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Published online October 31, 2007
Diabetes Care 31:287-288, 2008
DOI: 10.2337/dc07-1425
© 2008 by the American Diabetes Association
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Epidemiology/Health Services Research
Original Research

Diabetes in U.S. Nursing Homes, 2004

Helaine E. Resnick, PHD1,2, Janice Heineman, PHD1, Robyn Stone, PHD1 and Ronald I. Shorr, MD3

1 Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Washington, D.C
2 Department of Endocrinology, Georgetown University, Washington, D.C
3 NF/SG VHS Department of Aging and Geriatrics, Geriatrics Research, Education and Clinical Center, University of Florida, Gainesville, Florida

Address correspondence and reprint requests to Helaine E. Resnick, PhD, Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, 2519 Connecticut Ave., NW, Washington, DC 20008. E-mail: hresnick{at}aahsa.org

The 2004 National Nursing Home Survey collected cross-sectional data for 11,939 nursing home residents aged ≥65 years representing ~1.32 million individuals. That year, 24.6% of nursing home residents had diabetes as a primary admission and/or current diagnosis. Diabetes was present in 22.5 and 35.6% of white and nonwhite residents, respectively. Diabetic residents were admitted more often from acute care hospitals (42.5 vs. 35.3%), were more likely to have a length of stay ≤100 days (22.6 vs. 20.1%), and took more medications (10.3 vs. 8.4). Diabetic residents had 39% higher odds of having emergency department visits in the previous 90 days and 56% higher odds of having a pressure ulcer at the time of the survey. In the U.S. in 2004, one in four nursing home residents aged ≥65 years had diabetes, and diabetic residents had increased odds of several unfavorable outcomes that are important for care planning.

Abbreviations: LOS, length of stay • NNHS, National Nursing Home Survey


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Copyright © 2008 by the American Diabetes Association.