Prevalence and predictors of continence containment products and catheter use in an acute hospital: A cross-sectional study
Condon, Marie; Mannion, Edel; Collins, Gillian; Abd Ghafar, Mohd Zaquan Arif; Ali, Bushra; Small, Majella; Murphy, Robert P.; McCarthy, Christine E.; Sharkey, Anthony; MacGearailt, Conall; Hennebry, Aisling; Robinson, Stephanie; O'Caoimh, Rónán
Date:
2021-03-05
Copyright:
© 2021, Elsevier Inc. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 license.
Full text restriction information:
Access to this article is restricted until 12 months after publication by request of the publisher.
Restriction lift date:
2022-03-05
Citation:
Condon, M., Mannion, E., Collins, G., Abd Ghafar, M. Z. A., Ali, B., Small, M., Murphy, R. P., McCarthy, C. E., Sharkey, A., MacGearailt, C., Hennebry, A., Robinson, S. and O'Caoimh, R (2021) 'Prevalence and predictors of continence containment products and catheter use in an acute hospital: A cross-sectional study', Geriatric Nursing, 42(2), pp. 433-439. doi: 10.1016/j.gerinurse.2021.02.008
Abstract:
Although incontinence is common in hospital, the prevalence and predictors of continence aid use (continence wear and catheters) are poorly described. A one-day cross-sectional study was conducted in a large university hospital assessing consecutive inpatients (≥55) for their pre-admission and current use of continence aids. Barthel Index, Clinical Frailty Scale and Charlson Co-morbidity scores were recorded. Appropriateness was defined by local guidelines. 355 inpatients, median age 75±17 years, were included; 53% were male. Continence aid use was high; prevalence was 46% increasing to 58% for those ≥75. All-in-one pads were the most common, an overall prevalence of 31%. Older age, lower Barthel and higher frailty scores were associated with continence aid use in multivariate analysis. Inappropriate use of aids was high at 45% with older age being the only independent predictor. Continence aids are often used inappropriately during hospitalisation by older patients. Concerted efforts are required to address this issue.
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