Continence management in acute stroke: a survey of current practices in Australia

Jordan, Louise-Anne; Mackey, Elizabeth A.; Coughlan, Kelly; Wyer, Mary; Allnutt, Nissa; Middleton, Sandy

doi:10.1111/j.1365-2648.2010.05480.x

Cited by 30 publications

(32 citation statements)

References 21 publications

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“…Other trials also support adopting a structured approach to regain continence including work by Herr‐Wilbert et al. which demonstrated a 67% success rate in regaining continence within 30 days of stroke, using individually tailored interventions after a nurse‐led assessment process .…”

Section: Interventionsmentioning

confidence: 99%

Post-stroke urinary incontinence

2013

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Section: Interventionsmentioning

confidence: 99%

Post-stroke urinary incontinence

2013

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“…bladder training) as first-line therapy for both men and women. However, despite the availability of clinical guidelines, UK national audit data suggest incontinence is often poorly managed (Intercollegiate Stroke Working Party, 2012;Jordan et al, 2011). In the latest Sentinel Stroke National Audit Programme (Royal College of Physicians, 2014), 17% of incontinent patients did not have a plan for continence management within three weeks of arrival, a statistic described by the authors as "terrible".…”

Section: Introductionmentioning

confidence: 99%

Implementing a Systematic Voiding Program for Patients With Urinary Incontinence After Stroke

et al. 2016

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We explored health professionals' views of implementing a systematic voiding program (SVP) in a multi-site qualitative process evaluation in stroke services recruited to the intervention arms of a cluster randomized controlled feasibility trial during 2011-13. We conducted semistructured group or individual interviews with 38 purposively selected nursing, managerial and care staff involved in delivering the SVP. Content analysis of transcripts used normalization process theory as a pre-specified organization-level exploratory framework. Barriers to implementing the SVP included perceived lack of suitability for some patient groups; patient fear of extending hospital stay; and difficulties with SVP enactment, scheduling, timing, recording, and monitoring. Enablers included the guidance provided by the SVP; patient and relative involvement; extra staff; improved nursing skill and confidence; and experience of success.Three potential mechanisms of consistency, visibility, and individualization linked the SVP process with improvements in outcome, and should be emphasized in SVP implementation.

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“…In addition, many medical staff members did not know about the clinical importance of urinary incontinence, so they might have failed to record urinary incontinence, so the frequency of urinary incontinence in the patients with SAH was low. [1025] Lawrence et al . prospectively collected data focusing on urinary incontinence at any time during hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Significance of urinary incontinence, age, and consciousness level on arrival among patients with stroke

Yanagawa

Yoshihara

Katô

et al. 2013

J Emerg Trauma Shock

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Purpose:We retrospectively investigated prognostic factors including urinary incontinence on arrival among the patients with stroke.Materials and Methods:A medical chart review was retrospectively performed for patients with stoke admitted between January 2010 and December 2010 in Ken-o Tokorozawa Hospital which had stroke care unit. The subjects were divided into a control group (functional outcome with modified Rankin scale (mRS) 0-3 at 3 months) and a poor group (severe disability or death, mRS 4-6).Results:There were 160 cases that had favorable outcome (the Control group) and 77 cases that had poor outcome (the Poor group). There were no significant differences between the two groups concerning the sex ratio, systolic blood pressure, heart rate, temperature, ratio of diabetes mellitus. However, the average age, ratio of hemorrhagic stroke, ratio of patients with a previous stroke, ratio of urinary incontinence upon admission, and duration of hospitalization in the Poor group was significantly higher than in the Control group. The Glasgow Coma Scale upon admission and ratio of hypertension in the Poor group were significantly lower than that in the Control group. Using a multiple logistic regression analysis, urinary incontinence (odds ratio, 3.17; 95% confidence interval, 1.45-6.93; P = 0.002), age (odds ratio, 1.04; 95% confidence interval, 1.01-1.07; P = 0.003) and Glasgow Coma Scale (odds ratio, 0.87; 95% confidence interval, 0.78-0.97; P = 0.01) were found to be factors independently associated with a poor outcome.Conclusion:Among the patients with strokes, the presence of urinary incontinence on arrival, the old age, and the level of consciousness are important prognostic factors. Physicians should therefore check for these factors when evaluating a patient who has experienced a stroke or suspected stroke.

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Continence management in acute stroke: a survey of current practices in Australia

Cited by 30 publications

References 21 publications

Post-stroke urinary incontinence

Post-stroke urinary incontinence

Implementing a Systematic Voiding Program for Patients With Urinary Incontinence After Stroke

Significance of urinary incontinence, age, and consciousness level on arrival among patients with stroke

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