Factors Associated With Acute Urinary Retention in Thrombolysed Acute Stroke Patients - A Restrospective Cohort Study

Incidence and influencing factors of urinary incontinence in stroke patients: A meta‐analysis

“…Cai Wenzhi 15 found that menopause combined with vaginal delivery OR = 1.748 [95% CI (1.179, 2.592)] in women and prostatic hyperplasia OR = 2.590 [95% CI (1.508, 4.449)] in men were risk factors for the development of urinary incontinence in stroke patients. Wang Jianhong 34 showed that brainstem lesions OR = 4.340 [95% CI (1.261, 14.931)] and cerebellar lesions OR = 3.571 [95% CI (1.209, 10.545)] were risk factors for the development of urinary incontinence in stroke patients.…”

“…The sample size of the studies ranged from 125 to 867 cases, and the cumulative sample size was 7327 cases, including 2887 patients with urinary incontinence. After scoring the 21 papers, the results showed that they were all high‐quality studies, of which 8 14–21 were diagnosed according to the diagnostic criteria for ischemic cerebrovascular disease revised by the Fourth National Cerebrovascular Disease Conference of China and confirmed by CT/NMR, 5 22–26 were diagnosed according to the diagnostic criteria established by the World Health Organization and confirmed by CT/NMR, 6 27–32 were diagnosed only by CT/NMR, and 1 33 studies made the diagnosis according to the China Acute Ischemic Stroke Diagnosis and Treatment Guidelines 2010, and 1 34 did not mention the diagnostic basis.21 manuscripts mentioned the incidence of urinary incontinence, and 15 studies analyzed the related influencing factors, and extracted the influencing factors that appeared ≥2 times in the studies, and a total of 16 influencing factors were extracted, which are detailed in Table 2.…”

“…The effect sizes of 16 influential factors extracted from 15 14,15,18–21,24,25,27,29–34 papers were combined and the results of Meta‐analysis of the factors are detailed in Table 4.…”

“…It was found that there was a high degree of heterogeneity among the eight included 20,24,25,29,30,34 studies on the effect factor of age, so a subgroup analysis was performed, which showed that the risk of urinary incontinence was 1.4 times higher in stroke patients aged >75 than in those aged >60 years, and there were two studies in the included studies, 25,27 which directly included 45‐75 years old Stroke patients were studied and resulted in a combined post effect value of 4.35. In conclusion, degenerative changes in the physiology of the urinary system, reduction in bladder capacity and increase in the amount of residual urine, weakening of the immune system are adverse factors in the occurrence of urinary incontinence after a stroke in the advanced age group.…”