- Title
- Incontinence during and following hospitalisation : a prospective study of prevalence, incidence and association with clinical outcomes
- Creator
- Campbell, Jill; Hubbard, Ruth; Ostaszkiewicz, Joan; Green, Theresa; Coyer, Fiona; Mudge, Alison
- Date
- 2023
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/197635
- Identifier
- vital:18903
- Identifier
-
https://doi.org/10.1093/ageing/afad181
- Identifier
- ISSN:0002-0729 (ISSN)
- Abstract
- 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.
- Publisher
- Oxford University Press
- Relation
- Age and Ageing Vol. 52, no. 9 (2023), p.
- Rights
- All metadata describing materials held in, or linked to, the repository is freely available under a CC0 licence
- Rights
- https://creativecommons.org/licenses/by-nc/4.0/
- Rights
- Copyright © 2023 The Author(s)
- Rights
- Open Access
- Subject
- 4203 Health services and systems; 5201 Applied and developmental psychology; Continence care; Hospital-associated complications; Incontinence; Inpatients; Older; Older people
- Full Text
- Reviewed
- Funder
- This work was supported by a Queensland Nursing and Midwifery Research Fellowship to JC; Robert and Janelle Bird Postdoctoral Research Fellowship to JC; and a Metro North Clinician Researcher fellowship to AM. Data were collected within a Queensland Accelerate Partnership Grant [2015–2017] awarded by the Queensland Government. The funders had no role in design, execution, analysis, interpretation or writing of the study.
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