Characteristics of Diabetic Ageing Patients in Nursing Homes: One Center Experience in Turkey

Abstract

Introduction: Due to its widespread distribution and effects, type 2 diabetes is a frequently researched topic. However, the amount of information about type 2 diabetes in nursing homes residents is inadequate. The aim of this study is to elucidate on the frequency, treatments, comorbidities, and deaths of nursing home residents diagnosed with type 2 diabetes. Materials and methods: Type 2 diabetes was evaluated in 612 people accepted to nursing homes as residents between January 2005 and January 2013. Medical records, prescriptions, laboratory results, and comorbidities were evaluated statistically. Results: Approximately 26% (159) patients of the cohort had either preexisting type 2 diabetes during registration to nursing home or was diagnosed with it during the 8-year follow-up. The prevalence of DM was 25% in males and 26% in females. Average age was 75.7 ± 10.6 in diabetics and 76.7 ± 11.6 in non-diabetics. Hemoglobin, creatinine, triglycerides, HDL-cholesterol, and CRP values were not found to be different between the groups. Hypertension was diagnosed in 75% of diabetics versus 59% of non-diabetics, hyperlipidemia in 21% versus 7% ( P < .01); however, atrial fibrillation was more common in non-diabetics ( P = .022). There was no difference for survival rate between diabetic and non-diabetic groups ( P = .743). Conclusion: Approximately 1 out of 4 nursing home residents were found to have diabetes, with females being more affected then males. The survival rates both at the diabetic and non-diabetic patients were detected similar. Glucose, total cholesterol, LDL-cholesterol, and blood pressure values which can all impact survival should be closely watched from early on in the disease progress and their values should be optimized.

Prevalence Rates and Characteristics of Malnutrition, Frailty, and Other Nutrition and Muscle Mass-Related Conditions Document Potential Quality of Care Gap for Medicare Patients in US Skilled Nursing Facilities

“…When considering how our research may compare to other studies identifying nutrition/muscle mass-related conditions in skilled nursing facility populations, the research literature typically reflects much higher prevalence rates (both in the US and globally) [27][28][29][30][31][32][33][34][35][36] than we found (Appendix A Table A3), but such research literature is not based on claims data, which is an important distinction. Medicare data-similar to other healthcare claims data-are not collected for research purposes but rather to document the provision of healthcare services for billing purposes, which can affect estimates of both disease incidence and prevalence [37].…”