Association of Nondisease-Specific Problems with Mortality, Long-Term Care, and Functional Impairment among Older Adults Who Require Skilled Nursing Care after Dialysis Initiation.

ABSTRACT:

Background and objectives

The majority of older adults who initiate dialysis do so during a hospitalization, and these patients may require post-acute skilled nursing facility (SNF) care. For these patients, a focus on nondisease-specific problems, including cognitive impairment, depressive symptoms, exhaustion, falls, impaired mobility, and polypharmacy, may be more relevant to outcomes than the traditional disease-oriented approach. However, the association of the burden of nondisease-specific problems with mortality, transition to long-term care (LTC), and functional impairment among older adults receiving SNF care after dialysis initiation has not been studied.

Design, setting, participants, & measurements

We identified 40,615 Medicare beneficiaries ≥65 years old who rec

SUBMITTER: Bowling CB 

PROVIDER: S-EPMC5142055 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature