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Scand J Caring Sci; 2012 Hip fracture and urinary incontinence - use of indwelling catheter postsurgery Background:â€‚ Norway has a higher incidence of hip fractures than any other country. For older individuals, a hip fracture may cause dramatic changes in health status like incontinence and daily activities. Patients with hip fractures are at high risk of urinary incontinence (UI) after surgical repair. A urinary indwelling catheter (UIC) is inserted preoperatively, but should be removed within 24â€ƒhour. Our aims were to identify indicators that might predict clinical challenges related to urinary incontinence 1â€ƒyear after hip fractures. Methods:â€‚ Inclusion criteria were patients with hip fracture age 65â€ƒyears or older. They were admitted form their own home to two acute-care hospitals during 2004-2006. We used the Resident Assessment Instrument for Acute Care. Results:â€‚ A total of 331 patients were included. Thirty-five (11%) had UIC 72â€ƒhour after surgery. These patients had more frequently experienced delirium, urinary tract infection, cognitive impairment and discouragement than their counterparts. After 12â€ƒmonths, patients with previous UI had lower functioning levels than those with no previous UI. They had moved four times more frequently to a nursing home and had over twice the mortality. Conclusions:â€‚ Patient with UI should be followed up with a multidisciplinary team after discharged from hospital.
Diakonhjemmet University College, Oslo, Norway.
This article was published in the following journal.
Name: Scandinavian journal of caring sciences
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