title: Health outcomes in nursing home patients on dialysis.
abstract: Nursing home patients on dialysis are higher-acuity compared to the broader ESRD population. The objective of this study was to evaluate health status and outcomes in patients on hemodialysis in a nursing home setting. Health status was evaluated for 3,943 patients between April 2007 and June 2013. Patients had poor initial health status, with an incident first month annualized mortality rate of 70%, mean serum albumin of 3.2 g/dL, and mean hemoglobin of 10.15 g/dL. Improvements were noted during months 4-12, with annualized mortality rates of 30%, serum albumin of 3.6 g/dL, and mean hemoglobin of 10.8 g/dL. Patient outcomes also improved year-over-year. These study results demonstrated poor initial health status, but improvements in patient outcomes over time when dialysis is provided in a nursing home setting.
authors.forename: Alex
authors.initials: A
authors.lastname: Yang
authors.forename: Wen-Ya
authors.initials: WY
authors.lastname: Lee
authors.forename: Kathy
authors.initials: K
authors.lastname: Hocking
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007087:Illinois / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000401:mortality / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D015995:Prevalence; D006435:Renal Dialysis; D016896:Treatment Outcome