Objective To describe the association between social isolation and urinary incontinence (UI) and fecal incontinence (FI) in older women. Methods We conducted a secondary database analysis of the National Social Life, Health and Aging Project (NSHAP) for women aged 57 to 85 years old. Our primary outcome was self-report of often feeling isolated. We explored self-report of daily UI and weekly FI. Two logistic regression analyses were performed to assess the association between often feeling isolated and 1) daily UI and 2) weekly fecal incontinence. Results A total of 1,412 women were included in our analysis. Daily UI was reported by 12.5% (177/1,412) of community-dwelling older women. More women with daily UI reported often feeling isolated (6.6%, 95% CI [1.3–11.9] vs. 2.6%, 95% [1.7–3.5], p=.04) compared with women without daily UI. Women with daily UI had 3.0 (95% CI 1.1, 7.6) increased odds of often feeling isolated after adjusting for depressive symptoms, age, race, education, and overall health. Weekly FI was reported by 2.9% (41/1,412) of women. Weekly FI and often feeling isolated were associated on univariable analysis (Crude Odds Ratio(OR) = 4.6 (95% CI 1.4, 15.1). However after adjusting for depressive symptoms, age, race, education, and overall health the association between weekly FI and often feeling isolated was not significant (Adjusted OR=0.65 (95% CI 0.1, 5.3, p=0.65)). Conclusion After adjusting for confounders, daily UI was significantly associated with often feeling isolated. Weekly FI was not found to be associated with often feeling isolated on multivariable logistic regression.
Objective Nonobstetric surgery occurs in 1–2/1000 pregnancies. Appendectomy and cholecystectomy are the two most common nonobstetric surgeries performed in pregnant women. The objective of this retrospective cohort study was to utilize the data from the American College of Surgeons National Surgical Quality Improvement Program to estimate major postoperative morbidity after 1) appendectomy in pregnant compared with non-pregnant women and 2) cholecystectomy in pregnant compared with non-pregnant women. Methods We selected a cohort of reproductive aged women undergoing appendectomy and cholecystectomy between 2005 and 2009 from the data files of the American College of Surgeons National Surgical Quality Improvement Program. Outcomes in pregnant women were compared to those in non-pregnant women. The primary outcome was composite 30-day major postoperative complications. Pregnancy-specific complications were not assessed and thus not addressed. Results Pregnant and non-pregnant women had similar composite 30-day major morbidity after appendectomy (3.9% vs. 3.1%, p=0.212) and cholecystectomy (1.8% vs. 1.8%, p=0.954). Pregnant women were more likely to have preoperative systemic infections before each procedure. In logistic regression analysis, pregnancy status was not predictive of increased postoperative morbidity for appendectomy (adjusted odds ratio 1.26, 95% confidence interval 0.87–1.82). Conclusion Pregnancy does not increase the occurrence of postoperative maternal morbidity related to appendectomy and cholecystectomy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.