Document Detail


Urinary incontinence and indwelling urinary catheters in acutely admitted elderly patients: relationship with mortality, institutionalization, and functional decline.
MedLine Citation:
PMID:  23206725     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
A M Jikke Bootsma; Bianca M Buurman; Suzanne E Geerlings; Sophia E de Rooij
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2012-11-30
Journal Detail:
Title:  Journal of the American Medical Directors Association     Volume:  14     ISSN:  1538-9375     ISO Abbreviation:  J Am Med Dir Assoc     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-02-04     Completed Date:  2013-08-22     Revised Date:  2014-02-24    
Medline Journal Info:
Nlm Unique ID:  100893243     Medline TA:  J Am Med Dir Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  147.e7-12     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Aged
Aged, 80 and over
Catheters, Indwelling / adverse effects*
Comorbidity
Female
Follow-Up Studies
Geriatric Assessment*
Humans
Institutionalization / statistics & numerical data*
Length of Stay / statistics & numerical data
Male
Mortality / trends*
Netherlands / epidemiology
Prospective Studies
Risk Factors
Urinary Catheters / adverse effects*
Urinary Incontinence / mortality*,  physiopathology*
Comments/Corrections
Comment In:
J Urol. 2014 Feb;191(2):422   [PMID:  24411883 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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