Drug-Induced Acute Urinary Retention #287

Teuteberg, Winifred

doi:10.1089/jpm.2015.1010

Cited by 3 publications

(1 citation statement)

References 9 publications

(8 reference statements)

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“…It was also noted in a cross-sectional study that the number of drugs used was identified as a risk factor for bladder dysfunction [ 6 ]. The impact of comorbidities,such as diabetes mellitus, hypertension, and cerebrovascular disease and/or medications such as diuretics, antipsychotics, antidepressants, anticholinergics, calcium channel blockers, and alpha-adrenergic agonists on bladder function may lead to the development of rLUTIs [ 55 ]. Likewise, multimorbidity is a factor that increases susceptibility to infection.…”

Section: Discussionmentioning

confidence: 99%

Recurrent lower urinary tract infections: more than an infection for older women

GANİDAĞLI,

ÖZTÜRK,

ÖZTÜRK

2023

Turkish Journal of Medical Sciences

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Background/aim Older adults tend to have more urinary tract infections (UTIs). The frequency of recurrent lower urinary tract infections (rLUTIs) increases with age. rLUTIs are associated with long-term chronic effects on geriatric syndromes in older adults. We aimed to investigate possible risk factors that influence rLUTIs in older adults based on comprehensive geriatric assessment (CGA). Materials and methods This cross-sectional study included 235 older adults admitted to Gaziantep University’s Geriatric Outpatient Clinic between June 1 and November 30, 2022. All patients underwent CGA. The Geriatric Depression Scale (GDS), the European Quality of Life-Five Dimension (EQ-5D) questionnaire, the Pittsburgh Sleep Quality Index (PSQI), the Katz Index of Activities of Daily Living (ADL), the Lawton and Brody Index of Instrumental Activities of Daily Living (IADL), and the Mini Nutritional Assessment (MNA) tool were,administered. Handgrip strength (HGS) and gait speed were also measured, and the number of falls in the last year was recorded. Results The mean age of the participants was 72.8 ± 6.8 years and 61.3% were female. Sixty-four patients had rLUTIs. The rLUTI group had higher frequencies of sarcopenia, hypertension, and diabetes; higher numbers of comorbidities and medications; higher GDS and PSQI scores; and more reported falls. They had lower ADL, MNA, EQ-5D, and gait speed scores. HGS was found to be lower in women with rLUTIs. Higher numbers of comorbidities and GDS scores and lower HGS were independent predictors of rLUTIs in women (p = 0.011, OR: 1.75; p = 0.018, OR: 1.14; and p = 0.042, OR: 0.91, respectively). Conclusion We revealed that decreased HGS, higher GDS, and the number of comorbidities in older women were independent risk factors for rLUTIs. Our findings offer a new perspective on the importance of CGA in diagnosing and preventing rLUTIs.

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Section: Discussionmentioning

confidence: 99%

Recurrent lower urinary tract infections: more than an infection for older women

GANİDAĞLI,

ÖZTÜRK,

ÖZTÜRK

2023

Turkish Journal of Medical Sciences

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Potentially inappropriate prescriptions of anticholinergic drugs in patients with benign prostatic hyperplasia

Valladales‐Restrepo

Machado‐Alba

2019

The Aging Male

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Bladder Care in Palliative Care Inpatients: A Prospective Dual Site Cohort Study

Pais

Lee

Cross

et al. 2020

Palliative Medicine Reports

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Background: Urinary catheterization is often undertaken to relieve distressing bladder symptoms in palliative care. Objective: The primary aim of this study was to determine the incidence of, and clinical indications that predispose patients admitted to palliative care units to, urinary catheterization. The secondary aims were to determine causal factors, including the type of malignancy, antecedent medications, and duration of admission in these patients. Methods: This was a prospective observational dual site cohort study in palliative care inpatients. Univariate categorical chi-square analysis was performed to compare patients with and without urinary catheterization, and to identify risk factors associated with urinary catheter use. Results: The incidence of catheterization in this cohort was 41% (43/104) and urinary retention (63%) was the most common cause. Agitation (47%) and urinary incontinence (70%) were common symptoms in those catheterized. Medications that were significantly associated with the need for urinary catheterization were benzodiazepines (p < 0.01) and antipsychotics (p = 0.01). All measures that define poor functional status were found to be significant (p < 0.01). Patients with prolonged hospitalization of greater than three weeks were catheterized more frequently (p = 0.017). The majority of patients catheterized (79%) were admitted for terminal care. Conclusions: The high incidence of urinary catheterization highlights the need for good bladder care for all patients in the palliative care setting. Patients with risk factors include the use of antipsychotics and benzodiazepines, declining functional status and prolonged hospital admission are more likely to be catheterized.

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Drug-Induced Acute Urinary Retention #287

Cited by 3 publications

References 9 publications

Recurrent lower urinary tract infections: more than an infection for older women

Recurrent lower urinary tract infections: more than an infection for older women

Potentially inappropriate prescriptions of anticholinergic drugs in patients with benign prostatic hyperplasia

Bladder Care in Palliative Care Inpatients: A Prospective Dual Site Cohort Study

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