Seguimiento durante 5 años de la incontinencia urinaria en los ancianos de una población rural española

Iglesias, Federico; Ocerín, J.M. Caridad y; Muñoz, J.B. Guerrero; Pérez, Maite; López, M. Romero; Aranguren, Marín

doi:10.1157/13071911

Cited by 7 publications

(3 citation statements)

References 23 publications

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“…All but three [ 31 , 33 , 48 ] out of 38 studies (92.1%) found a positive association between UI and death in unadjusted analysis. However some studies considered the association between death and UI along with other geriatric symptoms [ 15 , 25 , 29 ] or together with faecal incontinence [ 41 , 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…Information on the diagnosis of UI was lacking in many articles. In eight studies patients with indwelling urinary catheters were classified as being incontinent of urine [ 6 , 17 , 18 , 23 , 24 , 31 , 45 , 50 ]. However, except for five studies [ 13 , 15 , 28 , 39 , 49 ], most of the other studies gave no information regarding that consideration.…”

Section: Resultsmentioning

confidence: 99%

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Urinary Incontinence as a Predictor of Death: A Systematic Review and Meta-Analysis

et al. 2016

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BackgroundThe association between urinary incontinence (UI) and increased mortality remains controversial. The objective of our study was to evaluate if this association exists.MethodsWe performed a systematic review and meta-analysis of observational studies comparing death rates among patients suffering from UI to those without incontinence. We searched in Medline, Embase and the Cochrane library using specific keywords. Studies exploring the post-stroke period were excluded. Hazard ratios (HR) were pooled using models with random effects. We stratified UI by gender and by UI severity and pooled all models with adjustment for confounding variables.ResultsThirty-eight studies were retrieved. When compared to non-urinary incontinent participants, UI was associated with an increase in mortality with pooled non adjusted HR of 2.22 (95%CI 1.77–2.78). The risk increased with UI severity: 1.24 (95%CI: 0.79–1.97) for light, 1.71 (95%CI: 1.26–2.31) for moderate, and 2.72 (95%CI: 1.90–3.87) for severe UI respectively. When pooling adjusted measures of association, the resulting HR was 1.27 (95%CI: 1.13–1.42) and increased progressively for light, moderate and severe UI: 1.07 (95%CI: 0.79–1.44), 1.25 (95%CI: 0.99–1.58), and 1.47 (95%CI: 1.03–2.10) respectively. There was no difference between genders.ConclusionUI is a predictor of higher mortality in the general and particularly in the geriatric population. The association increases with the severity of UI and persists when pooling models adjusted for confounders. It is unclear if this association is causative or just reflects an impaired general health condition. As in most meta-analyses of observational studies, methodological issues should be considered when interpreting results.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Urinary Incontinence as a Predictor of Death: A Systematic Review and Meta-Analysis

et al. 2016

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“…Nenhum deles utilizou método objetivo para medir a ocorrência de IU, além de utilizarem diferentes perguntas para caracterizar o desfecho. Sobre a população rural, apenas três estudos foram encontrados, [17][18][19] nenhum deles brasileiro.…”

Section: Discussionunclassified

Incontinência urinária entre idosos residentes em área rural de município do sul do Brasil

Dziekaniak¹,

Meucci²,

César³

2019

Geriatr., Gerontol. Aging

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OBJETIVO: Este estudo mediu a prevalência e identificou fatores associados à ocorrência de incontinência urinária (IU) entre idosos (60 anos ou mais) residentes na área rural de Rio Grande, Rio Grande do Sul. MÉTODO: Em abordagem única, entrevistadores visitaram de forma sistemática 80% dos domicílios da área rural desse município entre abril e outubro de 2017. Questionário padronizado foi aplicado aos idosos buscando informações sobre características demográficas, socioeconômicas, hábitos de vida e padrão de morbidade. Utilizou-se como medida de efeito a razão de prevalências (RP), o teste do c 2 para comparar proporções e a regressão do Poisson com ajuste da variância robusta na análise multivariável. RESULTADOS: Entre os 1.028 entrevistados (90,9% do total), 15,9% (IC95% 13,6-18,1) referiu IU. A análise ajustada mostrou que o risco de IU aumenta com a idade e é 3 vezes maior nas pessoas do sexo feminino, com RP = 3,72 (IC95% 2,66-5,21). Perceber seu estado de saúde como regular, ruim ou muito ruim mostrou RP = 1,68 (IC95% 1,25-2,26) e ter duas ou mais comorbidades tem RP = 1,73 (IC95% 1,17-2,55). CONCLUSÃO: Neste estudo, a prevalência de IU foi de 15,9%, sendo significativamente mais prevalente em mulheres, idosos acima de 65 anos, naqueles com duas ou mais morbidades e nos que percebem sua saúde como regular, ruim ou muito ruim. PALAVRAS-CHAVE: idoso; zona rural; incontinência urinária.

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Incontinencia urinaria en mujeres de Mallorca: prevalencia y calidad de vida

Rebassa

Taltavull²,

Gutiérrez

et al. 2013

Actas Urológicas Españolas

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Seguimiento durante 5 años de la incontinencia urinaria en los ancianos de una población rural española

Abstract: Prevalence of UI is high, incidence is moderate and remission is low. Urinary incontinence is a dynamic problem and does not affect mortality. Impaired mobility has a strong influence on UI incidence.

Cited by 7 publications

References 23 publications

Urinary Incontinence as a Predictor of Death: A Systematic Review and Meta-Analysis

Urinary Incontinence as a Predictor of Death: A Systematic Review and Meta-Analysis

Incontinência urinária entre idosos residentes em área rural de município do sul do Brasil

Incontinencia urinaria en mujeres de Mallorca: prevalencia y calidad de vida

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