Association of Geriatric Syndromes with Urinary Incontinence According to Sex and Urinary-Incontinence-Related Quality of Life in Older Inpatients: A Cross-Sectional Study of an Acute Care Hospital

Overview

Journal Korean J Fam Med

Specialty Public Health

Date 2018 Nov 8

PMID 30400699

Citations 3

Authors

Kyoung Jin Kim

Jinyoung Shin

Jaekyung Choi

Jae-Min Park

Hyoung Keun Park

Jongmin Lee

Seol-Heui Han

Affiliations

Soon will be listed here.

Abstract

Background: Geriatric syndromes are associated with morbidity and poor quality of life (QOL). Urinary incontinence (UI) is one of the most prevalent geriatric syndromes. However, there is little research on the association of UI and UI-related QOL with other geriatric syndromes. We investigated the relationship between geriatric syndromes and UI according to gender and UI-related QOL among older inpatients.

Methods: This study was conducted among 444 older inpatients (aged 65 years and older) between October 2016 and July 2017. We examined geriatric syndromes and related factors involving cognitive impairment, delirium, depression, mobility decline, polypharmacy, undernutrition, pain, and fecal incontinence. UI-related QOL was assessed using the International Consultation on Incontinence Questionnaire-Short Form. Multiple logistic regression analysis was used to evaluate these associations.

Results: Geriatric syndromes and related factors were associated with UI. Mobility decline (odds ratio [OR], 4.16; 95% confidence interval [CI], 2.29-7.56), polypharmacy (OR, 3.35; 95% CI, 1.89-5.92), and pain (OR, 6.80; 95% CI, 3.53-13.09) were related to UI in both genders. Especially, delirium (OR, 7.55; 95% CI, 1.61-35.44) and fecal incontinence (OR, 10.15; 95% CI, 2.50-41.17) were associated with UI in men, while cognitive impairment (OR, 4.19; 95% CI, 1.14-15.44) was significantly associated with UI in women. Patients with depression were more likely to have poor UI-related QOL (OR, 8.54; 95% CI, 1.43-51.15).

Conclusion: UI was associated with different geriatric syndromes and related factors according to gender. Care for patients with depression, related to poor UI-related QOL, should be considered in primary care to improve the UI-related QOL of these individuals.

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References

Sirls L, Rashid T . Geriatric urinary incontinence. Geriatr Nephrol Urol. 1999; 9(2):87-99. DOI: 10.1023/a:1008343422871. View

Brown J, Vittinghoff E, Wyman J, Stone K, Nevitt M, Ensrud K . Urinary incontinence: does it increase risk for falls and fractures? Study of Osteoporotic Fractures Research Group. J Am Geriatr Soc. 2000; 48(7):721-5. DOI: 10.1111/j.1532-5415.2000.tb04744.x. View

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U . The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003; 61(1):37-49. DOI: 10.1016/s0090-4295(02)02243-4. View

Hunskaar S, Burgio K, Diokno A, Herzog A, Hjalmas K, Lapitan M . Epidemiology and natural history of urinary incontinence in women. Urology. 2003; 62(4 Suppl 1):16-23. DOI: 10.1016/s0090-4295(03)00755-6. View

Avery K, Donovan J, Peters T, Shaw C, Gotoh M, Abrams P . ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004; 23(4):322-30. DOI: 10.1002/nau.20041. View

Gaudreau J, Gagnon P, Harel F, Tremblay A, Roy M . Fast, systematic, and continuous delirium assessment in hospitalized patients: the nursing delirium screening scale. J Pain Symptom Manage. 2005; 29(4):368-75. DOI: 10.1016/j.jpainsymman.2004.07.009. View

Lang P, Heitz D, Hedelin G, Drame M, Jovenin N, Ankri J . Early markers of prolonged hospital stays in older people: a prospective, multicenter study of 908 inpatients in French acute hospitals. J Am Geriatr Soc. 2006; 54(7):1031-9. DOI: 10.1111/j.1532-5415.2006.00767.x. View

Coyne K, Sexton C, Irwin D, Kopp Z, Kelleher C, Milsom I . The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: results from the EPIC study. BJU Int. 2008; 101(11):1388-95. DOI: 10.1111/j.1464-410X.2008.07601.x. View

Klovning A, Avery K, Sandvik H, Hunskaar S . Comparison of two questionnaires for assessing the severity of urinary incontinence: The ICIQ-UI SF versus the incontinence severity index. Neurourol Urodyn. 2009; 28(5):411-5. DOI: 10.1002/nau.20674. View

10.

Ryu H, Kim H, Han S . Validity and reliability of the Korean version of the AD8 informant interview (K-AD8) in dementia. Alzheimer Dis Assoc Disord. 2009; 23(4):371-6. DOI: 10.1097/WAD.0b013e31819e6881. View

11.

Tognoni P, Simonato A, Robutti N, Pisani M, Cataldi A, Monacelli F . Preoperative risk factors for postoperative delirium (POD) after urological surgery in the elderly. Arch Gerontol Geriatr. 2010; 52(3):e166-9. DOI: 10.1016/j.archger.2010.10.021. View

12.

Elsawy B, Higgins K . The geriatric assessment. Am Fam Physician. 2011; 83(1):48-56. View

13.

Lakhan P, Jones M, Wilson A, Courtney M, Hirdes J, Gray L . A prospective cohort study of geriatric syndromes among older medical patients admitted to acute care hospitals. J Am Geriatr Soc. 2011; 59(11):2001-8. DOI: 10.1111/j.1532-5415.2011.03663.x. View

14.

Gnjidic D, Hilmer S, Blyth F, Naganathan V, Waite L, Seibel M . Polypharmacy cutoff and outcomes: five or more medicines were used to identify community-dwelling older men at risk of different adverse outcomes. J Clin Epidemiol. 2012; 65(9):989-95. DOI: 10.1016/j.jclinepi.2012.02.018. View

15.

Berardelli M, De Rango F, Morelli M, Corsonello A, Mazzei B, Mari V . Urinary incontinence in the elderly and in the oldest old: correlation with frailty and mortality. Rejuvenation Res. 2013; 16(3):206-11. DOI: 10.1089/rej.2013.1417. View

16.

Milsom I, Coyne K, Nicholson S, Kvasz M, Chen C, Wein A . Global prevalence and economic burden of urgency urinary incontinence: a systematic review. Eur Urol. 2013; 65(1):79-95. DOI: 10.1016/j.eururo.2013.08.031. View

17.

Hung K, Awtrey C, Tsai A . Urinary incontinence, depression, and economic outcomes in a cohort of women between the ages of 54 and 65 years. Obstet Gynecol. 2014; 123(4):822-7. PMC: 4009511. DOI: 10.1097/AOG.0000000000000186. View

18.

Chiu A, Huang M, Hsu M, Liu J, Chiu J . Association of urinary incontinence with impaired functional status among older people living in a long-term care setting. Geriatr Gerontol Int. 2014; 15(3):296-301. DOI: 10.1111/ggi.12272. View

19.

Reigota R, Pedro A, de Souza Santos Machado V, Costa-Paiva L, Pinto-Neto A . Prevalence of urinary incontinence and its association with multimorbidity in women aged 50 years or older: A population-based study. Neurourol Urodyn. 2014; 35(1):62-8. DOI: 10.1002/nau.22679. View

20.

Figueiredo V, Amorim J, Pereira A, Ferreira P, Pereira L . Associations between low back pain, urinary incontinence, and abdominal muscle recruitment as assessed via ultrasonography in the elderly. Braz J Phys Ther. 2015; 19(1):70-6. PMC: 4351610. DOI: 10.1590/bjpt-rbf.2014.0073. View