287: Risk factors of chronic kidney disease in nursing home residents

Conference: 
Author(s): 
L.H. Chen 1, C.F. Mu 2, C.Y. Hsu2
1 Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan; 2 Department of Community Medicine, Puli Christian Hospital, Puli, Taiwan
Text: 
Objective: The prevalence of end-stage renal disease (ESRD) in Taiwan is the highest in the world, haemodialysis accounts about 7% of the expenditure of the National Health Insurance. However, those who with chronic kidney disease (CKD) in nursing home have not identified yet. The objective of this study is to investigate the risk factors of CKD in nursing home.
Method: The residents from 3 nursing home, who received health examination between January and June 2012, age 55 years or greater were enrolled in this study. None of them received haemodialysis or kidney transplantation. They were categorized into two subgroups according to estimated glomerular filtration rate (GFR): Results: Among 53 nursing home residents (17 males, 36 females), 16 (30.3%) had estimated GFR below 60 ml/min, and 9 (56.3%) of them had BMI higher than 25 kg/m2. The residents with advanced CKD had significantly higher BMI, waist circumference, triglyceride and lower high-density lipoprotein cholesterol (HDL-C). Central obesity was observed in 10 (62.5%) with advanced CKD.
Conclusion: Higher BMI, waist circumference, triglyceride and lower HDL-C are risk factors for nursing home residents with advanced CKD. Monitoring BMI and waist circumference is a simple but effective way to suspect presence of CKD.

Disclosure: No conflict of interest declared