Use of Urinary Collection Devices in Skilled Nursing Facilities in Five States
dc.contributor.author | Rogers, Mary A. M. | en_US |
dc.contributor.author | Mody, Lona | en_US |
dc.contributor.author | Kaufman, Samuel R. | en_US |
dc.contributor.author | Fries, Brant E. | en_US |
dc.contributor.author | McMahon, Laurence F. | en_US |
dc.contributor.author | Saint, Sanjay | en_US |
dc.date.accessioned | 2010-04-01T15:16:28Z | |
dc.date.available | 2010-04-01T15:16:28Z | |
dc.date.issued | 2008-05 | en_US |
dc.identifier.citation | Rogers, Mary A. M.; Mody, Lona; Kaufman, Samuel R.; Fries, Brant E.; McMahon, Laurence F.; Saint, Sanjay (2008). "Use of Urinary Collection Devices in Skilled Nursing Facilities in Five States." Journal of the American Geriatrics Society 56(5): 854-861. <http://hdl.handle.net/2027.42/65746> | en_US |
dc.identifier.issn | 0002-8614 | en_US |
dc.identifier.issn | 1532-5415 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/65746 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=18454750&dopt=citation | en_US |
dc.description.abstract | To assess use of urinary collection devices (external, intermittent, and indwelling catheters; pads or briefs) and examine predictors of indwelling catheters in skilled nursing facilities (SNFs). DESIGN : Retrospective cohort study. SETTING : SNFs in California, Florida, Michigan, New York, and Texas. PARTICIPANTS : All patients admitted to SNFs in 2003 who remained there for 1 year (N=57,302). MEASUREMENTS : Characteristics of patients who used different collection strategies (indwelling, intermittent, and external catheterization; pads or briefs) and predictors of indwelling urinary catheterization from the Nursing Home Minimum Data Set using multinomial logistic regression. RESULTS : The prevalence of indwelling catheterization was 12.6% at admission and 4.5% at the annual assessment ( P <.001). Intermittent and external catheterization were infrequently used (<1% at admission and annual assessment). Paraplegia, quadriplegia, multiple sclerosis, and comatose state were strongly associated with indwelling catheterization. Male residents were more likely to use an indwelling catheter at every assessment, as were obese patients; individuals with diabetes mellitus, renal failure, skin conditions, deep vein thrombosis, aphasia, or end-stage disease; and those who were taking more medications. CONCLUSION : Coinciding with federal regulations, urinary catheterization was lower than has been reported previously and declined over time. Further reduction should be targeted at the evaluation of skin problems, appropriateness of multiple medications, and alternative measures in patients with diabetes mellitus, obesity, deep vein thrombosis, and communication problems. | en_US |
dc.format.extent | 101011 bytes | |
dc.format.extent | 3110 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.rights | Journal compilation 2008 The American Geriatrics Society/Blackwell Publishing | en_US |
dc.subject.other | Urinary Catheterization | en_US |
dc.subject.other | Nursing Homes | en_US |
dc.title | Use of Urinary Collection Devices in Skilled Nursing Facilities in Five States | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Geriatrics | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | School of Public Health, University of Michigan, Ann Arbor, Michigan ; | en_US |
dc.contributor.affiliationum | Patient Safety Enhancement Program, Veterans Affairs Medical Center and University of Michigan Health System, Ann Arbor, Michigan ; | en_US |
dc.contributor.affiliationum | Geriatric Research, Education, and Clinical Center, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan ; and | en_US |
dc.contributor.affiliationum | Center for Practice Management and Outcomes Research, Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationother | General Medicine and | en_US |
dc.contributor.affiliationother | Geriatric Medicine, Department of Internal Medicine ; | en_US |
dc.contributor.affiliationother | Institute of Gerontology, School of Medicine ; | en_US |
dc.identifier.pmid | 18454750 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/65746/1/j.1532-5415.2008.01675.x.pdf | |
dc.identifier.doi | 10.1111/j.1532-5415.2008.01675.x | en_US |
dc.identifier.source | Journal of the American Geriatrics Society | en_US |
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dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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