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, cluster-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% CI (2.383 to 14.708), p=0.000), had blurry vision (OR 1.978, 95% CI (1.186 to 3.300), p=0.009), high blood pressure (OR 2.131, 95% CI (1.252 to 3.628), p=0.005), arthritis (OR 2.29876, 95% CI (1.362 to 3.875), p=0.002) or foot problems (OR 5.239, 95% CI (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. Data are available on reasonable request.

中文翻译：

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曼哈顿视力筛查和随访研究 (NYC-SIGHT)：集群随机试验中跌倒风险的嵌套横断面评估

背景 为了调查在社区眼健康筛查期间使用阻止老年人事故、死亡和受伤 (STEADI) 跌倒风险工具包的可行性，以评估参加曼哈顿视力筛查和随访研究 (NYC-SIGHT) 的参与者的跌倒风险）。方法 对纽约市经济适用住房开发项目中 40 岁及以上成年人进行的 5 年前瞻性整群随机临床试验的数据进行横断面分析。预筛选问题确定参与者是否有跌倒的风险。 STEADI 测试将参与者分为低、中或高跌倒风险。多变量逻辑回归确定了所有登记参与者跌倒风险的几率。结果 708 名参与者完成了眼部健康筛查； 351 (49.6%) 进行了 STEADI 测试；平均年龄：71.0岁（SD±11.3）； 72.1% 女性； 53.6% 黑人、非西班牙裔，37.6% 西班牙裔/拉丁裔。跌倒风险等级：32 人（9.1%）低，188 人（53.6%）中，131 人（37.3%）高。年龄 >80 岁的个体（OR 5.921，95% CI（2.383 至 14.708），p=0.000）、视力模糊（OR 1.978，95% CI（1.186 至 3.300），p=0.009）、高血压（OR 2.131， 95% CI（1.252 至 3.628），p=0.005）、关节炎（OR 2.29876，95% CI（1.362 至 3.875），p=0.002）或足部问题（OR 5.239，95% CI（2.947 至 9.314），p= 0.000）跌倒、急诊就诊或因跌倒而住院的几率明显更高。结论 这项研究发现服务不足的人群存在大量跌倒风险。 STEADI 跌倒风险筛查问题对于眼保健提供者来说很容易提出，可以高度预测跌倒风险，并且可能足以转诊至职业健康和/或物理治疗。可根据合理要求提供数据。