A cost-effectiveness study of the management of intractable urinary incontinence by urinary catheterisation or incontinence pads.

Abstract

Study objective-The aim was to compare the costs and effects of management of intractable urinary incontinence by urinary catheterisation or incontinence pads.Design-This was a prospective, randomised study comparing catheterisation with pads, supplemented by additional data collected from patients with chronic indwelling catheters.

Costs of managing urinary and faecal incontinence in a sub‐acute care facility: A “bottom‐up” approach

“…Cost data at the individual patient level were also included by Schnelle [1990] who compared the costs of prompted voiding to the costs of single pad and bed sheet changes. McMurdoe et al [1992] costed the nursing sta¡ time plus consumable costs of urinary catheterisation compared to continence pads. None of these studies reported detailed individual costs of care over multiple 24 hr periods in a consecutive series of patients, and the cost of faecal incontinence was not considered separately.…”

Incontinence Pad Use in Patients Admitted to Medical Wards

“…Incontinence pads may be used for bedridden patients, for patients who experience significant difficulty moving onto a toilet, or due to lack of adequate staffing needed to toilet residents with limited mobility. 11 While proper and improper use of incontinence pads has been documented in residential care, home care, and in nursing homes, [1][2][3][4] no studies have yet been conducted to assess the risk of using incontinence pads in patients admitted to acute-care facilities. The use of incontinence pads also affects caregivers, who may need to devote additional time for preventive skin management, pad application, and pad changes.…”

Systematic review of the effectiveness of urinary continence products

“…91,92 Nurses favored bed pads because they perceived the risk of urinary tract infection to be greater with catheters. 91 Another study compared indwelling internal and condom catheters.…”

“…91,92 Nurses favored bed pads because they perceived the risk of urinary tract infection to be greater with catheters. 91 Another study compared indwelling internal and condom catheters. 97 In that study, patients found the urinary catheters to be less comfortable and more restricting, but nurses believed that they were easier to care for than penile sheaths.…”

“…All the identified research concerned bed pads, and none was found about chair pads. Some studies showed that bed pads were an effective means of containing urine loss, 54,60,[87][88][89][90][91][92] particularly for bedridden people, those with limited mobility, or for night use. There was no demonstrable risk of cross-infection from reused bed pads laundered according to the hospital's standard soiled linen procedure.…”