Urinary and faecal incontinence: point prevalence and predictors in a university hospital

dc.contributor.authorCondon, Marie
dc.contributor.authorMannion, Edel
dc.contributor.authorMolloy, D. William
dc.contributor.authorO'Caoimh, Rónán
dc.date.accessioned2019-05-13T11:29:13Z
dc.date.available2019-05-13T11:29:13Z
dc.date.issued2019
dc.description.abstractIncontinence 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.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid194en
dc.identifier.citationCondon, M., Mannion, E., Molloy, D.W. and O’Caoimh, R., 2019. Urinary and Faecal Incontinence: Point Prevalence and Predictors in a University Hospital. International journal of environmental research and public health, 16(2), 194 (8pp.) DOI: 10.3390/ijerph16020194en
dc.identifier.doi10.3390/ijerph16020194en
dc.identifier.endpage8en
dc.identifier.issn1660-4601
dc.identifier.issued2en
dc.identifier.journaltitleInternational Journal of Environmental Research and Public Healthen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/7885
dc.identifier.volume16en
dc.language.isoenen
dc.publisherMDPIen
dc.relation.urihttps://www.mdpi.com/1660-4601/16/2/194/htm
dc.rights© 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) licenseen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectUrinaryen
dc.subjectFaecalen
dc.subjectIncontinenceen
dc.subjectPrevalenceen
dc.subjectHospitalen
dc.subjectInpatienten
dc.titleUrinary and faecal incontinence: point prevalence and predictors in a university hospitalen
dc.typeArticle (peer-reviewed)en
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