Prevalence, Trends, and Risk Factors for Fecal Incontinence in United States Adults, 2005–2010

Ditah, Ivo; Devaki, Pardha; Luma, Henry Namme; Ditah, Chobufo; Njei, Basile; Jaiyeoba, Charles; Salami, Augustine; Ditah, Calistus; Ewelukwa, Oforbuike; Szarka, Lawrence A.

doi:10.1016/j.cgh.2013.07.020

Cited by 168 publications

(154 citation statements)

References 46 publications

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“…While several studies carried out in community settings show the association of FI with age and the female gender, the findings of this study reveal that health conditions seem to be more relevant than sociodemographic characteristics in NH settings (Ditah et al, 2014;Melville, Fan, Newton, & Fenner, 2005;Shamliyan et al, 2009;Whitehead et al, 2009). No association was verified between the variables related to NH, such as the length of stay, and FI, which could be due to the fact that elderly in Brazil are not commonly institutionalized for a short recovery period of time with the objective of returning to the community, and frequently the elderly are already admitted in a general poor health state (Jerez-Roig, Santos, Amaral, & Lima, 2015).…”

Section: Discussionmentioning

confidence: 44%

Prevalence of fecal incontinence (FI) and associated factors in institutionalized older adults

Jerez-Roig

Souza

Amaral

et al. 2015

Archives of Gerontology and Geriatrics

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The objective of this work is to determine the prevalence of FI and associated factors in institutionalized elderly. A cross-sectional study is presented herein, conducted between October and December 2013, in 10 nursing homes (NHs) of the city of Natal (Northeast Brazil). Individuals over the age of 60 were included in the study, while those hospitalized or in terminal phase were excluded. Data collection included sociodemographic information, FI characterization, as well as variables related to the institution itself and to health conditions (comorbidities, medication, pelvic floor surgery, Barthel Index for functional capacity and Pfeiffer test for cognitive status). FI was verified through the Minimum Data Set (MDS) 3.0, which was also used to assess toileting programs. The Chi-square test and the linear Chi-square test were performed for bivariate analysis, as well as logistic regression for multivariate analysis. The final sample consisted of 321 elderly, mostly females, with mean age of 81.5 years. The prevalence of FI was 42.68% (CI 95%, 37.39-48.15). Most residents presenting FI were always incontinent (83.9%) and the most frequent incontinence type was total FI (solid and liquid stools). Incontinence control measures were applied only to 9.7% of the residents. The final model revealed a statistically significant association between FI and functional and cognitive impairments. It is concluded that FI is a health issue that affects almost half of the institutionalized elderly, and is associated with functional and cognitive disability.

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Section: Discussionmentioning

confidence: 44%

Prevalence of fecal incontinence (FI) and associated factors in institutionalized older adults

Jerez-Roig

Souza

Amaral

et al. 2015

Archives of Gerontology and Geriatrics

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“…Another interesting finding in our study is that splitdose 2L-PEGA did not result in greater sleep disturbance or fecal urgency/incontinence, which represent potential barriers to split-dose PEG preparation in elderly persons, as about 50% have sleep problems [32] and 16% of people aged over 70 have fecal incontinence [33] . An early morning dose of split-dose regimens can give rise to sleep disturbance (patients scheduled for early morning procedures may be unwilling to get up during the night to take the second dose of laxatives), or fecal incontinence (an episode of fecal soiling while traveling to the endoscopy center)/urgency [3,6] .…”

Section: Discussionmentioning

confidence: 70%

Low-Volume Polyethylene Glycol with Ascorbic Acid for Colonoscopy Preparation in Elderly Patients: A Randomized Multicenter Study

et al. 2016

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Background: Minimal data exist regarding the use of low-volume purgatives for elderly (≥65 years) patients. We aimed to investigate the bowel-cleansing efficacy and patient tolerability of split-dose 2 liters (L)-polyethylene glycol with ascorbic acid (2L-PEGA) in elderly outpatients undergoing colonoscopy. Methods: Patients who underwent morning colonoscopies were randomly assigned to one of 3 arms: single-dose 4L-PEG on the day before colonoscopy; split-dose 4L-PEG; or split-dose 2L-PEGA. The quality of bowel preparation was assessed using the Boston Bowel Preparation Scale (BBPS). Results: Of 230 patients enrolled, 198 were analyzed. The proportion of adequate bowel preparations in split-dose 2L-PEGA was higher than that in single-dose 4L-PEG (92.1 vs. 75.0%, p = 0.009) and similar to split-dose 4L-PEG. The mean BBPS scores for global and right colon preparation in the split-dose 2L-PEGA were comparable to split-dose 4L-PEG but higher than those in the single-dose 4L-PEG. The proportion of patients who ingested the entire volume of solution in 2L-PEGA was higher than that in single-dose 4L-PEG (96.8 vs. 80.9%, p = 0.011). Patients receiving 2L-PEGA expressed more willingness to repeat the same preparation than other groups. The rate of adverse events did not differ among the 3 groups. Conclusions: Split-dose 2L-PEGA was an effective, safe, and comfortable method for colonoscopy preparation in elderly outpatients.

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“…여성의 변실금 유병률은 국가별로 약 8~11%로 다르게 제 시되고 있다 [13][14][15][16][17] 그리고 변실금을 유발시키는 요인들에 대 해서는 많은 선행연구들에서 여성의 분만력 [15,16,18]과 연 령 [14,17,19]을 제시하였고, 이외에도 뇌졸중, 일과성 허혈발 작, 치매, 만성간염 [16], 당뇨 [13,20] …”

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A Study on Fecal Incontinence and Depression of Rural Women

Kim

Lee

Kim

2014

J Korean Acad Community Health Nurs

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Prevalence, Trends, and Risk Factors for Fecal Incontinence in United States Adults, 2005–2010

Cited by 168 publications

References 46 publications

Prevalence of fecal incontinence (FI) and associated factors in institutionalized older adults

Prevalence of fecal incontinence (FI) and associated factors in institutionalized older adults

Low-Volume Polyethylene Glycol with Ascorbic Acid for Colonoscopy Preparation in Elderly Patients: A Randomized Multicenter Study

A Study on Fecal Incontinence and Depression of Rural Women

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