Age and sex variation in prevalence of chronic medical conditions in older residents of U.S. nursing homes.
Age and sex variation in prevalence of chronic medical conditions in older residents of U.S. nursing homes.
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DOI：
10.1111/j.1532-5415.2012.03909.x
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发表时间：
2012-04
影响因子：
6.3
通讯作者：
Schwartz JB
中科院分区：
文献类型：
--
作者：
Moore KL;Boscardin WJ;Steinman MA;Schwartz JB
利用 2004 年全国疗养院调查 (NNHS) 的数据，调查长期入住疗养院居民和不同性别的慢性病患病率模式。回顾性、横断面研究。美国疗养院。全国代表性样本包括 11,788 名年龄在 65 岁或以上的长期居住居民（3003 名（25%）男性和 8785 名女性）。临床分类软件 (CCS) 用于对 ICD-9 代码进行分组，以识别 20 种最常见的慢性疾病。 SAS 调查程序用于解释分层和聚类的设计效果，以生成具有全国代表性的医疗状况患病率估计值。平均年龄为 84 岁，女性年龄大于男性（85 岁 vs. 81 岁，p=0.02），其中 67% 的女性年龄在 80-95 岁之间。女性需要更多的日常生活活动援助。最常见的慢性疾病是高血压（53, 56%：男性、女性）、痴呆（45, 52%）、抑郁症（31, 37%）、关节炎（26, 35%）、糖尿病（26, 23%）、胃肠道反流 -GERD（23, 23%）、动脉粥样硬化（24, 20%）、充血性心力衰竭 -CHF（18, 21%）、脑血管疾病（24, 19%）和贫血（17, 20%）。除便秘、胃食管反流病和高血压外，其他所有疾病的患病率均存在性别差异。男性和女性的糖尿病、脑血管疾病和血脂紊乱随着年龄的增长而减少。无论男性还是女性，房颤、贫血、关节炎、慢性心力衰竭、痴呆和甲状腺疾病都会随着年龄的增长而增加。糖尿病、高血压和帕金森病的年龄相关模式在性别之间存在差异。疗养院居民的慢性病状况随年龄的不同而不同，而且男性和女性之间也不同。这些知识应该指导长期护理中的教育和护理工作。
To investigate patterns in prevalences of chronic medical conditions over the agespan of long-term stay nursing home residents and between the sexes with data from the 2004 National Nursing Home Survey (NNHS). Retrospective, cross-sectional study. U.S. nursing homes. Nationally representative sample comprising 11,788 long-term stay residents (3003 (25%) men and 8785 women) aged 65 years or older. Clinical Classifications Software (CCS) was used to group ICD-9 codes to identify the 20 most prevalent chronic medical conditions. SAS survey procedures were used to account for design effects of stratification and clustering to generate nationally representative estimates of prevalences of medical conditions. Average age was 84 y, with women older than men (85 vs. 81, p=0.02) with 67% of women ages 80–95. Women required more ADL assistance. The most frequent chronic medical conditions were hypertension (53, 56%: men, women), dementia (45, 52%), depression (31, 37%), arthritis (26, 35%), diabetes mellitus (26, 23%), gastrointestinal reflux -GERD (23, 23%), atherosclerosis (24, 20%), congestive heart failure -CHF (18, 21%), cerebrovascular disease (24, 19%) and anemia (17, 20%). Sex differences in prevalences existed for all but constipation, GERD, and hypertension. Diabetes, cerebrovascular disease, and lipid disorders decreased with age in men and women. Atrial fibrillation, anemia, arthritis, CHF, and dementia, and thyroid disease increased with age in both men and women. Age-related patterns differed between the sexes for diabetes, hypertension, and Parkinson’s disease. The profile of chronic medical conditions varies over the agespan of nursing home residents and differs between men and women. This knowledge should guide educational and care efforts in long-term care.
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影响因子：
3.3
作者：
Benjamini, Y;Yekutieli, D
通讯作者：
Yekutieli, D
影响因子：
3
作者：
Gaugler, Joseph E.;Yu, Fang;Wyman, Jean F.
通讯作者：
Wyman, Jean F.
DOI：
10.1111/j.1532-5415.2009.02552.x
发表时间：
2009-12-01
影响因子：
6.3
作者：
Seitz, Dallas P.;Gruneir, Andrea;Rochon, Paula A.
通讯作者：
Rochon, Paula A.
DOI：
10.1086/656411
发表时间：
2010-10-15
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
Juthani-Mehta M;Quagliarello VJ
通讯作者：
Quagliarello VJ
DOI：
10.1016/j.jamda.2009.07.003
发表时间：
2010-01-01
影响因子：
7.6
作者：
McClellan, William M.;Resnick, Barbara;Ouslander, Joseph G.
通讯作者：
Ouslander, Joseph G.