Prevalence and predictors of continence containment products and catheter use in an acute hospital: A cross-sectional study
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Accepted Version
Date
2021-03-05
Authors
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
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier Inc.
Published Version
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.
Description
Keywords
Continence wear , Urinary catheter , Hospital , Prevalence , Frailty
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