Prevalence and impact of arthritis among nursing home residents

Abstract

Objective: To determine the prevalence, characteristics, and impact of arthritis in the US nursing home population.

Methods: A national cross sectional sample of US nursing homes (8138 sampled residents in 1406 nursing homes) from the 1997 National Nursing Home Survey provided demographic and functional characteristics for residents with primary arthritis, any arthritis, or no arthritis diagnosis at admission.

Results: Of the estimated 1.6 million current nursing home residents in 1997, only 43,000 (3%) had a primary and 300,000 (19%) had any arthritis diagnosis at admission. People with a primary or any arthritis diagnosis received physical/occupational therapy, used wheelchairs and walking aids, and needed assistance with walking and transferring more often than those with no arthritis diagnosis.

Conclusions: These national estimates suggest that arthritis is underreported in nursing home residents. Because arthritis contributes to an increased physical burden on staff and decreased functional capability of residents, both staff and residents can benefit from better diagnosis, intervention, and education.

Figures

Figure 1

Use of services, equipment, and assistance needs of nursing home residents by arthritis diagnostic subset, US, 1997 National Nursing Home Survey. PT, physical therapy; OT, occupational therapy. *Use walking aids such as cane, crutch, or wheelchair. Significant difference p = 0.05 by diagnosis category.