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Article: Prevalence and Associated Comorbidities of Moderate to Severe Chronic Renal Impairment in Chinese Nursing Home Older Adults

TitlePrevalence and Associated Comorbidities of Moderate to Severe Chronic Renal Impairment in Chinese Nursing Home Older Adults
Authors
KeywordsChinese
Nursing Home Older Adults
Prevalence
Renal Failure
Renal Impairment
Issue Date2012
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jmda
Citation
Journal Of The American Medical Directors Association, 2012, v. 13 n. 7, p. 630-633 How to Cite?
AbstractObjective: To investigate the prevalence and associated comorbidities of Stage 3 (GFR 30-59 mL/min/1.73m 2) and Stages 4 and 5 (GFR <30 mL/min/1.73m 2) chronic kidney disease (CKD) among Chinese nursing home older adults. Design: Retrospective cross-sectional study. Glomerular filtration rate (GFR) was estimated by Modification of Diet in Renal Disease Study (Chinese-adjusted) equation and The Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations. Setting: Nine nursing homes in Hong Kong. Participants: Participants included 812 nursing home older adults (271 men and 571 women), mean age 86.0±7.6. Measurements: Prevalence of Stage 3 (GFR 30-59 mL/min/1.73m 2) and Stages 4 and 5 (GFR <30 mL/min/1.73m 2) CKD. The comorbidities associated with renal impairment were also assessed. Results: There were 18.4% of nursing home older adults who had elevated serum creatinine levels above the normal limits. Using Modification of Diet in Renal Disease Study and CKD-EPI equations, 26.4% and 21.2% of them had Stage 3 CKD, whereas 6.8% and 4.4% had Stage 4-5 CKD, respectively. Diabetes mellitus, hypertension, congestive heart failure, and ischemic heart disease correlated significantly with moderate to severe renal impairment in Chinese nursing home older adults. Conclusion: Stages 3 to 5 CKD are prevalent in Chinese nursing home older adults. Early identification of these patients facilitates drug prescription, renal management, and advance care planning. © 2012 American Medical Directors Association.
Persistent Identifierhttp://hdl.handle.net/10722/163496
ISSN
2015 Impact Factor: 6.616
2015 SCImago Journal Rankings: 1.551
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, TCen_US
dc.contributor.authorYap, DYHen_US
dc.contributor.authorShea, YFen_US
dc.contributor.authorLuk, KHen_US
dc.contributor.authorChan, HWen_US
dc.contributor.authorChu, LWen_US
dc.date.accessioned2012-09-05T05:32:19Z-
dc.date.available2012-09-05T05:32:19Z-
dc.date.issued2012en_US
dc.identifier.citationJournal Of The American Medical Directors Association, 2012, v. 13 n. 7, p. 630-633en_US
dc.identifier.issn1525-8610en_US
dc.identifier.urihttp://hdl.handle.net/10722/163496-
dc.description.abstractObjective: To investigate the prevalence and associated comorbidities of Stage 3 (GFR 30-59 mL/min/1.73m 2) and Stages 4 and 5 (GFR <30 mL/min/1.73m 2) chronic kidney disease (CKD) among Chinese nursing home older adults. Design: Retrospective cross-sectional study. Glomerular filtration rate (GFR) was estimated by Modification of Diet in Renal Disease Study (Chinese-adjusted) equation and The Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations. Setting: Nine nursing homes in Hong Kong. Participants: Participants included 812 nursing home older adults (271 men and 571 women), mean age 86.0±7.6. Measurements: Prevalence of Stage 3 (GFR 30-59 mL/min/1.73m 2) and Stages 4 and 5 (GFR <30 mL/min/1.73m 2) CKD. The comorbidities associated with renal impairment were also assessed. Results: There were 18.4% of nursing home older adults who had elevated serum creatinine levels above the normal limits. Using Modification of Diet in Renal Disease Study and CKD-EPI equations, 26.4% and 21.2% of them had Stage 3 CKD, whereas 6.8% and 4.4% had Stage 4-5 CKD, respectively. Diabetes mellitus, hypertension, congestive heart failure, and ischemic heart disease correlated significantly with moderate to severe renal impairment in Chinese nursing home older adults. Conclusion: Stages 3 to 5 CKD are prevalent in Chinese nursing home older adults. Early identification of these patients facilitates drug prescription, renal management, and advance care planning. © 2012 American Medical Directors Association.en_US
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jmdaen_US
dc.relation.ispartofJournal of the American Medical Directors Associationen_US
dc.subjectChineseen_US
dc.subjectNursing Home Older Adultsen_US
dc.subjectPrevalenceen_US
dc.subjectRenal Failureen_US
dc.subjectRenal Impairmenten_US
dc.titlePrevalence and Associated Comorbidities of Moderate to Severe Chronic Renal Impairment in Chinese Nursing Home Older Adultsen_US
dc.typeArticleen_US
dc.identifier.emailYap, DYH:desmondy@hku.hken_US
dc.identifier.authorityYap, DYH=rp01607en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.jamda.2012.05.007en_US
dc.identifier.pmid22698953-
dc.identifier.scopuseid_2-s2.0-84865533896en_US
dc.identifier.hkuros209960-
dc.identifier.volume13-
dc.identifier.issue7-
dc.identifier.spage630-
dc.identifier.epage633-
dc.identifier.isiWOS:000308526400011-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridChan, TC=22960204100en_US
dc.identifier.scopusauthoridYap, DYH=25958532000en_US
dc.identifier.scopusauthoridShea, YF=25951645500en_US
dc.identifier.scopusauthoridLuk, KH=54892782300en_US
dc.identifier.scopusauthoridChan, HW=54892754300en_US
dc.identifier.scopusauthoridChu, LW=15059819900en_US

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