@article{
 title = {The Characteristics of Diabetic Residents in European Nursing Homes: Results from the SHELTER Study},
 type = {article},
 year = {2014},
 identifiers = {[object Object]},
 keywords = {Diabetes mellitus,nursing home,older adults},
 websites = {http://login.ezproxy.library.ualberta.ca/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=25533147&site=ehost-live&scope=site},
 month = {19},
 publisher = {Elsevier},
 city = {Department of Sociology of Medicine, Epidemiology and Preventive Medicine Chair, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland. Electronic address: katarzyna.szczerbinska@uj.edu.pl.; Department of Geriatrics, 1st Faculty of },
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 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
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 source_type = {JOUR},
 notes = {ID: 25533147; Accession Number: 25533147. Language: English. Date Revised: 20141224. Date Created: 20141223. Update Code: 20150115. Publication Type: JOURNAL ARTICLE. Journal ID: 100893243. Publication Model: Print-Electronic. Cited Medium: Internet. NLM ISO Abbr: J Am Med Dir Assoc. Linking ISSN: 15258610. Date of Electronic Publication: 2014 Dec 19. Current Imprints: Publication: 2005- : New York?] : Elsevier; Original Imprints: Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2000-},
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 abstract = {Objectives: The objectives of this study were to describe the prevalence of diabetes mellitus (DM) in European nursing homes (NHs), and the health and functional characteristics of diabetic residents (DMR) aged 60 years and older.; Design: Between 2009 and 2011, the Services and Health for Elderly in Long TERm care (SHELTER) project, a 12-month prospective cohort study, was conducted to assess NH residents across different health care systems in 7 European countries and Israel.; Methods: The study included 59 NHs in 8 countries with a total of 4037 residents living in or admitted to a NH during the 3-month enrollment period. The multidimensional InterRAI instrument for Long-Term Care Facilities (InterRAI-LTCF) was used to assess health and functional status among residents. Descriptive statistics and linear, ordinal, and logistic regression were used to perform the analyses.; Results: We found a 21.8% prevalence of DM among NH residents. Residents with DM (DMRs) were significantly younger compared with non-DMRs (82.3, SD ± 7.7; 84.6, SD ± 8.4; P < .001). DMRs were more frequently overweight or obese, and presented more often with ischemic heart disease, congestive heart failure, hypertension, and stroke than residents without DM. DMRs also took more drugs, had pressure ulcers (PU) or other wounds more often, and more frequently had urinary incontinence (UI); they also reported worse self-perceived health. DM independently of other factors increased risk of PU occurrence (odds ratio 1.38; 95% confidence interval CI] 1.02-1.86; P = .036) and decreased probability of higher pain scores (B = -0.28; 95% CI -0.41 to -0.14; P < .001). DM was not associated with ADL dependency, cognitive impairment, and depression in NH residents.; Conclusion: Prevalence of DM in European NH residents is comparable to US national NH surveys, and to UK and German NH data based on glucose-level testing. DMRs compared with non-DMRs have more comorbid conditions, and a particularly higher incidence of cardiovascular diseases and obesity, PU, and severe UI. DMRs should be regarded as a specific group of residents who require an interdisciplinary approach in medical and nursing care.; Copyright © 2014 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.},
 bibtype = {article},
 author = {Szczerbinska, Katarzyna and Topinkov, Eva and Brzyski, Piotr and van der Roest G., Henritte and Richter, Tom and Finne-Soveri, Harriet and Denkinger, Michael D and Gindin, Jacob and Onder, Graziano and Bernabei, Roberto},
 journal = {Journal Of The American Medical Directors Association}
}

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The multidimensional InterRAI instrument for Long-Term Care Facilities (InterRAI-LTCF) was used to assess health and functional status among residents. Descriptive statistics and linear, ordinal, and logistic regression were used to perform the analyses.; Results: We found a 21.8% prevalence of DM among NH residents. Residents with DM (DMRs) were significantly younger compared with non-DMRs (82.3, SD ± 7.7; 84.6, SD ± 8.4; P < .001). DMRs were more frequently overweight or obese, and presented more often with ischemic heart disease, congestive heart failure, hypertension, and stroke than residents without DM. DMRs also took more drugs, had pressure ulcers (PU) or other wounds more often, and more frequently had urinary incontinence (UI); they also reported worse self-perceived health. DM independently of other factors increased risk of PU occurrence (odds ratio 1.38; 95% confidence interval CI] 1.02-1.86; P = .036) and decreased probability of higher pain scores (B = -0.28; 95% CI -0.41 to -0.14; P < .001). DM was not associated with ADL dependency, cognitive impairment, and depression in NH residents.; Conclusion: Prevalence of DM in European NH residents is comparable to US national NH surveys, and to UK and German NH data based on glucose-level testing. DMRs compared with non-DMRs have more comorbid conditions, and a particularly higher incidence of cardiovascular diseases and obesity, PU, and severe UI. DMRs should be regarded as a specific group of residents who require an interdisciplinary approach in medical and nursing care.; Copyright © 2014 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.","bibtype":"article","author":"Szczerbinska, Katarzyna and Topinkov, Eva and Brzyski, Piotr and van der Roest G., Henritte and Richter, Tom and Finne-Soveri, Harriet and Denkinger, Michael D and Gindin, Jacob and Onder, Graziano and Bernabei, Roberto","journal":"Journal Of The American Medical Directors Association","bibtex":"@article{\n title = {The Characteristics of Diabetic Residents in European Nursing Homes: Results from the SHELTER Study},\n type = {article},\n year = {2014},\n identifiers = {[object Object]},\n keywords = {Diabetes mellitus,nursing home,older adults},\n websites = {http://login.ezproxy.library.ualberta.ca/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=25533147&site=ehost-live&scope=site},\n month = {19},\n publisher = {Elsevier},\n city = {Department of Sociology of Medicine, Epidemiology and Preventive Medicine Chair, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland. 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DM independently of other factors increased risk of PU occurrence (odds ratio 1.38; 95% confidence interval CI] 1.02-1.86; P = .036) and decreased probability of higher pain scores (B = -0.28; 95% CI -0.41 to -0.14; P < .001). DM was not associated with ADL dependency, cognitive impairment, and depression in NH residents.; Conclusion: Prevalence of DM in European NH residents is comparable to US national NH surveys, and to UK and German NH data based on glucose-level testing. DMRs compared with non-DMRs have more comorbid conditions, and a particularly higher incidence of cardiovascular diseases and obesity, PU, and severe UI. DMRs should be regarded as a specific group of residents who require an interdisciplinary approach in medical and nursing care.; Copyright © 2014 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. 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