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https://www.rpr.lib.ok.us/taxonomy/term/11437/all
enAge-Related Cataract Extraction Is Associated With Decreased Falls, Fractures, and Intracranial Hemorrhages in Older Adults
https://www.rpr.lib.ok.us/resource/age-related-cataract-extraction-associated-decreased-falls-fractures-and-intracranial
<div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix">
<div class="field-label">Date Added: </div>
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<div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2025-03-19T00:00:00-05:00">March 19, 2025</span></div>
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<div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix">
<div class="field-label">Journal/Publication: </div>
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<div class="field-item even">Journal of the American Geriatrics Society</div>
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<div class="field field-name-field-artifact-publisher field-type-text field-label-inline clearfix">
<div class="field-label">Publisher: </div>
<div class="field-items">
<div class="field-item even">Wiley</div>
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<div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix">
<div class="field-label">Publication Date: </div>
<div class="field-items">
<div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2025-03-18T00:00:00-05:00">March 18, 2025</span></div>
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<div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix">
<div class="field-label">URL: </div>
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<div class="field-item even"><a href="https://pubmed.ncbi.nlm.nih.gov/40099858/" target="_blank">Journal of the American Geriatrics Society</a></div>
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<div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Type: </div>
<div class="field-items">
<div class="field-item even">Clinical Research Results</div>
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<div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Format: </div>
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<div class="field-item even">Article</div>
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<div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix">
<div class="field-label">DOI (1): </div>
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<div class="field-item even">10.1111/jgs.19441</div>
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<div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above">
<div class="field-label">Keywords </div>
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<div class="field-item even"><a href="/tags/age%E2%80%90related-cataracts" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">age‐related cataracts</a></div>
<div class="field-item odd"><a href="/tags/cataract-extraction" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">cataract extraction</a></div>
<div class="field-item even"><a href="/tags/traumatic-injury" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">traumatic injury</a></div>
<div class="field-item odd"><a href="/tags/elderly-patients" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">elderly patients</a></div>
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<div class="field field-name-field-artifact-pmid-1 field-type-text field-label-inline clearfix">
<div class="field-label">PMID (1): </div>
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<div class="field-item even">40099858</div>
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<div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above">
<div class="field-label">MeSH </div>
<div class="field-items">
<div class="field-item even"><a href="/mesh/aged" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">aged</a></div>
<div class="field-item odd"><a href="/mesh/cataract-extraction" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Cataract Extraction</a></div>
<div class="field-item even"><a href="/mesh/cataract" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Cataract</a></div>
<div class="field-item odd"><a href="/mesh/humeral-fractures" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Humeral Fractures</a></div>
<div class="field-item even"><a href="/mesh/lenses" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Lenses</a></div>
<div class="field-item odd"><a href="/mesh/intraocular" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Intraocular</a></div>
<div class="field-item even"><a href="/mesh/vision-disorders" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Vision Disorders</a></div>
<div class="field-item odd"><a href="/mesh/blindness" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Blindness</a></div>
<div class="field-item even"><a href="/mesh/accidental-falls" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Accidental Falls</a></div>
</div>
</div>
<div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden">
<div class="field-items">
<div class="field-item even"><p>Cataract removal appears to reduce falls substantially in older people. James W. Mold, MD, MPH</p>
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<div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden">
<div class="field-items">
<div class="field-item even">Commercial full text (fees may apply)</div>
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<div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden">
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<div class="views-row views-row-1 views-row-odd views-row-first views-row-last">
<a href="https://pubmed.ncbi.nlm.nih.gov/40099858/" class="btn btn-primary" target="_blank">View</a> </div>
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</div></div>
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<div class="field field-name-body field-type-text-with-summary field-label-hidden">
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<div class="field-item even" property="content:encoded"><p>Background: Cataract extraction with intraocular lens insertion (CEIOL) is among the most frequently performed surgeries in the United States and is indicated for individuals with age-related cataracts causing visual impairment. The association between CEIOL and falls and hip fractures has been described, but there is a paucity of literature describing the association between CEIOL and various other common morbidity and mortality-increasing age-related traumatic injuries.</p>
<p>Methods: This retrospective cohort study utilized TriNetX, a health database, to access de-identified electronic medical records. Cohorts of patients aged 60 years and older were identified using diagnostic and procedural codes. Cohort 1 was defined as patients with age-related cataracts who underwent CEIOL within 10 years of documented diagnosis of cataracts. Cohort 2 was defined as patients with age-related cataracts who did not undergo CEIOL within 10 years of documented diagnosis of cataracts. Propensity score matching for demographics and other relevant comorbidities was completed. Chi-square analysis was performed, and data were reported as odds ratios with 95% confidence intervals. Outcomes analyzed included proximal humerus fracture, distal radius fracture, hip fracture, ankle fracture, fall, subdural hemorrhage, and epidural hemorrhage.</p>
<p>Results: Patients who underwent CEIOL demonstrated significantly lower odds of falls (p < 0.0001), proximal humerus fracture (p = 0.016), distal radius fracture (p = 0.0004), hip fracture (p < 0.0001), ankle fracture (p = 0.0002), subdural hemorrhage (p < 0.0001), and epidural hemorrhage (p = 0.006) as compared to patients with a documented diagnosis of age-related cataract without CEIOL.</p>
<p>Conclusions: CEIOL was significantly associated with decreased falls and reductions in major fall-related injuries among patients with age-related cataracts. These findings strongly support improved screening protocols to detect vision loss secondary to age-related cataracts, as this may decrease the incidence of common major fall-related injuries among patients with age-related cataracts.</p>
<p>Keywords: age‐related cataracts; cataract extraction; traumatic injury.</p>
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<div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Author/s: </div>
<div class="field-items">
<div class="field-item even">Caitlin M Hackl, Brady P Moore, Imanouel M Samai, Brian R Wong</div>
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Wed, 19 Mar 2025 21:36:18 +0000Erin Blanchette2589 at https://www.rpr.lib.ok.us