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Diabetes in Nursing Homes: United States 2004

¹ Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Washington, DC
² Endocrinology, Georgetown University
³University of Florida, Gainesville, FL

ABSTRACT

The 2004 National Nursing Home Survey collected cross-sectional data for 11,939 NH residents aged 65 years, representing 1.32 million individuals. That year, 24.6% of NH residents had diabetes as a primary admission and/or current diagnosis. Diabetes was present in 22.5% and 35.6% of White and non-White residents, respectively. Diabetic residents were admitted more often from acute care hospitals (42.5% vs 35.3%), were more likely to have length of stay 100 days (22.6% vs 20.1%) and took more medications (10.3 vs. 8.4). Diabetic residents had a 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 United States in 2004, 1 in 4 nursing home residents 65 years had diabetes and diabetic residents had increased odds of several unfavorable outcomes that are important for care planning.

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