■为了研究流行病学模式,患病率,类型,与年龄相关的白内障在印度中部的一个三级护理中心。
■这项基于医院的单中心横断面研究是对2,621例被诊断为白内障的患者进行的,为期3年。与人口统计有关的数据,社会经济概况,白内障分级,白内障类型,并对相关危险因素进行评估。使用未调整比值比(OR)和多变量逻辑回归进行统计分析,P值<0.05被认为是显著的,研究的功率为95%。
■受影响的最常见年龄组是60-79岁,紧随其后的是40-59岁年龄组。核硬化症(NS)的患病率,皮质(CC),后囊下白内障(PSC)占65.2%(3,418),24.6%(1,289),和43.4%(2,276),分别。在混合性白内障中,(NS+PSC)患病率最高,为39.8%。吸烟者患NS的几率是不吸烟者的1.17倍。糖尿病患者患NS白内障的几率高1.12倍,患CC的几率高1.04倍。高血压患者发生NS的几率高1.27倍,发生CC的几率高1.32倍。
■发现老年前年龄组(<60岁)的白内障患病率显着增加(35.7%)。在研究对象中发现PSC的患病率较高(43.4%),与以前的研究数据相比。吸烟,糖尿病,并且发现高血压与白内障患病率较高呈正相关。
To
study the epidemiological pattern, prevalence, types, and correlates of age-related cataracts in a tertiary care center in central India.
This hospital-based single-center cross-sectional
study was conducted on 2,621 patients diagnosed with cataracts for 3 years. Data pertaining to demography, socio-economic profile, cataract grading, cataract types, and associated risk factors were evaluated. Statistical analysis using unadjusted odds ratio (OR) and multivariate logistic regression was performed, with P-value <0.05 considered significant with the power of the
study being 95%.
The commonest age group affected was 60-79 years, closely followed by the 40-59 years age group. The prevalence of nuclear sclerosis (NS), cortical (CC), and posterior subcapsular cataract (PSC) was found to be 65.2% (3,418), 24.6% (1,289), and 43.4% (2,276), respectively. Among mixed cataracts, (NS + PSC) had the highest prevalence of 39.8%. Smokers were found to have 1.17 times higher odds of developing NS than non-smokers. Diabetics had 1.12 times higher odds of developing NS cataracts and 1.04 times higher odds of developing CC. Patients with hypertension showed 1.27 times higher odds of developing NS and 1.32 times higher odds of developing CC.
The prevalence of cataracts in the pre-senile age group (<60 years) was found to have increased significantly (35.7%). A higher prevalence of PSC (43.4%) was found in studied subjects, as compared to the data of previous studies. Smoking, diabetes, and hypertension were found to have a positive association with a higher prevalence of cataracts.