Andersson Robert B Å, Pelino Carlo, Monaco William A, Bunin Greta
Salus University, Philadelphia, PA, USA.
Gerontol Geriatr Med. 2024 Jul 31;10:23337214241260938. doi: 10.1177/23337214241260938. eCollection 2024 Jan-Dec.
To determine the prevalence of diabetic retinopathy and undiagnosed diabetes among Delaware nursing home and assisted care facility residents. This cross-sectional study involved the statistical analysis of comprehensive eye examination records of 2,063 nursing home residents residing in 18 facilities and 4 assisted living facilities in Delaware from 2005 to 2009. Descriptive statistical analyses were conducted to identify the rates of retinal dot and blot hemorrhages and existing systemic diabetes diagnoses. The mean age of nursing home and assisted care facility residents was 77 years (range 9-104), and 64.4% were over the age of 80. Most residents were female (61.1%) and white (72.5%). 3.6% of the 2,063 nursing home residents had blot or dot hemorrhages in one or both eyes. 32.8% had a type 1 or type 2 diabetes diagnosis. Of the ones with a positive dot and blot hemorrhage finding, 56.8% had a diagnosis of diabetes, and 43.2% did not. There was a high prevalence of dot and blot hemorrhages without a systemic diagnosis of diabetes, indicating a need for regular eye care among residents.
确定特拉华州疗养院和辅助护理机构居民中糖尿病性视网膜病变和未确诊糖尿病的患病率。这项横断面研究涉及对2005年至2009年期间居住在特拉华州18家疗养院和4家辅助生活设施中的2063名疗养院居民的综合眼部检查记录进行统计分析。进行描述性统计分析以确定视网膜点状和片状出血的发生率以及现有的系统性糖尿病诊断情况。疗养院和辅助护理机构居民的平均年龄为77岁（范围9 - 104岁），64.4%的居民年龄超过80岁。大多数居民为女性（61.1%）且为白人（72.5%）。2063名疗养院居民中，3.6%的人一只或两只眼睛出现片状或点状出血。32.8%的人被诊断为1型或2型糖尿病。在点状和片状出血检查结果呈阳性的人群中，56.8%的人被诊断患有糖尿病，43.2%的人未被诊断患有糖尿病。在未进行系统性糖尿病诊断的情况下，点状和片状出血的患病率很高，这表明居民需要定期进行眼部护理。
