PURPOSE To study the prevalence of systemic conditions in older adults, either self-reported or discovered during routine eye examinations, at multitier eye-care facilities over the past decade, and to explore their association with vision and common ocular disorders, including cataract, glaucoma, and retinopathy. METHODS Retrospective review of a large data set compiled from the electronic medical records of patients older than 60 years who presented to an eye facility of a multitier ophthalmology network located in 200 different geographical locations that included urban and rural eye-care centers spread across four states in India over a 10-year period. RESULTS 618,096 subjects aged 60 or older were identified as visiting an eye facility over the 10-year study period. The mean age of the study individuals was 67·28 (±6·14) years. A majority of older adults (66·96%) reported being free of systemic illnesses. Patients from lower socioeconomic status had a lower prevalence of chronic systemic disease, but the presenting vision was poorer. Hypertension (21·62%) and diabetes (18·77%) were the most commonly reported chronic conditions in patients who had concomitant systemic illness with visual concerns. CONCLUSION The prevalence of chronic systemic illnesses in older adults presenting to multitier eye-care facilities is relatively low, except in those with diabetic retinopathy. These observations suggest a need to include active screening for common chronic diseases in standalone eye-care facilities to achieve a more accurate assessment of chronic disease burden in the older population.

中文翻译：

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印度南部多层眼保健设施中老年人慢性病患病率：电子病历驱动的大数据分析报告。

目的 研究过去十年在多层眼科护理机构中自我报告或在常规眼科检查中发现的老年人全身性疾病的患病率，并探讨其与视力和常见眼部疾病（包括白内障、青光眼）的关系和视网膜病变。方法 回顾性审查从 60 岁以上患者的电子病历汇编而成的大型数据集，这些患者在位于 200 个不同地理位置的多层眼科网络的眼科设施中就诊，其中包括分布在四个州的城市和农村眼保健中心在印度长达 10 年。结果 618,096 名 60 岁或以上的受试者在 10 年的研究期间被确定为访问眼科机构。研究人员的平均年龄为 67·28 (±6·14) 岁。大多数老年人（66·96%）报告没有全身性疾病。社会经济地位较低的患者慢性全身性疾病患病率较低，但呈现视力较差。高血压 (21·62%) 和糖尿病 (18·77%) 是伴有视力问题的全身性疾病患者最常报告的慢性病。结论 就诊于多级眼保健机构的老年人中，慢性全身性疾病的患病率相对较低，但糖尿病视网膜病变患者除外。这些观察结果表明，需要在独立的眼保健设施中对常见慢性病进行主动筛查，以更准确地评估老年人口的慢性病负担。社会经济地位较低的患者慢性全身性疾病患病率较低，但呈现视力较差。高血压 (21·62%) 和糖尿病 (18·77%) 是伴有视力问题的全身性疾病患者最常报告的慢性病。结论 就诊于多级眼保健机构的老年人中，慢性全身性疾病的患病率相对较低，但糖尿病视网膜病变患者除外。这些观察结果表明，需要在独立的眼保健设施中对常见慢性病进行主动筛查，以更准确地评估老年人口的慢性病负担。社会经济地位较低的患者慢性全身性疾病患病率较低，但呈现视力较差。高血压 (21·62%) 和糖尿病 (18·77%) 是伴有视力问题的全身性疾病患者最常报告的慢性病。结论 就诊于多级眼保健机构的老年人中，慢性全身性疾病的患病率相对较低，但糖尿病视网膜病变患者除外。这些观察结果表明，需要在独立的眼保健设施中对常见慢性病进行主动筛查，以更准确地评估老年人口的慢性病负担。高血压 (21·62%) 和糖尿病 (18·77%) 是伴有视力问题的全身性疾病患者最常报告的慢性病。结论 就诊于多级眼保健机构的老年人中，慢性全身性疾病的患病率相对较低，但糖尿病视网膜病变患者除外。这些观察结果表明，需要在独立的眼保健设施中对常见慢性病进行主动筛查，以更准确地评估老年人口的慢性病负担。高血压 (21·62%) 和糖尿病 (18·77%) 是伴有视力问题的全身性疾病患者最常报告的慢性病。结论 就诊于多级眼保健机构的老年人中，慢性全身性疾病的患病率相对较低，但糖尿病视网膜病变患者除外。这些观察结果表明，需要在独立的眼保健设施中对常见慢性病进行主动筛查，以更准确地评估老年人口的慢性病负担。