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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)

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Authors+Show Affiliations

Anderson JE
Renal Division, Francis Scott Key Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD 21224.
Kraus J
No affiliation info available
Sturgeon D
No affiliation info available

MeSH

Activities of Daily LivingAdolescentAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansKidney Failure, ChronicMaleMiddle AgedNursing HomesProspective StudiesRenal DialysisRisk FactorsSurvival RateTreatment OutcomeUnited States

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 -