Prevalence of urinary incontinence and associated risk factors in nursing home residents: A systematic review

Prevalence of urinary incontinence and associated risk factors in nursing home residents: A systematic review

Aims To determine not only prevalence rates of urinary incontinence (UI) in nursing home residents but also factors influencing these prevalence rates, and to provide an overview of risk factors associated with UI in this group. Methods A systematic review was performed using multiple databases incl...

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Bibliographic Details
Published in:Neurourology and urodynamics Vol. 28; no. 4; pp. 288 - 294
Main Authors: Offermans, May P.W., Du Moulin, Monique F.M.T., Hamers, Jan P.H., Dassen, Theo, Halfens, Ruud J.G.
Format: Journal Article
Language:English
Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01-01-2009
Subjects:
Age Factors
Aged
epidemiology
Female
Humans
Inpatients
Male
nursing home residents
Nursing Homes - statistics & numerical data
Research - standards
Research Design
Risk Factors
Sex Factors
systematic review
urinary incontinence
Urinary Incontinence - epidemiology
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Summary:Aims To determine not only prevalence rates of urinary incontinence (UI) in nursing home residents but also factors influencing these prevalence rates, and to provide an overview of risk factors associated with UI in this group. Methods A systematic review was performed using multiple databases including MEDLINE, EMBASE, CINAHL, PsycINFO and the Cochrane Library from January 1997 to April 2008. In addition, the bibliographies of all relevant articles were searched. Two authors independently assessed the eligibility of all studies and extracted data on study design, population characteristics, definition of incontinence, measurement instrument, risk factors and prevalence rates. Results Twelve articles containing 16 studies met the eligibility criteria. Prevalence rates of UI in nursing home residents ranged from 43% to 77% (median 58%). When comparing studies, the influencing factors on UI prevalence of age and sex were identified. In total 45 risk factors were described. Within individual study populations, sex, age, cognitive function, dementia, bedfast and locomotion were associated with UI. Conclusions UI prevalence rates in nursing homes are high and the influencing factors poorly understood. Although important risk factors similar to those in the general population have been identified, risk factors related to the care process should be further investigated. Neurourol. Urodynam. 28:288–294, 2009. © 2009 Wiley‐Liss, Inc.
Bibliography:ark:/67375/WNG-HV4QX1GN-7
istex:AC9076600F2890DBBC39E92410E77E8D21629595
Christopher Chapple led the review process.
ArticleID:NAU20668
SourceType-Scholarly Journals-1
ObjectType-Feature-4
ObjectType-Undefined-1
content type line 23
ObjectType-Review-2
ObjectType-Article-3
ISSN:0733-2467
1520-6777
DOI:10.1002/nau.20668