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Published in: BMC Geriatrics 1/2024

Open Access 01-12-2024 | Urinary Incontinence | Research

Prevalence of urinary incontinence and associated factors in nursing homes: a multicentre cross-sectional study

Authors: Javier Jerez-Roig, Pau Farrés-Godayol, Meltem Yildirim, Anna Escribà-Salvans, Pau Moreno-Martin, Ester Goutan-Roura, Sandra Rierola-Fochs, Montse Romero-Mas, Joanne Booth, Dawn A. Skelton, Maria Giné-Garriga, Eduard Minobes-Molina

Published in: BMC Geriatrics | Issue 1/2024

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Abstract

Background

Urinary incontinence (UI) is a common geriatric syndrome with high health and socio-economic impacts in nursing home (NH) residents.

Objectives

To estimate the prevalence and types of UI and its associated factors in older people living in NHs in Central Catalonia (Spain). We also determined the proportion of residents who were receiving behavioural strategies to prevent/manage UI.

Design and setting

Cross-sectional study in 5 NHs conducted from January to March 2020.

Methods

We included consenting residents aged 65 + permanently living in the NHs. Residents who were hospitalized, in a coma or palliative care were excluded. UI was assessed using Section H of the Minimum Data Set. Sociodemographic and health-related variables were examined. Descriptive, bivariate, and multivariate (logistic regression) analyses were performed.

Results

We included 132 subjects (82.6% women), mean age of 85.2 (SD = 7.4) years. The prevalence of UI was 76.5% (95% CI: 68.60-82.93). The most common type was functional UI (45.5%), followed by urgency UI (11.4%). Only 46.2% of residents received at least one behavioural strategy to manage UI. Most sedentary behaviour (SB) variables presented a p-value lower than 0.001 in the bivariate analyses, but none remained in the final model. Moderate-severe cognitive impairment (OR = 4.44, p =.003), anticholinergic activity (OR = 3.50, p =.004) and risk of sarcopenia using SARC-F (OR = 2.75, p =.041) were associated with UI.

Conclusions

The prevalence of UI was high in this sample of NH residents compared to the literature, yet less than half received prompted voiding as a strategy to prevent/reduce UI.UI was associated with cognitive impairment, anticholinergic activity, and risk of sarcopenia.
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Metadata
Title
Prevalence of urinary incontinence and associated factors in nursing homes: a multicentre cross-sectional study
Authors
Javier Jerez-Roig
Pau Farrés-Godayol
Meltem Yildirim
Anna Escribà-Salvans
Pau Moreno-Martin
Ester Goutan-Roura
Sandra Rierola-Fochs
Montse Romero-Mas
Joanne Booth
Dawn A. Skelton
Maria Giné-Garriga
Eduard Minobes-Molina
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2024
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-024-04748-1

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