| Urinary Incontinence and Indwelling Urinary Catheters in Acutely Admitted Elderly Patients: Relationship With Mortality, Institutionalization, and Functional Decline. | |
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MedLine Citation:
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PMID: 23206725 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVES: To study differences in functional status at admission in acutely hospitalized elderly patients with urinary incontinence, a catheter, or without a catheter or incontinence (controls) and to determine whether incontinence or a catheter are independent risk factors for death, institutionalization, or functional decline. DESIGN: Prospective cohort study conducted between 2006 and 2008 with a 12-month follow-up. SETTING: Eleven medical wards of 2 university teaching hospitals and 1 teaching hospital in the Netherlands. PARTICIPANTS: Participants included 639 patients who were 65 years and older, acutely hospitalized for more than 48 hours. MEASUREMENTS: Baseline characteristics, functional status, presence of urinary incontinence or catheter, length of hospital stay, mortality, institutionalization, and functional decline during admission and 3 and 12 months after admission were collected. Regression analyses were done to study a possible relationship between incontinence, catheter use, and adverse outcomes at 3 and 12 months. RESULTS: Of all patients, 20.7% presented with incontinence, 23.3% presented with a catheter, and 56.0% were controls. Patients with a catheter scored worst on all baseline characteristics. A catheter was an independent risk factor for mortality at 3 months (odds ratio [OR] = 1.73, 95% confidence interval [CI] 1.10-2.70), for institutionalization at 12 months (OR = 4.03, 95% CI 1.67-9.75), and for functional decline at 3 (OR = 2.17, 95% CI 1.32-3.54) and 12 months (OR = 3.37, 95% CI 1.81-6.25). Incontinence was an independent risk factor for functional decline at 3 months (OR = 1.84, 95% CI 1.11-3.04). CONCLUSION: There is an association between presence of a catheter, urinary incontinence, and development of adverse outcomes in hospitalized older patients. |
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Authors:
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A M Jikke Bootsma; Bianca M Buurman; Suzanne E Geerlings; Sophia E de Rooij |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-11-30 |
Journal Detail:
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Title: Journal of the American Medical Directors Association Volume: - ISSN: 1538-9375 ISO Abbreviation: J Am Med Dir Assoc Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-12-4 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100893243 Medline TA: J Am Med Dir Assoc Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2013 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Urology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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