data from a 5-year prospective, duster-randomised clinical trial conducted in affordable housing developments in New York City in adults age 40 years and older. Prescreening questions determined whether participants were at risk of falling. STEADI tests classified participants at low, moderate or high risk of falling. Multivariate logistic regression determined odds of falls risk of all enrolled participants.
  
  Results
  
  708 participants completed the eye health screening; 351 (49.6%) performed STEADI tests; mean age: 71.0 years (SD±11.3); 72.1 % female; 53.6% Black, non-Hispanic, 37.6% Hispanic/Latino. Level of falls risk: 32 (9.1%) low, 188 (53.6%) moderate and 131 (37.3%) high. Individuals age >80 (OR 5.921,95% Cl (2.383 to 14.708), p=0.000), had blurry vision (OR 1.978,95% Cl (1.186 to 3.300), p=0.009), high blood pressure (OR 2.131,95% Cl (1.252 to 3.628), p=0.005), arthritis (OR 2.29876,95% Cl (1.362 to 3.875), p=0.002) or foot problems (OR 5.239,95% Cl (2.947 to 9.314), p=0.000) had significantly higher odds of falling, emergency department visits or hospitalisation due to falling.
  
  Conclusion
  
  This study detected a significant amount of falls risk in an underserved population. The STEADI Falls Risk screening questions were easy for eye care providers to ask, were highly predictive of falls risk and may be adequate for referral to occupational health and/or physical therapy.
  
  
• Subjects:
  Accidental Falls Adult Aged Aged, 80 And Over Cluster Analysis Cross-Sectional Studies Feasibility Studies Female Follow-Up Studies Humans Male Middle Aged New York City Prospective Studies Risk Assessment Risk Factors Vision Screening

  More +
• Source:
  Br J Ophthalmol. 108(12):1761-1768
• Pubmed ID:
  38609163
• Pubmed Central ID:
  PMC11701788
• Document Type:
  Journal Article
• Funding:
  U01 DP006435/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP006436/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  108
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:bc31f2641d0742125e7db3eb956f16a45577a4e4d2f8b05962b59efd8e51df3591446c35b54ccbe930190e5ae3a2fb7da93ac9b58836f393e12b946d05052d9d
• Download URL:
  https://stacks.cdc.gov/view/cdc/175421/cdc_175421_DS1.pdf
• File Type:
  [PDF - 640.73 KB ]