Delivery of Care to Nursing Home Residents With Diabetes: Results From the SHELTER Study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F16%3A10329991" target="_blank" >RIV/00216208:11110/16:10329991 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1016/j.jamda.2016.05.003" target="_blank" >http://dx.doi.org/10.1016/j.jamda.2016.05.003</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.jamda.2016.05.003" target="_blank" >10.1016/j.jamda.2016.05.003</a>

Result language

angličtina

Original language name

Delivery of Care to Nursing Home Residents With Diabetes: Results From the SHELTER Study

Original language description

Objectives: To describe health care and preventive service provision to nursing home (NH) residents with diabetes mellitus (DM) and to analyze factors determining use of selected services. Design: In the period between 2009 and 2011, the Services and Health for Elderly in Long TERm care (SHELTER) project, a 12-month prospective cohort study, was conducted to assess 4037 NH residents aged 60 years and older residing in 59 NHs in 7 European countries and Israel. Methods: The InterRAI tool for long-term care facilities was used to assess care needs and provided health care services. Descriptive statistics and multivariate logistic regression were applied to describe differences between NH residents with (DR) and without DM (non-DR), and to find factors determining use of services and care provided to both groups. Results: DR more often than non-DR were hospitalized (18.2% vs 14.3%) and required rehabilitation (23.8% vs 18.2%) or clinically complex care (15.9% vs 13.7%). They also more frequently received a repositioning program (26.8% vs 22.7%), a wound care (15.1% vs 9.8%), and some preventive services as yearly eye examination (41.0% vs 35.9%), pneumococcal vaccination (33.5% vs 26.6%), mammography in women (12.1% vs 7.4%), and colonoscopy (5.6% vs 3.6%). Yet, rates of some of them (mammography, colonoscopy, hearing and dental examinations) were very low in both study cohorts with exception of annual influenza vaccination (82.1%) and yearly blood pressure checkup (95.0%). Interestingly, DM enhanced odds only for mammography [odds ratio (OR) 1.55, 95% confidence interval [CI] 1.15-2.09, P=.004) and eye examination (OR 1.21, 95% CI 1.03-1.42; P=.018). Conclusions: DR more frequently receive care related to DM clinical complexity; nevertheless, the recommended frequency of preventive procedures is not met both in DR and non-DR.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FP - Other medical fields

OECD FORD branch

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Project

<a href="/en/project/7E12078" target="_blank" >7E12078: A randomized clinical trial to evaluate the effectiveness of a multi-modal intervention in older people with type 2 diatebes on frailty and quality of life: The MID-FRAIL Study</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of the American Medical Directors Association

ISSN

1525-8610

e-ISSN

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Volume of the periodical

17

Issue of the periodical within the volume

9

Country of publishing house

US - UNITED STATES

Number of pages

7

Pages from-to

807-813

UT code for WoS article

000389058500009

EID of the result in the Scopus database

2-s2.0-84991794195