Urinary retention in the elderly: a study of 100 hospitalized patients
| Autor: | B. Peter, C. Grosshans, Y. Passadori |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Male
medicine.medical_specialty Urinary system media_common.quotation_subject Urology Physical examination Urine Comorbidity Urination Cause of Death Epidemiology Activities of Daily Living medicine Prevalence Overflow incontinence Humans Hospital Mortality Urinary Bladder Neurogenic Physical Examination media_common Aged Ultrasonography Aged 80 and over medicine.diagnostic_test business.industry Urinary retention Cystometry medicine.disease Prognosis Surgery Hospitalization Urodynamics Urinary Incontinence Female Geriatrics and Gerontology medicine.symptom business |
| Zdroj: | Journal of the American Geriatrics Society. 41(6) |
| ISSN: | 0002-8614 |
| Popis: | Objective: To estimate the prevalence of incomplete bladder emptying by the elderly and to determine its significance and its relationship to overflow incontinence. Design: Survey comparing groups with and without incomplete bladder emptying. Setting: A geriatric hospital ward. Patients: One hundred patients who were consecutively admitted, with an average age of 82.6 years. Measurements: A physical examination, perineal examination, micturition assessment, and evaluation of the postvoiding residual urine volume (PRUV) by ultrasonography at day 1 and day 8 following admission. One-channel cystometry and urine cultures were also done. Between-group comparison was performed between groups R (ie, PRUV greater than 50 mL) and C (ie, PRUV less than 50 mL). Main Results: The prevalence of PRUV greater than 50 mL was 34%. Group R patients presented with greater dependency; death was the final outcome of hospitalization in 36% of these cases (vs only 9% in group C). A high PRUV was not correlated with urinary tract infection or renal failure, but there was a strong, almost significant trend toward incontinence being more prevalent in R (57%) than in C (38%) (P = 0.06). Group R presented a hypotonic bladder in 45% of cases, evidenced by cystometry, versus 6% in group C. Conclusions: In cases with a high PRUV, the utmost caution is necessary both in the diagnosis of overflow incontinence and in establishing a therapeutic approach. Incomplete bladder emptying is associated with a poor prognosis. |
| Databáze: | OpenAIRE |
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