{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T17:49:07Z","timestamp":1776361747670,"version":"3.51.2"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100001818","name":"Research to Prevent Blindness","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001818","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R61AG089063"],"award-info":[{"award-number":["R61AG089063"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01EY034479"],"award-info":[{"award-number":["R01EY034479"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007270","name":"University of Michigan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007270","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Visual impairment (VI) is common in older adults and is associated with adverse health outcomes. However, the association between objectively assessed VI and recurrent hospitalization remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the association of different domains of visual function with recurrent hospitalization in older adults in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used data from Round 11 of the National Health and Aging Trends Study (NHATS), a nationally representative survey of Medicare beneficiaries, which included objective measures of distance and near visual acuity and contrast sensitivity. Using multivariable logistic regression models, we analyzed the association between VI (distance and near acuity &lt;20\/40, contrast sensitivity &lt;1 SD below the sample mean) and prior year hospitalization and estimated marginal predicted probabilities of any (\u22651) and recurrent (&gt;1) hospitalization. Models were adjusted for demographic factors and comorbid medical conditions and accounted for NHATS complex survey design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The sample included 2960 respondents aged 71 and older (median age 81\u2009years; 45% male, 82% non\u2010Hispanic White). The predicted probability of hospitalization for those with any type of VI was 19.2% (15.9\u201322.6) versus 16.7% (14.9\u201318.6) for those without VI. The predicted probability of recurrent hospitalization for those with any type of VI was 7.2% (4.8\u20139.7) versus 4.1% (3.1\u20135.2) for those without VI. Near VI was significantly associated with recurrent hospitalization (OR\u2009=\u20092.04 [1.6, 3.61],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), independent of other visual function measures, while other types of VI were not.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Near VI is significantly associated with recurrent hospitalization in older US adults. Future studies should determine whether improving near vision affects the likelihood of recurrent hospitalization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19308","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T22:13:46Z","timestamp":1733782426000},"page":"782-790","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between visual impairment and recurrent hospitalizations in older\n                    <scp>US<\/scp>\n                    adults"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2443-7058","authenticated-orcid":false,"given":"Niranjani","family":"Nagarajan","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karolina","family":"Leziak","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunshu","family":"Zhou","sequence":"additional","affiliation":[{"name":"Survey Research Center, Institute for Social Research University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9287-4943","authenticated-orcid":false,"given":"Rachel","family":"Mumby","sequence":"additional","affiliation":[{"name":"Survey Research Center, Institute for Social Research University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mengyao","family":"Hu","sequence":"additional","affiliation":[{"name":"Survey Research Center, Institute for Social Research University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren E.","family":"Ferrante","sequence":"additional","affiliation":[{"name":"Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey B.","family":"De Lott","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B.","family":"Rein","sequence":"additional","affiliation":[{"name":"National Opinion Research Center  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0607-3564","authenticated-orcid":false,"given":"Joshua R.","family":"Ehrlich","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences University of Michigan  Ann Arbor Michigan USA"},{"name":"Survey Research Center, Institute for Social Research University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2022.5840"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001905"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/09286586.2017.1296961"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1212324"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1996.00440060067008"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010118\u20103\u2010199302010\u201000011"},{"key":"e_1_2_10_8_1","unstructured":"National Health Expenditure Accounts (NHEA).2022.https:\/\/www.cms.gov\/Research\u2010Statistics\u2010Data\u2010and\u2010Systems\/Statistics\u2010Trends\u2010and\u2010Reports\/NationalHealthExpendData\/NationalHealthAccountsHistorical.html"},{"key":"e_1_2_10_9_1","unstructured":"National Health Expenditure Data; National Health Expenditures by type of service and source of funds CY1960\u20102022.https:\/\/www.cms.gov\/data\u2010research\/statistics\u2010trends\u2010and\u2010reports\/national\u2010health\u2010expenditure\u2010data\/historical"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15891"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14210"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2019.0446"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12886\u2010021\u201002021\u20102"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2024.06.009"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glad271"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18879"},{"key":"e_1_2_10_17_1","unstructured":"HuM EhrlichJR ReedNS FreedmanVA.National Health and aging trends study (NHATS) vision and hearing activities user guide.2023.nhats.org"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/09286586.2020.1846758"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/jssam\/smaa044"},{"key":"e_1_2_10_20_1","unstructured":"World Health Organization (WHO).International classification of diseases Eleventh Revision (ICD\u201011).2023Accessed July 31 2024.https:\/\/icd.who.int\/en"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2023.2854"},{"key":"e_1_2_10_22_1","unstructured":"KasperJD FreedmanVA SpillmanBC.Classification of persons by dementia status in the National Health and aging trends study.2013.nhats.org"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2016.1179371"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocpiqo.2023.06.004"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2021.09.004"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2023.1263"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010017\u201009421\u20109"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2011.07.005"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2012.02.029"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S259011"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(18)30329\u20102"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/APO.0000000000000470"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2023.09.025"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.19308","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.19308","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.19308","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T16:50:52Z","timestamp":1776358252000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.19308"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,9]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/jgs.19308"],"URL":"https:\/\/doi.org\/10.1111\/jgs.19308","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,9]]},"assertion":[{"value":"2024-09-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}