Demographic Factors Associated with Presenting for Eye Evaluation in the Partnership for Research on Vaccines and Infectious Diseases in Liberia III Natural History Study of Ebola Virus Disease
PURPOSE: Survivors of Ebola virus disease (EVD) are at risk for ocular complications after infection. We sought to identify demographic factors associated with the likelihood to present for eye examination among Ebola survivors enrolled in a longitudinal natural history study of EVD. METHODS: The Pa...
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| Vydané v: | Middle East African journal of ophthalmology Ročník 30; číslo 2; s. 103 - 106 |
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| Hlavní autori: | , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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India
Wolters Kluwer - Medknow
01.04.2023
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd |
| Vydanie: | 2 |
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| ISSN: | 0974-9233, 0975-1599, 0975-1599, 0974-9233 |
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| Abstract | PURPOSE:
Survivors of Ebola virus disease (EVD) are at risk for ocular complications after infection. We sought to identify demographic factors associated with the likelihood to present for eye examination among Ebola survivors enrolled in a longitudinal natural history study of EVD.
METHODS:
The Partnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL) III Ebola natural history study is a 5-year study that seeks to identify long-term sequelae of EVD, including ocular sequelae. All survivors enrolled in the PREVAIL parent study from June 2015 to March 2016 were asked to return for comprehensive eye examination through June 2016. Logistic regression was conducted using self-reported survivor status, age, gender, and distance from the hospital as covariates.
RESULTS:
A total of 1448 subjects enrolled in the parent PREVAIL III longitudinal cohort during the defined window, of which 1375 (95.0%) followed up for baseline eye examination. Ebola survivors (635/661, 96.1%) and adult close contacts (727/767, 94.8%) demonstrated a comparable likelihood for presenting for eye examination (odds ratio [OR] 0.68, 95% confidence interval [CI] 0.36-1.28). In an adjusted model, age over 50 (OR 10.2, 95% CI 1.35-77.3) and living outside Montserrado County (OR 0.18, 95% CI 0.10-0.33) were associated with the likelihood of presenting for a baseline comprehensive eye examination.
CONCLUSION:
Most EVD survivors and their close contacts who enrolled during the study window presented for eye examinations. Older participants and those who lived closer to clinical facilities were most likely to present. Focused strategies accounting for these factors may assist with organizations planning survivor care in the setting of EVD. |
|---|---|
| AbstractList | Survivors of Ebola virus disease (EVD) are at risk for ocular complications after infection. We sought to identify demographic factors associated with the likelihood to present for eye examination among Ebola survivors enrolled in a longitudinal natural history study of EVD. The Partnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL) III Ebola natural history study is a 5-year study that seeks to identify long-term sequelae of EVD, including ocular sequelae. All survivors enrolled in the PREVAIL parent study from June 2015 to March 2016 were asked to return for comprehensive eye examination through June 2016. Logistic regression was conducted using self-reported survivor status, age, gender, and distance from the hospital as covariates. A total of 1448 subjects enrolled in the parent PREVAIL III longitudinal cohort during the defined window, of which 1375 (95.0) followed up for baseline eye examination. Ebola survivors (635/661, 96.1) and adult close contacts (727/767, 94.8) demonstrated a comparable likelihood for presenting for eye examination (odds ratio [OR] 0.68, 95 confidence interval [CI] 0.36-1.28). In an adjusted model, age over 50 (OR 10.2, 95 CI 1.35-77.3) and living outside Montserrado County (OR 0.18, 95 CI 0.10-0.33) were associated with the likelihood of presenting for a baseline comprehensive eye examination. Most EVD survivors and their close contacts who enrolled during the study window presented for eye examinations. Older participants and those who lived closer to clinical facilities were most likely to present. Focused strategies accounting for these factors may assist with organizations planning survivor care in the setting of EVD. PURPOSE: Survivors of Ebola virus disease (EVD) are at risk for ocular complications after infection. We sought to identify demographic factors associated with the likelihood to present for eye examination among Ebola survivors enrolled in a longitudinal natural history study of EVD. METHODS: The Partnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL) III Ebola natural history study is a 5-year study that seeks to identify long-term sequelae of EVD, including ocular sequelae. All survivors enrolled in the PREVAIL parent study from June 2015 to March 2016 were asked to return for comprehensive eye examination through June 2016. Logistic regression was conducted using self-reported survivor status, age, gender, and distance from the hospital as covariates. RESULTS: A total of 1448 subjects enrolled in the parent PREVAIL III longitudinal cohort during the defined window, of which 1375 (95.0) followed up for baseline eye examination. Ebola survivors (635/661, 96.1) and adult close contacts (727/767, 94.8) demonstrated a comparable likelihood for presenting for eye examination (odds ratio [OR] 0.68, 95 confidence interval [CI] 0.36-1.28). In an adjusted model, age over 50 (OR 10.2, 95 CI 1.35-77.3) and living outside Montserrado County (OR 0.18, 95 CI 0.10-0.33) were associated with the likelihood of presenting for a baseline comprehensive eye examination. CONCLUSION: Most EVD survivors and their close contacts who enrolled during the study window presented for eye examinations. Older participants and those who lived closer to clinical facilities were most likely to present. Focused strategies accounting for these factors may assist with organizations planning survivor care in the setting of EVD. Keywords: Ebola, Liberia, post-ebola syndrome, Partnership for Research on Vaccines and Infectious Diseases in Liberia PURPOSE:Survivors of Ebola virus disease (EVD) are at risk for ocular complications after infection. We sought to identify demographic factors associated with the likelihood to present for eye examination among Ebola survivors enrolled in a longitudinal natural history study of EVD.METHODS:The Partnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL) III Ebola natural history study is a 5-year study that seeks to identify long-term sequelae of EVD, including ocular sequelae. All survivors enrolled in the PREVAIL parent study from June 2015 to March 2016 were asked to return for comprehensive eye examination through June 2016. Logistic regression was conducted using self-reported survivor status, age, gender, and distance from the hospital as covariates.RESULTS:A total of 1448 subjects enrolled in the parent PREVAIL III longitudinal cohort during the defined window, of which 1375 (95.0%) followed up for baseline eye examination. Ebola survivors (635/661, 96.1%) and adult close contacts (727/767, 94.8%) demonstrated a comparable likelihood for presenting for eye examination (odds ratio [OR] 0.68, 95% confidence interval [CI] 0.36-1.28). In an adjusted model, age over 50 (OR 10.2, 95% CI 1.35-77.3) and living outside Montserrado County (OR 0.18, 95% CI 0.10-0.33) were associated with the likelihood of presenting for a baseline comprehensive eye examination.CONCLUSION:Most EVD survivors and their close contacts who enrolled during the study window presented for eye examinations. Older participants and those who lived closer to clinical facilities were most likely to present. Focused strategies accounting for these factors may assist with organizations planning survivor care in the setting of EVD. PURPOSE: Survivors of Ebola virus disease (EVD) are at risk for ocular complications after infection. We sought to identify demographic factors associated with the likelihood to present for eye examination among Ebola survivors enrolled in a longitudinal natural history study of EVD. METHODS: The Partnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL) III Ebola natural history study is a 5-year study that seeks to identify long-term sequelae of EVD, including ocular sequelae. All survivors enrolled in the PREVAIL parent study from June 2015 to March 2016 were asked to return for comprehensive eye examination through June 2016. Logistic regression was conducted using self-reported survivor status, age, gender, and distance from the hospital as covariates. RESULTS: A total of 1448 subjects enrolled in the parent PREVAIL III longitudinal cohort during the defined window, of which 1375 (95.0%) followed up for baseline eye examination. Ebola survivors (635/661, 96.1%) and adult close contacts (727/767, 94.8%) demonstrated a comparable likelihood for presenting for eye examination (odds ratio [OR] 0.68, 95% confidence interval [CI] 0.36-1.28). In an adjusted model, age over 50 (OR 10.2, 95% CI 1.35-77.3) and living outside Montserrado County (OR 0.18, 95% CI 0.10-0.33) were associated with the likelihood of presenting for a baseline comprehensive eye examination. CONCLUSION: Most EVD survivors and their close contacts who enrolled during the study window presented for eye examinations. Older participants and those who lived closer to clinical facilities were most likely to present. Focused strategies accounting for these factors may assist with organizations planning survivor care in the setting of EVD. Survivors of Ebola virus disease (EVD) are at risk for ocular complications after infection. We sought to identify demographic factors associated with the likelihood to present for eye examination among Ebola survivors enrolled in a longitudinal natural history study of EVD. The Partnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL) III Ebola natural history study is a 5-year study that seeks to identify long-term sequelae of EVD, including ocular sequelae. All survivors enrolled in the PREVAIL parent study from June 2015 to March 2016 were asked to return for comprehensive eye examination through June 2016. Logistic regression was conducted using self-reported survivor status, age, gender, and distance from the hospital as covariates. A total of 1448 subjects enrolled in the parent PREVAIL III longitudinal cohort during the defined window, of which 1375 (95.0%) followed up for baseline eye examination. Ebola survivors (635/661, 96.1%) and adult close contacts (727/767, 94.8%) demonstrated a comparable likelihood for presenting for eye examination (odds ratio [OR] 0.68, 95% confidence interval [CI] 0.36-1.28). In an adjusted model, age over 50 (OR 10.2, 95% CI 1.35-77.3) and living outside Montserrado County (OR 0.18, 95% CI 0.10-0.33) were associated with the likelihood of presenting for a baseline comprehensive eye examination. Most EVD survivors and their close contacts who enrolled during the study window presented for eye examinations. Older participants and those who lived closer to clinical facilities were most likely to present. Focused strategies accounting for these factors may assist with organizations planning survivor care in the setting of EVD. Survivors of Ebola virus disease (EVD) are at risk for ocular complications after infection. We sought to identify demographic factors associated with the likelihood to present for eye examination among Ebola survivors enrolled in a longitudinal natural history study of EVD.PURPOSESurvivors of Ebola virus disease (EVD) are at risk for ocular complications after infection. We sought to identify demographic factors associated with the likelihood to present for eye examination among Ebola survivors enrolled in a longitudinal natural history study of EVD.The Partnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL) III Ebola natural history study is a 5-year study that seeks to identify long-term sequelae of EVD, including ocular sequelae. All survivors enrolled in the PREVAIL parent study from June 2015 to March 2016 were asked to return for comprehensive eye examination through June 2016. Logistic regression was conducted using self-reported survivor status, age, gender, and distance from the hospital as covariates.METHODSThe Partnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL) III Ebola natural history study is a 5-year study that seeks to identify long-term sequelae of EVD, including ocular sequelae. All survivors enrolled in the PREVAIL parent study from June 2015 to March 2016 were asked to return for comprehensive eye examination through June 2016. Logistic regression was conducted using self-reported survivor status, age, gender, and distance from the hospital as covariates.A total of 1448 subjects enrolled in the parent PREVAIL III longitudinal cohort during the defined window, of which 1375 (95.0%) followed up for baseline eye examination. Ebola survivors (635/661, 96.1%) and adult close contacts (727/767, 94.8%) demonstrated a comparable likelihood for presenting for eye examination (odds ratio [OR] 0.68, 95% confidence interval [CI] 0.36-1.28). In an adjusted model, age over 50 (OR 10.2, 95% CI 1.35-77.3) and living outside Montserrado County (OR 0.18, 95% CI 0.10-0.33) were associated with the likelihood of presenting for a baseline comprehensive eye examination.RESULTSA total of 1448 subjects enrolled in the parent PREVAIL III longitudinal cohort during the defined window, of which 1375 (95.0%) followed up for baseline eye examination. Ebola survivors (635/661, 96.1%) and adult close contacts (727/767, 94.8%) demonstrated a comparable likelihood for presenting for eye examination (odds ratio [OR] 0.68, 95% confidence interval [CI] 0.36-1.28). In an adjusted model, age over 50 (OR 10.2, 95% CI 1.35-77.3) and living outside Montserrado County (OR 0.18, 95% CI 0.10-0.33) were associated with the likelihood of presenting for a baseline comprehensive eye examination.Most EVD survivors and their close contacts who enrolled during the study window presented for eye examinations. Older participants and those who lived closer to clinical facilities were most likely to present. Focused strategies accounting for these factors may assist with organizations planning survivor care in the setting of EVD.CONCLUSIONMost EVD survivors and their close contacts who enrolled during the study window presented for eye examinations. Older participants and those who lived closer to clinical facilities were most likely to present. Focused strategies accounting for these factors may assist with organizations planning survivor care in the setting of EVD. |
| Audience | Academic |
| Author | Tawse, Kirstin Wallace, Augustine C. D. Eghrari, Allen O. Bishop, Rachel J. Ross, Robin D. Gargu, Catherine Wentworth, Deborah E. Nyain, Ruth |
| AuthorAffiliation | 1 Partnership for Research on Vaccines and Infectious Diseases in Liberia Eye Clinic, JFK Hospital, Monrovia, Liberia 3 Colorado Permanente Medical Group, Denver, Colorado, USA 4 Department of Biostatistics, University of Minnesota, Minneapolis, Minnesota, USA 5 Wilmer Eye Institute, Johns Hopkins, Baltimore, Maryland, USA 2 University of Arizona College of Medicine, Phoenix, Arizona, USA |
| AuthorAffiliation_xml | – name: 1 Partnership for Research on Vaccines and Infectious Diseases in Liberia Eye Clinic, JFK Hospital, Monrovia, Liberia – name: 5 Wilmer Eye Institute, Johns Hopkins, Baltimore, Maryland, USA – name: 3 Colorado Permanente Medical Group, Denver, Colorado, USA – name: 2 University of Arizona College of Medicine, Phoenix, Arizona, USA – name: 4 Department of Biostatistics, University of Minnesota, Minneapolis, Minnesota, USA |
| Author_xml | – sequence: 1 givenname: Augustine C. D. surname: Wallace fullname: Wallace, Augustine C. D. – sequence: 2 givenname: Robin D. surname: Ross fullname: Ross, Robin D. – sequence: 3 givenname: Kirstin surname: Tawse fullname: Tawse, Kirstin – sequence: 4 givenname: Ruth surname: Nyain fullname: Nyain, Ruth – sequence: 5 givenname: Catherine surname: Gargu fullname: Gargu, Catherine – sequence: 6 givenname: Deborah E. surname: Wentworth fullname: Wentworth, Deborah E. – sequence: 7 givenname: Rachel J. surname: Bishop fullname: Bishop, Rachel J. – sequence: 8 givenname: Allen O. surname: Eghrari fullname: Eghrari, Allen O. email: allen@jhmi.edu |
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| References_xml | – volume: 14 start-page: 1 year: 2001 ident: R10-20240830 publication-title: Community Eye Health – volume: 10 start-page: 32 year: 2021 ident: R13-20240830 article-title: Efficacy and safety outcomes of cataract surgery in survivors of Ebola virus disease:12-month results from the PREVAIL VII study publication-title: Transl Vis Sci Technol doi: 10.1167/tvst.10.1.32 – volume: 9 start-page: 426 year: 2004 ident: R9-20240830 article-title: Indirect costs associated with accessing eye care services as a barrier to service use in Ethiopia publication-title: Trop Med Int Health doi: 10.1111/j.1365-3156.2004.01205.x – volume: 380 start-page: 924 year: 2019 ident: R6-20240830 article-title: Alongitudinal study of Ebola sequelae in Liberia publication-title: N Engl J Med doi: 10.1056/NEJMoa1805435 – volume: 313 start-page: 567 year: 2015 ident: R4-20240830 article-title: The 2014 Ebola outbreak and mental health:Current status and recommended response publication-title: JAMA doi: 10.1001/jama.2014.17934 – volume: 9 start-page: e104128 year: 2014 ident: R8-20240830 article-title: Ocular morbidity and health seeking behaviour in Kwara state, Nigeria:Implications for delivery of eye care services publication-title: PLoS One doi: 10.1371/journal.pone.0104128 – volume: 4 start-page: 626 year: 2016 ident: R1-20240830 article-title: Social mobilization and community engagement central to the Ebola response in West Africa:Lessons for future public health emergencies publication-title: Glob Health Sci Pract doi: 10.9745/GHSP-D-16-00226 – volume: 4 start-page: 142 year: 2016 ident: R5-20240830 article-title: Psychological distress among Ebola survivors discharged from an Ebola treatment unit in Monrovia, Liberia –A qualitative study publication-title: Front Public Health doi: 10.3389/fpubh.2016.00142 – volume: 31 start-page: 432 year: 2016 ident: R7-20240830 article-title: Eye Care Disparities and Health-Related Consequences in Elderly Patients with Age-Related Eye Disease publication-title: Semin Ophthalmol doi: 10.3109/08820538.2016.1154171 – volume: 58 start-page: 348 year: 2013 ident: R11-20240830 article-title: High-risk populations for vision loss and eye care underutilization:A review of the literature and ideas on moving forward publication-title: Surv Ophthalmol doi: 10.1016/j.survophthal.2012.07.005 – volume: 373 start-page: 2484 year: 2015 ident: R3-20240830 article-title: Post-ebola signs and symptoms in U. S. survivors publication-title: N Engl J Med doi: 10.1056/NEJMc1506576 – volume: 4 start-page: e2032216 year: 2021 ident: R12-20240830 article-title: Characterization of Ebola virus-associated eye disease publication-title: JAMA Netw Open doi: 10.1001/jamanetworkopen.2020.32216 |
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| SubjectTerms | Adolescent Adult Aged Child Child, Preschool Communicable diseases Disease susceptibility Ebola virus Ebola virus infections Ebolavirus - immunology Eye Eye Diseases - epidemiology Eye examinations Eye Infections, Viral - epidemiology Eye Infections, Viral - virology Female Health aspects Hemorrhagic Fever, Ebola - epidemiology Hemorrhagic Fever, Ebola - prevention & control Humans Infectious diseases Liberia - epidemiology Male Medical examination Medical research Medicine, Experimental Middle Aged Natural history Original Original Article Risk Factors Survivors Vaccines Young Adult |
| Title | Demographic Factors Associated with Presenting for Eye Evaluation in the Partnership for Research on Vaccines and Infectious Diseases in Liberia III Natural History Study of Ebola Virus Disease |
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