Risk factors for urinary incontinence one year after nursing home admission

Urinary incontinence (UI) is a common problem among older adults. This study investigated the prevalence of UI in nursing home residents aged ≥75 years in China and examined potential risk factors associated with UI and its subtypes. Data were collected during face-to-face interviews using a general questionnaire, the International Consultation Incontinence Questionnaire Short-Form, and the Barthel Index. A total of 551 participants aged ≥75 years residing in Changsha city were enrolled from June to December 2018. The UI prevalence rate among nursing home residents aged ≥75 years was 24.3%. The most frequent subtype was mixed (M) UI (38.1%), followed by urge (U) UI (35.1%), stress (S) UI (11.9%), and other types (14.9%). In terms of severity, 57.5% had moderate UI, while 35.1% had mild and 7.5% had severe UI. Constipation, immobility, wheelchair use, cardiovascular disease (CVD), and pelvic or spinal surgery were significant risk factors for UI. Participants with a history of surgery had higher risks of SUI (odds ratio [OR] = 4.87, 95% confidence interval [CI]: 1.55–15.30) and UUI (OR = 1.97, 95% CI: 1.05–3.71), those who were immobile or used a wheelchair had higher rates of MUI (OR = 11.07, 95% CI: 4.19–29.28; OR = 3.36, 95% CI: 1.16–9.78) and other UI types (OR = 7.89, 95% CI: 1.99–31.30; OR = 14.90, 95% CI: 4.88–45.50), those with CVD had a higher rate of UUI (OR = 2.25, 95% CI: 1.17–4.34), and those with diabetes had a higher risk of UUI (OR = 2.250, 95% CI: 1.14–4.44). Use of oral antithrombotic agents increased UUI risk (OR = 4.98, 95% CI: 2.10–11.85) whereas sedative hypnotic drug use was associated with a higher risk of MUI (OR = 3.62, 95% CI: 1.25–10.45). Each UI subtype has distinct risk factors, and elderly residents of nursing homes with a history of CVD and pelvic or spinal surgery who experience constipation should be closely monitored. Reducing time spent in bed and engaging in active rehabilitation including walking and muscle strengthening may aid in UI prevention and treatment.

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Urinary Incontinence in Women Living in Nursing Homes: Prevalence and Risk Factors

Indonesian Journal of Obstetrics and Gynecology ◽

10.32771/inajog.v2i4.406 ◽

2016 ◽

Author(s):

Chairul Rijal

Keyword(s):

Risk Factors ◽

Multivariate Analysis ◽

Urinary Incontinence ◽

Nursing Home ◽

Stress Incontinence ◽

Urge Incontinence ◽

Overweight And Obesity ◽

Mixed Urinary Incontinence ◽

Research Subjects ◽

Cross Sectional

Objective: To identify the prevalence of urinary incontinence, the distribution of the type of urinary incontinence and related risk factors in women older than 50 years. Method: This is a descriptive study with cross sectional design. Two hundred and seventy eight women older than 50 years old living in nursing home were interviewed using the Questionnaire for Urinary Incontinence Diagnosis (QUID) that has been translated and validated. The prevalence will be presented in the form of percentage; while the relationship between risk factors and the incidence or urinary incontinence will be analyzed using Chi square test or Fisher’s exact test, as appropriate, and multivariate analysis. Result: Of 278 research subjects, we obtained 95 subjects (34.2%) suffering from urinary incontinence. Moreover, the distribution of the type is 67 subjects (70.5%) with mixed urinary incontinence, 17 (17.9%) with stress incontinence and 11 subjects (11.6%) with urge incontinence. Body mass index (BMI) showing overweight and obesity are not related with the prevalence of urinary incontinence (p>0.05), which may be caused by the low number of subjects with overweight and obesity. Meanwhile, factors related to urinary incontinence are age older than 60 years (OR=7.79, p=0.021), menopause 10 years (OR=5.08, p=0.004) and multiparity (OR=1.82, p=0.019). Based on multivariate analysis, the risk factor of age older than 60 years is no longer related to urinary incontinence (p>0.05). Thus it can be inferred that age older than 60 years is not a singular factor causing urinary incontinence but rather a part of a multifactorial model. Conclusion: This study shows that the prevalence of urinary incontinence in women living in nursing home is 34.2%; while the distribution of the urinary incontinence is 67 subjects (70.5%) with mixed urinary incontinence, 17 subjects with stress incontinence (17.9%) and 11 subjects (11.6%) with urge incontinence. Risk factors for urinary incontinence are menopause 10 years and multiparity. [Indones J Obstet Gynecol 2014; 4: 193-198 Keywords: mixed urinary incontinence, menopause, multiparity, prevalence, stress incontinence, urge incontinence, urinary incontinence, Questionnaire for Urinary Incontinence Diagnosis (QUID)

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WHAT CAN IT BE AND WHAT WAS IT REALLY? ABOUT BATHING AND URINARY INCONTINENCE LEADING TO NURSING HOME ADMISSION

The Journals of Gerontology Series A ◽

10.1093/gerona/62.6.681 ◽

2007 ◽

Vol 62 (6) ◽

pp. 681-681

Author(s):

L. Coll-Planas ◽

T. Nikolaus ◽

E. P. Loayza

Keyword(s):

Urinary Incontinence ◽

Nursing Home ◽

Nursing Home Admission

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Home care patients in four Nordic capitals – predictors of nursing home admission during one-year followup

Journal of Multidisciplinary Healthcare ◽

10.2147/jmdh.s8979 ◽

2010 ◽

pp. 11 ◽

Cited By ~ 10

Author(s):

Liv Wergeland Sørbye ◽

Hamran ◽

Henriksen ◽

Norberg

Keyword(s):

Nursing Home ◽

Home Care ◽

Nursing Home Admission ◽

One Year

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Discharge Outcomes in Seniors Hospitalized for More than 30 Days

Canadian Journal on Aging / La Revue canadienne du vieillissement ◽

10.1353/cja.2005.0048 ◽

2005 ◽

Vol 24 (S1) ◽

pp. 107-119 ◽

Cited By ~ 6

Author(s):

Anita L. Kozyrskyj ◽

Charlyn Black ◽

Dan Chateau ◽

Carmen Steinbach

Keyword(s):

Risk Factors ◽

Nursing Home ◽

Support Services ◽

Term Care ◽

Home Discharge ◽

Discharge Outcomes ◽

Acute Hospitals ◽

Sentinel Event ◽

One Year

ABSTRACTHospitalization is a sentinel event that leads to loss of independence for many seniors. This study of long-stay hospitalizations (more than 30 days) in seniors was undertaken to identify risk factors for not going home, to characterize patients with risk factors who did go home and to describe one year outcomes following home discharge. Using Manitoba's health care databases, the likelihood of death in hospital, discharge to a nursing home, and transfer to another hospital was determined for a set of risk factors in seniors with long-stay hospitalizations in Winnipeg's acute hospitals. Of the 17,984 long-stay hospitalizations during 1993–2000, 45 per cent were discharged home, 20 per cent died, and 30 per cent were discharged to a nursing home or another hospital. Seniors who received home care prior to hospitalization were more likely to be discharged to a nursing home or die in hospital than to go home. Stroke and cognitive impairment increased the likelihood of discharge to a nursing home. Seniors with neoplasms, multiple co-morbidities, and length-of-stay more than 120 days were more likely to die in hospital. Long-stay patients with risk factors who did go home had few co-morbidities. Within one year of home discharge, 20 per cent of seniors died, 5–15 per cent were admitted to a nursing home or long-term care institution, and 26–35 per cent of persons were re-hospitalized from home. A full 37 per cent experienced none of these outcomes. Our findings point to opportunities to improve discharge outcomes and plan support services for seniors.

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