Urinary Incontinence in Nursing Home Residents: A Cross-National Comparison

Sgadari, Antonio; Topinková, Eva; Björnson, J.; Bernabei, Roberto

doi:10.1093/ageing/26.suppl_2.49

Cited by 51 publications

(42 citation statements)

References 15 publications

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“…[13][14][15][16][17][18] Cognitive impairment precedes urinary incontinence by approximately 6 years in Alzheimer's disease and by approximately 3 years in diffuse Lewy body disease. 19 Our strategy for urinary incontinence care favorably influenced the participants' physical and cognitive functions.…”

Section: Discussionmentioning

confidence: 99%

Individually tailored ultrasound‐assisted prompted voiding for institutionalized older adults with urinary incontinence

et al. 2014

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Objectives:To assess individually tailored ultrasound-assisted prompted voiding as a means of managing urinary incontinence in hospitalized elderly patients. Methods: A total of 88 incontinent elderly individuals who were inpatients in general hospitals were included. Each individual's mean bladder volume before starting to void (voided urine volume plus residual urine volume) was regarded as the optimal bladder volume. Bladder volume was regularly monitored with an ultrasound device, and when the urine volume had reached the individual's optimal bladder volume, the subject was prompted to void. The outcomes were evaluated on the basis of scores on a four-grade scale for items in six domains: urine volume, voiding function, urinary control, physical and cognitive function for toileting, and caregivers' burden in regard to continence care. The score for use of a pad/diaper, an item of urinary control domain, was used as the primary outcome measure. Results: A total of 80 participants were included for analysis. After ultrasound-assisted prompted voiding care for a 4-week period, the score for use of a pad/diaper in 50 out of 80 participants (62.5%) had decreased, and 21 out of 80 participants (26.3%) no longer required the use of a pad/diaper at all. The scores of the other 30 out of 80 participants (37.5%) were unchanged. The improvement was not significantly affected by patients' backgrounds at baseline. The mean scores in the domains of urinary control, physical function, cognitive function and caregivers' burden improved significantly. Conclusion:The present preliminary study suggests that individually tailored ultrasoundassisted prompted voiding can improved urinary incontinence of institutionalized elderly patients. Further studies are worth carrying out.

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Section: Discussionmentioning

confidence: 99%

Individually tailored ultrasound‐assisted prompted voiding for institutionalized older adults with urinary incontinence

et al. 2014

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“…Age and sex were most frequently investigated (11 studies); in 8 out of 10 studies sex (i.e., being female) and age were associated with UI. Additionally, the UI prevalence rates in three studies 20,22,25 showed that nursing home residents with UI are usually older than residents without UI. Limited cognitive function was also a risk factor associated with UI in all 10 studies investigating this factor.…”

Section: Prevalence Of Uimentioning

confidence: 99%