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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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| Published in: | Journal of the American Geriatrics Society (JAGS) 2008-05, Vol.56 (5), p.854-861 |
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| container_issue | 5 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 56 |
| creator | Rogers, Mary A. M. Mody, Lona Kaufman, Samuel R. Fries, Brant E. McMahon, Laurence F. Saint, Sanjay |
| description | 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 |
| doi_str_mv | 10.1111/j.1532-5415.2008.01675.x |
| format | article |
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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.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/j.1532-5415.2008.01675.x</identifier><identifier>PMID: 18454750</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject><![CDATA[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]]></subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2008-05, Vol.56 (5), p.854-861</ispartof><rights>2008, Copyright the Authors. Journal compilation © 2008, The American Geriatrics Society</rights><rights>2008 INIST-CNRS</rights><rights>Journal compilation 2008 The American Geriatrics Society/Blackwell Publishing</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5785-a8e82bb63d0880f56bcd3ef11b3fc6cfd8995649a53795b4e946ccab0680ae2c3</citedby><cites>FETCH-LOGICAL-c5785-a8e82bb63d0880f56bcd3ef11b3fc6cfd8995649a53795b4e946ccab0680ae2c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20532335$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18454750$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rogers, Mary A. M.</creatorcontrib><creatorcontrib>Mody, Lona</creatorcontrib><creatorcontrib>Kaufman, Samuel R.</creatorcontrib><creatorcontrib>Fries, Brant E.</creatorcontrib><creatorcontrib>McMahon, Laurence F.</creatorcontrib><creatorcontrib>Saint, Sanjay</creatorcontrib><title>Use of Urinary Collection Devices in Skilled Nursing Facilities in Five States</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>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<.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.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alzheimer Disease - epidemiology</subject><subject>Aphasia - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Catheters</subject><subject>Catheters, Indwelling - statistics & numerical data</subject><subject>Cohort Studies</subject><subject>Comparative studies</subject><subject>Diapers, Adult - statistics & numerical data</subject><subject>Female</subject><subject>Frail Elderly - statistics & numerical data</subject><subject>General aspects</subject><subject>Geriatrics</subject><subject>Hip Fractures - epidemiology</subject><subject>Humans</subject><subject>Likelihood Functions</subject><subject>Long-Term Care - statistics & numerical data</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Nursing homes</subject><subject>Obesity - epidemiology</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Skilled Nursing Facilities - statistics & numerical data</subject><subject>United States</subject><subject>urinary catheterization</subject><subject>Urinary Catheterization - statistics & numerical data</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - epidemiology</subject><subject>Urinary Incontinence - nursing</subject><subject>Utilization Review</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqNkF1v0zAUhi0EYmXwF5CFBHfJ7PgjzgUXqNCyqitIpeLScpwT5C5NNjsZ3b_HIVWRuJpvbPk879GrByFMSUrjudqnVLAsEZyKNCNEpYTKXKTHZ2h2HjxHM0JIlihJ-QV6FcKeEJoRpV6iC6q44LkgM7TZBcBdjXfetcY_4nnXNGB717X4Mzw4CwG7Fm9vXfyu8GbwwbW_8MJY17jeTdOFewC87U0P4TV6UZsmwJvTfYl2iy8_5l-T9bfl9fzTOrEiVyIxClRWlpJVsQ-phSxtxaCmtGS1lbauVFEIyQsjWF6IkkPBpbWmJFIRA5lll-jDtPfOd_cDhF4fXLDQNKaFbghaFjQnXIgIvvsP3HeDb2M3nVHC8pwWPEJqgqzvQvBQ6zvvDlGHpkSPwvVej1716FWPwvVf4foYo29P-4fyANW_4MlwBN6fABOsaWpvWuvCmctI3MvYWPTjxP12DTw-uYBeLbfjK-aTKe9CD8dz3vhbLXMW0Z-bpb75vlbL1XalGfsDqHGplA</recordid><startdate>200805</startdate><enddate>200805</enddate><creator>Rogers, Mary A. M.</creator><creator>Mody, Lona</creator><creator>Kaufman, Samuel R.</creator><creator>Fries, Brant E.</creator><creator>McMahon, Laurence F.</creator><creator>Saint, Sanjay</creator><general>Blackwell Publishing Inc</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200805</creationdate><title>Use of Urinary Collection Devices in Skilled Nursing Facilities in Five States</title><author>Rogers, Mary A. M. ; Mody, Lona ; Kaufman, Samuel R. ; Fries, Brant E. ; McMahon, Laurence F. ; Saint, Sanjay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5785-a8e82bb63d0880f56bcd3ef11b3fc6cfd8995649a53795b4e946ccab0680ae2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alzheimer Disease - epidemiology</topic><topic>Aphasia - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Catheters</topic><topic>Catheters, Indwelling - statistics & numerical data</topic><topic>Cohort Studies</topic><topic>Comparative studies</topic><topic>Diapers, Adult - statistics & numerical data</topic><topic>Female</topic><topic>Frail Elderly - statistics & numerical data</topic><topic>General aspects</topic><topic>Geriatrics</topic><topic>Hip Fractures - epidemiology</topic><topic>Humans</topic><topic>Likelihood Functions</topic><topic>Long-Term Care - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Nursing homes</topic><topic>Obesity - epidemiology</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Skilled Nursing Facilities - statistics & numerical data</topic><topic>United States</topic><topic>urinary catheterization</topic><topic>Urinary Catheterization - statistics & numerical data</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - epidemiology</topic><topic>Urinary Incontinence - nursing</topic><topic>Utilization Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rogers, Mary A. M.</creatorcontrib><creatorcontrib>Mody, Lona</creatorcontrib><creatorcontrib>Kaufman, Samuel R.</creatorcontrib><creatorcontrib>Fries, Brant E.</creatorcontrib><creatorcontrib>McMahon, Laurence F.</creatorcontrib><creatorcontrib>Saint, Sanjay</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rogers, Mary A. M.</au><au>Mody, Lona</au><au>Kaufman, Samuel R.</au><au>Fries, Brant E.</au><au>McMahon, Laurence F.</au><au>Saint, Sanjay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of Urinary Collection Devices in Skilled Nursing Facilities in Five States</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2008-05</date><risdate>2008</risdate><volume>56</volume><issue>5</issue><spage>854</spage><epage>861</epage><pages>854-861</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>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<.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.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>18454750</pmid><doi>10.1111/j.1532-5415.2008.01675.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of the American Geriatrics Society (JAGS), 2008-05, Vol.56 (5), p.854-861 |
| issn | 0002-8614 1532-5415 |
| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| 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 |
| title | Use of Urinary Collection Devices in Skilled Nursing Facilities in Five States |
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