Incontinence during and following hospitalisation : a prospective study of prevalence, incidence and association with clinical outcomes
- Campbell, Jill, Hubbard, Ruth, Ostaszkiewicz, Joan, Green, Theresa, Coyer, Fiona, Mudge, Alison
- Authors: Campbell, Jill , Hubbard, Ruth , Ostaszkiewicz, Joan , Green, Theresa , Coyer, Fiona , Mudge, Alison
- Date: 2023
- Type: Text , Journal article
- Relation: Age and Ageing Vol. 52, no. 9 (2023), p.
- Full Text:
- Reviewed:
- Description: Background: Incontinence is common in hospitalised older adults but few studies report new incidence during or following hospitalisation. Objective: To describe prevalence and incidence of incontinence in older inpatients and associations with clinical outcomes. Design: Secondary analysis of prospectively collected data from consecutive consenting inpatients age 65 years and older on medical and surgical wards in four Australian public hospitals. Methods: Participants self-reported urinary and faecal incontinence 2 weeks prior to admission, at hospital discharge and 30 days after discharge as part of comprehensive assessment by a trained research assistant. Outcomes were length of stay, facility discharge, 30-day readmission and 6-month mortality. Results: Analysis included 970 participants (mean age 76.7 years, 48.9% female). Urinary and/or faecal incontinence was self-reported in 310/970 (32.0%, [95% confidence interval (CI) 29.0-35.0]) participants 2 weeks before admission, 201/834 (24.1% [95% CI 21.2-27.2]) at discharge and 193/776 (24.9% [95% CI 21.9-28.1]) 30 days after discharge. Continence patterns were dynamic within the peri-hospital period. Of participants without pre-hospital incontinence, 74/567 (13.1% [95% CI 10.4-16.1) reported incontinence at discharge and 85/537 (15.8% [95% CI 12.8-19.2]) reported incontinence at 30 days follow-up. Median hospital stay was longer in participants with pre-hospital incontinence (7 vs. 6 days, P = 0.02) even in adjusted analyses and pre-hospital incontinence was significantly associated with mortality in unadjusted but not adjusted analyses. Conclusion: Pre-hospital, hospital-acquired and new post-hospital incontinence are common in older inpatients. Better understanding of incontinence patterns may help target interventions to reduce this complication. © 2023 The Author(s). Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.
- Authors: Campbell, Jill , Hubbard, Ruth , Ostaszkiewicz, Joan , Green, Theresa , Coyer, Fiona , Mudge, Alison
- Date: 2023
- Type: Text , Journal article
- Relation: Age and Ageing Vol. 52, no. 9 (2023), p.
- Full Text:
- Reviewed:
- Description: Background: Incontinence is common in hospitalised older adults but few studies report new incidence during or following hospitalisation. Objective: To describe prevalence and incidence of incontinence in older inpatients and associations with clinical outcomes. Design: Secondary analysis of prospectively collected data from consecutive consenting inpatients age 65 years and older on medical and surgical wards in four Australian public hospitals. Methods: Participants self-reported urinary and faecal incontinence 2 weeks prior to admission, at hospital discharge and 30 days after discharge as part of comprehensive assessment by a trained research assistant. Outcomes were length of stay, facility discharge, 30-day readmission and 6-month mortality. Results: Analysis included 970 participants (mean age 76.7 years, 48.9% female). Urinary and/or faecal incontinence was self-reported in 310/970 (32.0%, [95% confidence interval (CI) 29.0-35.0]) participants 2 weeks before admission, 201/834 (24.1% [95% CI 21.2-27.2]) at discharge and 193/776 (24.9% [95% CI 21.9-28.1]) 30 days after discharge. Continence patterns were dynamic within the peri-hospital period. Of participants without pre-hospital incontinence, 74/567 (13.1% [95% CI 10.4-16.1) reported incontinence at discharge and 85/537 (15.8% [95% CI 12.8-19.2]) reported incontinence at 30 days follow-up. Median hospital stay was longer in participants with pre-hospital incontinence (7 vs. 6 days, P = 0.02) even in adjusted analyses and pre-hospital incontinence was significantly associated with mortality in unadjusted but not adjusted analyses. Conclusion: Pre-hospital, hospital-acquired and new post-hospital incontinence are common in older inpatients. Better understanding of incontinence patterns may help target interventions to reduce this complication. © 2023 The Author(s). Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.
Management using continence products : report of the 7th international consultation on incontinence
- Murphy, Cathy, Fader, Mandy, Bliss, Donna, Buckley, Brian, Cockerell, Rowan, Cottenden, Alan, Kottner, Jan, Ostaszkiewicz, Joan
- Authors: Murphy, Cathy , Fader, Mandy , Bliss, Donna , Buckley, Brian , Cockerell, Rowan , Cottenden, Alan , Kottner, Jan , Ostaszkiewicz, Joan
- Date: 2023
- Type: Text , Journal article
- Relation: Continence Vol. 8, no. (2023), p.
- Full Text:
- Reviewed:
- Description: Aim: To summarise the available evidence on the use of continence products to manage urinary or faecal incontinence published since the 6th International Consultation on Incontinence (2017) and provide key recommendations for the use of products in each group. Methods: A series of systematic reviews (grouped according to pre-determined topics) and evidence updates were undertaken and reported descriptively by members of an international committee to update the 6th Consultation. Results: The available evidence is presented for 13 categories of continence management products. Some categories (female mechanical urinary incontinence devices, products for preventing/treating incontinence-associated dermatitis and urinary catheters) had at least one new randomised controlled trial. Other categories had small-scale or qualitative studies, reviews or no new associated evidence. A summary of key research priorities is provided. Discussion: This paper provides a summary of the evidence available for a range of continence management products. Some product categories have a larger body of new and existing evidence than others, but there continues to be a lack of research to guide decision-making on the wide range of continence management products. Clinicians and other decision-makers remain largely dependent on expert opinion and individual user circumstances and preferences. We summarise specific areas where more. © 2023 The Authors
- Authors: Murphy, Cathy , Fader, Mandy , Bliss, Donna , Buckley, Brian , Cockerell, Rowan , Cottenden, Alan , Kottner, Jan , Ostaszkiewicz, Joan
- Date: 2023
- Type: Text , Journal article
- Relation: Continence Vol. 8, no. (2023), p.
- Full Text:
- Reviewed:
- Description: Aim: To summarise the available evidence on the use of continence products to manage urinary or faecal incontinence published since the 6th International Consultation on Incontinence (2017) and provide key recommendations for the use of products in each group. Methods: A series of systematic reviews (grouped according to pre-determined topics) and evidence updates were undertaken and reported descriptively by members of an international committee to update the 6th Consultation. Results: The available evidence is presented for 13 categories of continence management products. Some categories (female mechanical urinary incontinence devices, products for preventing/treating incontinence-associated dermatitis and urinary catheters) had at least one new randomised controlled trial. Other categories had small-scale or qualitative studies, reviews or no new associated evidence. A summary of key research priorities is provided. Discussion: This paper provides a summary of the evidence available for a range of continence management products. Some product categories have a larger body of new and existing evidence than others, but there continues to be a lack of research to guide decision-making on the wide range of continence management products. Clinicians and other decision-makers remain largely dependent on expert opinion and individual user circumstances and preferences. We summarise specific areas where more. © 2023 The Authors
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