Prevalencia y principales características de la incontinencia urinaria en la población anciana institucionalizada de Madrid

Villanueva, Begoña Prado; Valdés, Cornelia Bischoffberger; Gama, E Valderrama; Bravo, Coral; Damián, Javier

doi:10.1016/j.regg.2010.08.004

Cited by 8 publications

(12 citation statements)

References 35 publications

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“…The most common type was functional UI, followed by urgency and mixed UI. The frequency of urgency UI found in our study (11%) is in line with that reported in other studies, ranging from8 to 15% (17,31).…”

Section: Discussionsupporting

confidence: 93%

“…Urgency and mixed UI increase with ageing, but in NH residents, who represent the frailest segment of the population, signi cant cognitive and physical di culties reaching and using a toilet mean that functional UI is especially prevalent (30,31). This explains the high proportion of residents with functional UI found in our study (45%), higher than reported in previous literature (20-33%) (17,31). However, the impossibility of interviewing all residents (due to cognitive impairment) and possible in accuracies in information provided by proxy respondents, should be recognised as a limitation.…”

Section: Discussioncontrasting

confidence: 69%

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Urinary incontinence and its associated factors in nursing home residents: a multi-centre cross-sectional study in Central Catalonia

Jerez-Roig¹,

Farrés-Godayol²,

Yildirim³

et al. 2023

Preprint

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Background Urinary incontinence (UI) is a common geriatric syndrome with high health and socio-economic impacts in nursing home (NH) residents. Objectives To verify the prevalence and types of UI and its associated factors in older people living in NHs in Central Catalonia (Spain). We also determined the proportion of residents who were receiving behavioural strategies to prevent/manage UI. Design and setting Cross-sectional study in 5 NHs conducted from January to March 2020. Methods We included consenting residents aged 65 + permanently living in the NHs. Residents who were hospitalized, in a coma or palliative care were excluded. UI was assessed using Section H of the Minimum Data Set. Sociodemographic and health-related variables were examined. Descriptive, bivariate and multivariate (logistic regression) analyses were performed. Results We included 132 subjects (82.6% women), mean age of 85.2 (SD = 7.4) years. The prevalence of UI was 76.5% (95% CI: 68.60-82.93). The most common type was functional UI (45.5%), followed by urgency UI (11.4%). Most sedentary behaviour variables were significant in the bivariate analyses, but none remained in the final model. Moderate-severe cognitive impairment (OR = 4.44, p = .003), anticholinergic activity (OR = 3.50, p = .004) and risk of sarcopenia using SARC-F (OR = 2.75, p = .041) were significantly associated with UI. Only 46.2% of residents received any behavioural strategy to manage UI. Conclusions The prevalence of UI was high in this sample of NH residents compared to the literature, yet less than half received prompted voiding as a strategy to prevent/reduce UI. UI was associated with cognitive impairment, anticholinergic activity, and risk of sarcopenia.

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Section: Discussionsupporting

confidence: 93%

Section: Discussioncontrasting

confidence: 69%

Urinary incontinence and its associated factors in nursing home residents: a multi-centre cross-sectional study in Central Catalonia

Jerez-Roig¹,

Farrés-Godayol²,

Yildirim³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…The categories were: independence (80 points), slight dependence (70-79 points), moderate dependence (31-69 points), and severe dependence (0-30 points). The continence items were excluded as already carried out by Jerez Roig et al and Prado Villanueva et al [33,50].…”

Section: Variables and Instrumentsmentioning

confidence: 99%

Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes

Farrés-Godayol

Jerez-Roig

Minobes-Molina

et al. 2022

IJERPH

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Urinary incontinence (UI) is a common geriatric syndrome affecting bladder health and is especially prevalent in nursing homes (NHs). The aim of the study was to determine the prevalence of UI and its associated factors in five Spanish NHs. UI (measured with Minimum Data Set 3.0.), sociodemographic, and health-related variables were collected. Chi-square (or Fisher’s) or Student’s t-test (or Mann Whitney U) for bivariate analysis were used, with Prevalence Ratio (PR) as an association measure. The prevalence of UI was 66.1% (CI:95%, 53.6–77.2) in incontinent (n = 45, mean age 84.04, SD = 7.7) and continent (n = 23, mean age 83.00, SD = 7.7) groups. UI was significantly associated with frailty (PR = 1.84; 95%CI 0.96–3.53), faecal incontinence (PR = 1.65; 95%CI 1.02–2.65), anxiety (PR = 1.64; 95%CI 1.01–2.66), physical performance (PR = 1.77; 95%CI 1.00–3.11), and cognitive state (PR = 1.95; 95%CI 1.05–3.60). Statistically significant differences were found between incontinent and continent NH residents for limitations in activities of daily living (ADL), mobility, quality of life, sedentary behaviour, and handgrip strength. It can be concluded that two out of three of the residents experienced UI, and significant associated factors were mainly physical (sedentary behaviour, frailty, physical performance, ADL limitations, mobility, faecal incontinence, and handgrip strength) followed by psycho-cognitive factors (cognition, anxiety, and quality of life).

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“…The score categorization is 91-99 slight dependency, 61-90 moderate dependency, 21-60 severe dependency and 0-20 total dependency. The continence items were excluded as already carried out by Jerez Roig et al and Prado Villanueva et al [34,52].…”

Section: Variables and Instrumentsmentioning

confidence: 99%

Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes

Farrés-Godayol¹,

Jerez-Roig²,

Minobes-Molina³

et al. 2022

Preprint

View full text Add to dashboard Cite

Urinary incontinence (UI) is a common geriatric syndrome affecting bladder health and is especially prevalent in nursing homes (NHs). The aim of the study was to determine the prevalence of UI and its associated factors in 5 Spanish NHs. UI (measured with Minimum Data Set 3.0.), sociodemographic and health-related variables were collected. Chi- square (or Fisher’s) or Student’s t-test (or Mann Whitney U) for bivariate analysis were used, with Prevalence Ratio (PR) as an association measure. The prevalence of UI was 66.1% (CI:95%, 53.6–77.2) and was significantly associated with frailty (PR 1.84; 95%CI 0.96–3.53), faecal incontinence (FI) (PR 1.65; 95%CI 1.02–2.65), anxiety (PR 1.64; 95%CI 1.01–2.66), physical performance (PR 1.77; 95%CI 1.00–3.11) and cognitive state (PR 1.95; 95%CI 1.05–3.60). Statistically significant differences between incontinent-continent groups were found for activities of daily living (ADL) limitations, mobility, quality of life, sedentary behaviour (SB) and handgrip strength. It can be concluded that 2/3 of the residents experienced UI, and its significant associated factors were mainly physical (SB, frailty, physical performance, ADL limitations, mobility, FI and handgrip strength) followed by psycho-cognitive factors (cognition, anxiety and quality of life).

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Prevalencia y principales características de la incontinencia urinaria en la población anciana institucionalizada de Madrid

Cited by 8 publications

References 35 publications

Urinary incontinence and its associated factors in nursing home residents: a multi-centre cross-sectional study in Central Catalonia

Urinary incontinence and its associated factors in nursing home residents: a multi-centre cross-sectional study in Central Catalonia

Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes

Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes

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