Time to and predictors of dual incontinence in older nursing home admissions

Autor: Donna Z. Bliss, Lynn E. Eberly, Olga V Gurvich, Susan Harms
Rok vydání: 2016
Předmět:
Gerontology
Male
medicine.medical_specialty
Databases
Factual
Urinary system
Urology
Psychological intervention
MEDLINE
Urinary incontinence
macromolecular substances
Comorbidity
Article
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
Epidemiology
medicine
Ethnicity
Fecal incontinence
Humans
030212 general & internal medicine
Socioeconomic status
Aged
Quality of Health Care
Aged
80 and over
030504 nursing
business.industry
Incidence (epidemiology)
Age Factors
DUAL (cognitive architecture)
United States
Nursing Homes
Hospitalization
Urinary Incontinence
Socioeconomic Factors
Communication Disorders
Physical therapy
Quality of Life
Female
Neurology (clinical)
medicine.symptom
0305 other medical science
Nursing homes
business
Cognition Disorders
Fecal Incontinence
Cohort study
Zdroj: Neurourology and urodynamics. 37(1)
ISSN: 1520-6777
Popis: AIMS There are few studies of nursing home residents that have investigated the development of dual incontinence, perhaps the most severe type of incontinence as both urinary and fecal incontinence occur. To determine the time to and predictors of dual incontinence in older nursing home residents. METHODS Using a cohort design, records of older nursing home admissions who were continent or had only urinary or only fecal incontinence (n = 39,181) were followed forward for report of dual incontinence. Four national US datasets containing potential predictors at multiple levels describing characteristics of nursing home residents, nursing homes (n = 445), and socioeconomic and sociodemographic status of the community surrounding nursing homes were analyzed. A Cox proportional hazard regression with nursing home-specific random effect was used. RESULTS At 6 months after admission, 28% of nursing home residents developed dual incontinence, at 1 year 42% did so, and at 2 years, 61% had dual incontinence. Significant predictors for time to developing dual incontinence were having urinary incontinence, greater functional or cognitive deficits, more comorbidities, older age, and lesser quality of nursing home care. CONCLUSIONS The development of dual incontinence is a major problem among nursing home residents. Predictors in this study offer guidance in developing interventions to prevent and reduce the time to developing this problem which may improve the quality of life of nursing residents.
Databáze: OpenAIRE
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