Urinary and Faecal Incontinence: Point Prevalence and Predictors in a University Hospital
Urinary and Faecal Incontinence: Point Prevalence and Predictors in a University Hospital
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DOI：
10.3390/ijerph16020194
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发表时间：
2019-01-02
影响因子：
--
通讯作者：
O'Caoimh, Ronan
中科院分区：
文献类型：
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作者：
Condon, Marie;Mannion, Edel;O'Caoimh, Ronan
胰岛素抵抗是常见的，并与不良结局相关。在医院中，尿失禁的点患病率数据不足。我们评估了急性大学医院住院患者中尿失禁（UI）和大便失禁（FI）的患病率及其预测因素。使用改良Barthel指数（BI）记录尿失禁状态。记录基线特征、临床虚弱量表（CFS）和病房类型。总共评估了435例患者，中位年龄为72 +/- 23岁，53%为男性。CFS评分中位数为5 +/- 3。UI的点患病率为26%，FI为11%。虽然UI和FI随着年龄的增长而增加，对于85岁的人来说分别达到35.2%和21.1%，但年龄并不是独立的预测因素。虚弱也会增加痉挛; CFS评分与UI（p = 0.006）和FI（p = 0.03）独立相关，尽管基线痉挛状态是最强的预测因子。骨科病房的患者尿失禁患病率最高。仅11例（2%）患者可进行尿失禁评估。UI和FI是影响住院患者的常见疾病;点患病率随着年龄和虚弱状态而增加。尽管如此，很少有患者接受全面的评估。需要更多地认识到其高患病率，以确保失禁在医院得到充分的管理。
Incontinence is common and associated with adverse outcomes. There are insufficient point prevalence data for incontinence in hospitals. We evaluated the prevalence of urinary (UI) and faecal incontinence (FI) and their predictors among inpatients in an acute university hospital on a single day. Continence status was recorded using the modified Barthel Index (BI). Baseline characteristics, Clinical Frailty Scale (CFS) and ward type were recorded. In all, 435 patients were assessed, median age 72 +/- 23 years and 53% were male. The median CFS score was 5 +/- 3. The point prevalence of UI was 26% versus 11% for FI. While UI and FI increased with age, to 35.2% and 21.1% respectively for those 85, age was not an independent predictor. Incontinence also increased with frailty; CFS scores were independently associated with both UI (p = 0.006) and FI (p = 0.03), though baseline continence status was the strongest predictor. Patients on orthopaedic wards had the highest prevalence of incontinence. Continence assessments were available for only 11 (2%) patients. UI and FI are common conditions affecting inpatients; point prevalence increases with age and frailty status. Despite this, few patients receive comprehensive continence assessments. More awareness of its high prevalence is required to ensure incontinence is adequately managed in hospitals.