Diabetes in Nursing Homes: United States 2004

  1. Helaine E. Resnick, PhD1,,2,
  2. Janice Heineman, PhD1,
  3. Robyn Stone, DrPH1 and
  4. Ronald I Shorr, MD3
  1. 1 Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Washington, DC
  2. 2 Endocrinology, Georgetown University
  3. 3University of Florida, Gainesville, FL

    Abstract

    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.

    Footnotes

      • Received July 23, 2007.
      • Accepted October 23, 2007.

    This Article

    1. Published online before print October 31, 2007, doi: 10.2337/dc07-1425
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