Tags

Type your tag names separated by a space and hit enter

Incidence, prevalence, and outcomes of end-stage renal disease patients placed in nursing homes.
Am J Kidney Dis. 1993 Jun; 21(6):619-27.AJ

Abstract

We prospectively surveyed the 156 dialysis centers in Network 5 (MD, VA, WV, DC) for end-stage renal disease (ESRD) patients admitted to or begun on dialysis in nursing homes during a 21-month period (April 1, 1990 to December 31, 1991). In addition to this incidence data, information on patient demographics, social characteristics, pre-existent illnesses, and functional capacity (measured by activity of daily living [ADL] scores) was obtained. One hundred thirty-two centers (close to 90% of Network 5's approximately 9,000 patients) responded to the survey. Outcome data were gathered throughout the 21-month period and the subsequent 5 months. Seventy-three centers dialyzed 228 such patients during the 18-month period. Five centers that were located in the same building as a nursing home cared for 67 patients. The 228 patients, aged 17 to 101 years, were older (65.50 years +/- 14.2 [SD] v 53.7 +/- 16.4 years), and disproportionately female (62.2% v 48.3%), white (46.5% v 37.4%), and diabetic (57.9% v 29%) compared with the general network ESRD population (P < 0.05). On admission to the nursing home 47% of patients had organic heart disease, 35% had an organic brain syndrome, 22% had cerebrovascular diseases, 19% had amputations, and 18% were blind. The mean admission ADL score was 8.1 +/- 5.2 (maximum function, 18) and the patients did not differ regarding age, sex, race, or diabetes. Forty-three percent of patients lived alone or in sheltered housing before being placed in the nursing home.(ABSTRACT TRUNCATED AT 250 WORDS)

Authors+Show Affiliations

Renal Division, Francis Scott Key Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD 21224.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8503415

Citation

Anderson, J E., et al. "Incidence, Prevalence, and Outcomes of End-stage Renal Disease Patients Placed in Nursing Homes." American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, vol. 21, no. 6, 1993, pp. 619-27.
Anderson JE, Kraus J, Sturgeon D. Incidence, prevalence, and outcomes of end-stage renal disease patients placed in nursing homes. Am J Kidney Dis. 1993;21(6):619-27.
Anderson, J. E., Kraus, J., & Sturgeon, D. (1993). Incidence, prevalence, and outcomes of end-stage renal disease patients placed in nursing homes. American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, 21(6), 619-27.
Anderson JE, Kraus J, Sturgeon D. Incidence, Prevalence, and Outcomes of End-stage Renal Disease Patients Placed in Nursing Homes. Am J Kidney Dis. 1993;21(6):619-27. PubMed PMID: 8503415.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidence, prevalence, and outcomes of end-stage renal disease patients placed in nursing homes. AU - Anderson,J E, AU - Kraus,J, AU - Sturgeon,D, PY - 1993/6/1/pubmed PY - 1993/6/1/medline PY - 1993/6/1/entrez SP - 619 EP - 27 JF - American journal of kidney diseases : the official journal of the National Kidney Foundation JO - Am J Kidney Dis VL - 21 IS - 6 N2 - We prospectively surveyed the 156 dialysis centers in Network 5 (MD, VA, WV, DC) for end-stage renal disease (ESRD) patients admitted to or begun on dialysis in nursing homes during a 21-month period (April 1, 1990 to December 31, 1991). In addition to this incidence data, information on patient demographics, social characteristics, pre-existent illnesses, and functional capacity (measured by activity of daily living [ADL] scores) was obtained. One hundred thirty-two centers (close to 90% of Network 5's approximately 9,000 patients) responded to the survey. Outcome data were gathered throughout the 21-month period and the subsequent 5 months. Seventy-three centers dialyzed 228 such patients during the 18-month period. Five centers that were located in the same building as a nursing home cared for 67 patients. The 228 patients, aged 17 to 101 years, were older (65.50 years +/- 14.2 [SD] v 53.7 +/- 16.4 years), and disproportionately female (62.2% v 48.3%), white (46.5% v 37.4%), and diabetic (57.9% v 29%) compared with the general network ESRD population (P < 0.05). On admission to the nursing home 47% of patients had organic heart disease, 35% had an organic brain syndrome, 22% had cerebrovascular diseases, 19% had amputations, and 18% were blind. The mean admission ADL score was 8.1 +/- 5.2 (maximum function, 18) and the patients did not differ regarding age, sex, race, or diabetes. Forty-three percent of patients lived alone or in sheltered housing before being placed in the nursing home.(ABSTRACT TRUNCATED AT 250 WORDS) SN - 0272-6386 UR - https://www.unboundmedicine.com/medline/citation/8503415/Incidence_prevalence_and_outcomes_of_end_stage_renal_disease_patients_placed_in_nursing_homes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0272638693001088 DB - PRIME DP - Unbound Medicine ER -