First Eye Cataract Surgery and Hospitalization from Injuries Due to a Fall: A Population-Based Study

Authors

  • Lynn B. Meuleners PhD,

    Corresponding author
    • Curtin-Monash Accident Research Centre, Curtin University
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  • Andy H. Lee PhD,

    1. School of Public Health, Curtin University, Perth, Western Australia, Australia
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  • Jonathon Q. Ng PhD, MD,

    1. Curtin-Monash Accident Research Centre, Curtin University
    2. School of Public Health, Curtin University, Perth, Western Australia, Australia
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  • Nigel Morlet MD,

    1. Eye and Vision Epidemiology Research Group, University of Western Australia
    2. Centre for Health Services Research, School of Population Health, University of Western Australia, Perth, Western Australia, Australia
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  • Michelle L. Fraser MPhil

    1. Eye and Vision Epidemiology Research Group, University of Western Australia
    2. Centre for Health Services Research, School of Population Health, University of Western Australia, Perth, Western Australia, Australia
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Address correspondence to Lynn B. Meuleners, Curtin-Monash Accident Research Centre, School of Public Health, Curtin University, GPO Box U 1987, Perth, WA 6845, Australia. E-mail: L.Meuleners@curtin.edu.au

Abstract

Objectives

To assess the association between first eye cataract surgery and hospitalization from injuries due to a fall in older adults at the population level.

Design

Retrospective population-based study.

Setting

Western Australian Hospital Morbidity Data System and Western Australian mortality data.

Participants

Six hundred individuals aged 60 and older hospitalized from injuries due to a fall between 2004 and 2008 in Western Australia.

Measurements

Hospital admission from injuries due to a fall.

Results

Of the 15,295 individuals who underwent cataract surgery in one eye only, 600 (3.9%) were involved in 625 hospital admissions from injuries due to a fall 1 year before (n = 273) or 1 year after (n = 352) first eye cataract surgery; 30% of these hospitalizations were for femoral neck fractures. Poisson generalized estimating equations confirmed 27% more (adjusted risk ratio = 1.27, 95% confidence interval = 1.04–1.56 P = .02) hospitalizations from injuries due to a fall in the year after first eye cataract surgery than in the year before.

Conclusion

First eye cataract surgery was associated with more hospital admissions from injuries due to a fall in the year after cataract surgery than in the year before. Further research is needed to determine the underlying causes and reasons.

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