Prevalence of moderate and severe renal insufficiency in older persons with hypertension, diabetes mellitus, coronary artery disease, peripheral arterial disease, ischemic stroke, or congestive heart failure in an academic nursing home.
OBJECTIVE
To determine the prevalence of moderate and severe renal insufficiency in older persons in an academic nursing home.


METHODS
The prevalence of an estimated glomerular filtration rate (GFR) determined by the Modification of Diet in Renal Disease equation less than 60 mL/min/1.73 m(2) was investigated in older persons in an academic nursing home with either hypertension, diabetes mellitus, coronary artery disease (CAD), peripheral arterial disease (PAD), ischemic stroke, or congestive heart failure (CHF).


METHODS
An academic nursing home.


METHODS
Two hundred and two persons (104 women and 98 men), mean age 73 years (range 50 to 98 years) residing in an academic nursing home.


METHODS
Prevalence of a GFR less than 60 mL/min/1.73 m(2).


RESULTS
A GFR less than 60 mL/min/1.73 m(2) was present in 60 (42%) of 143 persons with hypertension, in 30 (48%) of 62 persons with diabetes mellitus, in 28 (52%) of 52 persons with CAD, in 13 (50%) of 26 persons with PAD, in 10 (44%) of 23 persons with ischemic stroke, and in 15 (63%) of 24 persons with CHF.


CONCLUSIONS
Older persons with hypertension, diabetes mellitus, CAD, PAD, ischemic stroke, or CHF have a high prevalence of moderate or severe renal insufficiency and should be treated optimally to reduce the increased risk of cardiovascular events and mortality in this high-risk population.
Joseph
Julie
J
Department of Medicine, Divisions of Geriatrics and Cardiology, New York Medical College, Valhalla, NY, USA.
Koka
Madhavi
M
Aronow
Wilbert S
WS
D000046:Academic Medical Centers; D000368:Aged; D000369:Aged, 80 and over; D003324:Coronary Artery Disease / Q000150:complications*; D048909:Diabetes Complications; D005260:Female; D005919:Glomerular Filtration Rate; D006333:Heart Failure / Q000150:complications*; D006801:Humans; D006973:Hypertension / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D016491:Peripheral Vascular Diseases / Q000150:complications*; D015995:Prevalence; D051437:Renal Insufficiency / Q000150:complications* / Q000453:epidemiology / Q000503:physiopathology; D012720:Severity of Illness Index; D020521:Stroke / Q000150:complications*; D014481:United States / Q000453:epidemiology