Incidence and outcome of poststroke urinary retention: A prospective study

Kong, Keng-He; Young, Sherry

doi:10.1053/apmr.2000.9630

Cited by 92 publications

(88 citation statements)

References 8 publications

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“…Urinary retention was found as high as 44% in another study (Kong and Young, 2000). The authors suggested diabetic cystopathy as cause, and they believed retention to be a transient phenomenon that should be followed by postvoid residual screening in all patients immediately after stroke (Kong and Young, 2000). Another study reported high frequency of pneumonia in older patients with stroke and diabetes (30%).…”

Section: Discussionmentioning

confidence: 95%

“…Urinary retention, pneumonia and epileptic seizures were significantly more frequent among our patients with diabetes mellitus. Urinary retention was found as high as 44% in another study (Kong and Young, 2000). The authors suggested diabetic cystopathy as cause, and they believed retention to be a transient phenomenon that should be followed by postvoid residual screening in all patients immediately after stroke (Kong and Young, 2000).…”

Section: Discussionmentioning

confidence: 95%

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Impact of Diabetes Mellitus on 1867 Acute Ischemic Stroke Patients. A Bergen NORSTROKE Study

Nacu

Thomassen²,

Fromm³

et al. 2015

DIAB

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Objective: Our aim was to compare the clinical characteristics including risk factors, comorbidities, short-term outcome and long-term mortality in acute ischemic stroke patients with or without diabetes mellitus. Methods: This study includes all consecutive patients with acute ischemic stroke admitted to the Stroke Unit, Department of Neurology, Haukeland University Hospital between February 2006 and January 2012. The National Institute of Health Stroke Scale (NIHSS) was used to assess stroke severity on admission. Short-term outcome was determined by the modified Rankin scale (mRS), NIHSS, and Barthel index on day 7 after stroke onset. First emergency readmission < 12 months after discharge was registered. Survival state was obtained by consulting the official population registry. Results: In total, 1867 patients of which 283 (15%) patients had diabetes mellitus. Relative frequency of diabetes mellitus according to age showed and inverse U-shape with highest frequency at 75-80 years for males, whereas the frequency was independent of age among females. More males than females had diabetes mellitus. Patients with diabetes mellitus more often had myocardial infarction, angina pectoris, hypertension (all P<.001), and higher total risk factor burden (P<.001). Patients with diabetes mellitus had worse short-term outcome (P<0.001) and long-term mortality was increased. Patients with diabetes mellitus had more frequent first emergency readmission within 90 days (P=0.044). Conclusions: Stroke patients with diabetes mellitus have significantly more traditional risk factors. Short-term outcome and long-term mortality were worse. Relative frequencies of diabetes mellitus and age differed between males and females.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 95%

Impact of Diabetes Mellitus on 1867 Acute Ischemic Stroke Patients. A Bergen NORSTROKE Study

Nacu

Thomassen²,

Fromm³

et al. 2015

DIAB

View full text Add to dashboard Cite

show abstract

“…936 UTIs are common, occurring in 15% to 60% of stroke patients; they independently predict worse outcomes and can lead to bacteremia or sepsis as a potential complication. 874,931,[937][938][939] Urinalysis for evidence of infection should be performed whenever a patient develops a fever after stroke. Some patients, especially those with major impairments, are at high risk for urinary incontinence.…”

Section: Infectionsmentioning

confidence: 99%

Guidelines for the Early Management of Patients With Acute Ischemic Stroke

Jauch¹,

Saver²,

Adams³

et al. 2013

Stroke

5,338

1,801

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Background and Purpose-The authors present an overview of the current evidence and management recommendations for evaluation and treatment of adults with acute ischemic stroke. The intended audiences are prehospital care providers, physicians, allied health professionals, and hospital administrators responsible for the care of acute ischemic stroke patients within the first 48 hours from stroke onset. These guidelines supersede the prior 2007 guidelines and 2009 updates. Methods-Members of the writing committee were appointed by the American Stroke Association Stroke Council's Scientific Statement Oversight Committee, representing various areas of medical expertise. Strict adherence to the American Heart Association conflict of interest policy was maintained throughout the consensus process. Panel members were assigned topics relevant to their areas of expertise, reviewed the stroke literature with emphasis on publications since the prior guidelines, and drafted recommendations in accordance with the American Heart Association Stroke Council's Level of Evidence grading algorithm. Results-The goal of these guidelines is to limit the morbidity and mortality associated with stroke. The guidelines support the overarching concept of stroke systems of care and detail aspects of stroke care from patient recognition; emergency medical services activation, transport, and triage; through the initial hours in the emergency department and stroke unit. The guideline discusses early stroke evaluation and general medical care, as well as ischemic stroke, specific interventions such as reperfusion strategies, and general physiological optimization for cerebral resuscitation. The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest. Guidelines for the Early Management of PatientsThis statement was approved by the American Heart Association Science Advisory and Coordinating Committee on December 12, 2012. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The Executive Summary is available as an online-only Data Supplement with this article at http://stroke.ahajournals.org/lookup/suppl/ doi:10.1161/STR.0b013e318284056a/-/DC1.The American Heart Association requests that this document be cited as follows: Jauch EC, Saver JL, Adams HP Jr, Bruno A, Connors JJ, Demaerschalk BM, Khatri P, McMullan PW Jr, Qureshi AI, Rosenfield K, Scott PA, Summers DR, Wang DZ, Wintermark M, Yonas H; on behalf of the American Heart Association Stroke Council, Council on Cardio...

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“…Bladder dysfunction is common in stroke patients and evaluation of bladder function and management of the disorders should be recognized as part of the routine rehabilitation [1,2,3,4,5]. Urinary symptoms are associated with disability and are reported to have a considerable impact on the lives of stroke survivors [6,7,8,9].…”

Section: Introductionmentioning

confidence: 99%

“…Urinary incontinence has been reported in 47% of the stroke patients in the acute phase and in 19% of the patients at 6-month follow-up [5]. Urinary retention has been reported in 47% of the stroke patients within 72 h of the cerebrovascular accident [3] and in 29% of them within 4 weeks of the stroke [4]. Urinary symptoms such as frequency and nocturia and a significantly higher rate of urinary tract infections are seen in patients with urinary retention or incomplete bladder emptying [1, 4].…”

Section: Introductionmentioning

confidence: 99%

Bladder Storage and Emptying Disorder Frequencies in Hemorrhagic and Ischemic Stroke Patients with Bladder Dysfunction

Ersöz

Tunç²,

Akyuz³

et al. 2005

Cerebrovasc Dis

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Background: Bladder dysfunction is common in stroke patients and it has a considerable impact on their lives. The objective of this study was to investigate the frequencies of urine storage and emptying disorders in hemorrhagic and ischemic stroke patients with persistent bladder dysfunction. Methods: A total of 48 stroke patients who underwent urodynamic tests because of persistent bladder dysfunction were evaluated retrospectively. Urine storage and emptying disorder frequencies were determined and compared in hemorrhagic and ischemic stroke subgroups. Results:Storage disorder frequencies were 73.3 and 63.6% in hemorrhagic and ischemic stroke groups, respectively (p > 0.05), while emptying disorder frequencies were 13.3 and 51.5% (p < 0.02). Conclusions: Evaluation of the stroke type may be helpful in the determination of the type of urinary dysfunction and in choosing the appropriate bladder management strategy, but further studies with larger sample sizes are needed.

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Incidence and outcome of poststroke urinary retention: A prospective study

Cited by 92 publications

References 8 publications

Impact of Diabetes Mellitus on 1867 Acute Ischemic Stroke Patients. A Bergen NORSTROKE Study

Impact of Diabetes Mellitus on 1867 Acute Ischemic Stroke Patients. A Bergen NORSTROKE Study

Guidelines for the Early Management of Patients With Acute Ischemic Stroke

Bladder Storage and Emptying Disorder Frequencies in Hemorrhagic and Ischemic Stroke Patients with Bladder Dysfunction

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