Use of Urinary Collection Devices in Skilled Nursing Facilities in Five States

OBJECTIVES: 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...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2008-05, Vol.56 (5), p.854-861
Main Authors: Rogers, Mary A. M., Mody, Lona, Kaufman, Samuel R., Fries, Brant E., McMahon, Laurence F., Saint, Sanjay
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Alzheimer Disease - epidemiology
Aphasia - epidemiology
Biological and medical sciences
Catheters
Catheters, Indwelling - statistics & numerical data
Cohort Studies
Comparative studies
Diapers, Adult - statistics & numerical data
Female
Frail Elderly - statistics & numerical data
General aspects
Geriatrics
Hip Fractures - epidemiology
Humans
Likelihood Functions
Long-Term Care - statistics & numerical data
Male
Medical sciences
Miscellaneous
Nursing homes
Obesity - epidemiology
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retrospective Studies
Risk Factors
Sex Factors
Skilled Nursing Facilities - statistics & numerical data
United States
urinary catheterization
Urinary Catheterization - statistics & numerical data
Urinary incontinence
Urinary Incontinence - epidemiology
Urinary Incontinence - nursing
Utilization Review
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Description
Summary:OBJECTIVES: 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
ISSN:0002-8614
1532-5415
DOI:10.1111/j.1532-5415.2008.01675.x