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- Publisher Website: 10.1016/j.jamda.2012.05.007
- Scopus: eid_2-s2.0-84865533896
- PMID: 22698953
- WOS: WOS:000308526400011
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Article: Prevalence and Associated Comorbidities of Moderate to Severe Chronic Renal Impairment in Chinese Nursing Home Older Adults
Title | Prevalence and Associated Comorbidities of Moderate to Severe Chronic Renal Impairment in Chinese Nursing Home Older Adults |
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Authors | |
Keywords | Chinese Nursing Home Older Adults Prevalence Renal Failure Renal Impairment |
Issue Date | 2012 |
Publisher | Elsevier 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? |
Abstract | Objective: 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 Identifier | http://hdl.handle.net/10722/163496 |
ISSN | 2023 Impact Factor: 4.2 2023 SCImago Journal Rankings: 1.592 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Chan, TC | en_US |
dc.contributor.author | Yap, DYH | en_US |
dc.contributor.author | Shea, YF | en_US |
dc.contributor.author | Luk, KH | en_US |
dc.contributor.author | Chan, HW | en_US |
dc.contributor.author | Chu, LW | en_US |
dc.date.accessioned | 2012-09-05T05:32:19Z | - |
dc.date.available | 2012-09-05T05:32:19Z | - |
dc.date.issued | 2012 | en_US |
dc.identifier.citation | Journal Of The American Medical Directors Association, 2012, v. 13 n. 7, p. 630-633 | en_US |
dc.identifier.issn | 1525-8610 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/163496 | - |
dc.description.abstract | Objective: 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.language | eng | en_US |
dc.publisher | Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jmda | en_US |
dc.relation.ispartof | Journal of the American Medical Directors Association | en_US |
dc.subject | Chinese | en_US |
dc.subject | Nursing Home Older Adults | en_US |
dc.subject | Prevalence | en_US |
dc.subject | Renal Failure | en_US |
dc.subject | Renal Impairment | en_US |
dc.title | Prevalence and Associated Comorbidities of Moderate to Severe Chronic Renal Impairment in Chinese Nursing Home Older Adults | en_US |
dc.type | Article | en_US |
dc.identifier.email | Yap, DYH:desmondy@hku.hk | en_US |
dc.identifier.authority | Yap, DYH=rp01607 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1016/j.jamda.2012.05.007 | en_US |
dc.identifier.pmid | 22698953 | - |
dc.identifier.scopus | eid_2-s2.0-84865533896 | en_US |
dc.identifier.hkuros | 209960 | - |
dc.identifier.volume | 13 | - |
dc.identifier.issue | 7 | - |
dc.identifier.spage | 630 | - |
dc.identifier.epage | 633 | - |
dc.identifier.isi | WOS:000308526400011 | - |
dc.publisher.place | United States | en_US |
dc.identifier.scopusauthorid | Chan, TC=22960204100 | en_US |
dc.identifier.scopusauthorid | Yap, DYH=25958532000 | en_US |
dc.identifier.scopusauthorid | Shea, YF=25951645500 | en_US |
dc.identifier.scopusauthorid | Luk, KH=54892782300 | en_US |
dc.identifier.scopusauthorid | Chan, HW=54892754300 | en_US |
dc.identifier.scopusauthorid | Chu, LW=15059819900 | en_US |
dc.identifier.issnl | 1525-8610 | - |