Impact of urinary incontinence after stroke: Results from a prospective population‐based stroke register

Kolominsky-Rabas, Peter; Hilz, M. J.; Neundoerfer, Bernhard; Heuschmann, Peter U.

doi:10.1002/nau.10114

Cited by 123 publications

(142 citation statements)

References 26 publications

(25 reference statements)

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“…As such this rate is within the range expected for stroke survivors in a period of approximately three years following the stroke incident. 12 In the Erlangen Stroke Project, 13 which covers the same geographical area as here, the mortality rate among a representative sample of stroke survivors who survived for one month was 35% for the same period (PL Kolominsky-Rayas, Frenchay Arm Test 6 for testing the functionality of the upper extremities. Ashworth Spasticity Scale as modified by Bohannon and Smith 7 for testing the functionality of the lower extremities.…”

Section: Discussionmentioning

confidence: 99%

Long-term effects of the intensification of the transition between inpatient neurological rehabilitation and home care of stroke patients

Gräsel

Schmidt²,

Biehler

et al. 2006

Clin Rehabil

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Objective: To investigate an intensified transition concept between neurological inpatient rehabilitation and home care for long-term effects on the care situation two and a half years after stroke patients' discharge. Design: Controlled clinical trial allocating patients to intervention group (intensified transition on ward II) or control group (standard transition on ward I); patients were allocated to whichever ward had a vacancy. The last follow-up assessment was carried out on average 31 months after discharge. Intervention: The intensified transition concept consisted of therapeutic weekend care, bedside teaching and structured information for relatives during the second phase of the rehabilitation. Subjects: Seventy-one patients and their family carers were included, of which one case dropped out. Therefore 70 family carers Á 35 individuals in each group Á were available for assessment at long-term follow-up. Data collection: Family carers were asked via telephone whether the patient was still alive and if so, where he or she is living Á at home or in a nursing home. Statistical methods: Binary logistic regression analysis with the care situation (home care versus institutionalized care or deceased) as dependent variable. Results: Two and a half years after discharge (T3) in the intervention group significantly fewer patients were institutionalized (2 versus 5) or deceased (4 versus 11) (P 0/0.010). Multivariate analysis showed that besides a higher functional life quality at discharge and lower patient's age, the participation in the intensified transition programme is the third significant predictor for home care at T3. Conclusion: Effects of an intensified transition programme can persist over a long-term period. They can sustain home care by reducing institutionalization and mortality.

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Section: Discussionmentioning

confidence: 99%

Long-term effects of the intensification of the transition between inpatient neurological rehabilitation and home care of stroke patients

Gräsel

Schmidt²,

Biehler

et al. 2006

Clin Rehabil

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“…100 Poststroke urinary incontinence must also be addressed given that when persistent and associated with other disabilities and institutionalization, it is a strong predictor of survival and recovery at 3 months. 290,291 Management choices are based on the type of poststroke incontinence (eg, neurogenic bladder, urinary retention, hyperreflexia with urge incontinence). Because few RCTs have evaluated treatments for poststroke urinary incontinence, Borrie 292 advocated a stepwise approach; that is, nursing should initiate management via a behavioral bladdertraining program (eg, offering the commode, bedpan, or urinal every 2 hours while the patient is awake and every 4 hours at night; limiting fluids in early evening), progressing to medication only when needed, and as a last alternative, surgical intervention.…”

Section: Bladder and Bowel Issuesmentioning

confidence: 99%

Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient

Miller¹,

Murray²,

Richards³

et al. 2010

Stroke

672

412

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confidence: 99%

“…1,2 One year after stroke, approximately one third of these individuals remain incontinent. 2,3 UI is a strong predictor of functional recovery, 4 discharge destination, 4 and resumption of social participation. 5 There are 3 poststroke UI disorders that can be affected by occupational therapy and/or physical therapy intervention: urge (UUI), functional (FUI), and stress (SUI).…”

mentioning

confidence: 99%

Urinary Incontinence After Stroke

Dumoulin

Korner‐Bitensky

Tannenbaum

2007

Stroke

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Background and Purpose-Urinary incontinence (UI) is a common and distressing problem after stroke. Although there is evidence of new, effective UI poststroke rehabilitation intervention, it is unknown whether occupational therapists (OTs)' and physical therapists (PTs)' actual practices reflect best practices. We sought to determine the extent to which OTs and PTs identify, assess, and treat UI after stroke and to identify personal and organizational predictors of UI problem identification, best-practice assessment, and intervention. Methods-Six hundred sixty-three OTs (93% participation rate) and 656 PTs (87% participation rate) working in stroke rehabilitation in Canada were randomly selected and interviewed with a telephone-administered questionnaire. Each responded to a series of open-ended questions related to a generated case (vignette) of a typical client with stroke who was experiencing UI. Results-Only 39% of OTs and 41% of PTs identified UI after stroke as a problem. Fewer than 20% of OTs and 15% of PTs used best-practice assessments, and only 2% of OTs and 3% of PTs used best-practice interventions. Working in Ontario, having allocated learning time, and doing university teaching were among the variables explaining between 6% and 9% of the variability in UI identification and assessment. Conclusions-Canadian OTs and PTs do not routinely identify poststroke UI as a problem, and best-practice assessments and interventions are underused.

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Impact of urinary incontinence after stroke: Results from a prospective population‐based stroke register

Abstract: On admission in the acute stage, more than 50% of an unselected stroke population have UI. The proportion declines to one third of the surviving patients at 12 months. Stroke survivors who are incontinent in the acute stage have an fourfold higher risk to be institutionalised after 1 year.

Cited by 123 publications

References 26 publications

Long-term effects of the intensification of the transition between inpatient neurological rehabilitation and home care of stroke patients

Long-term effects of the intensification of the transition between inpatient neurological rehabilitation and home care of stroke patients

Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient

Urinary Incontinence After Stroke

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