Hip fracture and urinary incontinence - use of indwelling catheter postsurgery.
Summary of "Hip fracture and urinary incontinence - use of indwelling catheter postsurgery."
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
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22943160
- DOI: http://dx.doi.org/10.1111/j.1471-6712.2012.01075.x
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Medical and Biotech [MESH] Definitions
Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE.
Abnormal descent of a pelvic organ resulting in the protrusion of the organ beyond its normal anatomical confines. Symptoms often include vaginal discomfort, DYSPAREUNIA; URINARY STRESS INCONTINENCE; and FECAL INCONTINENCE.
A surgical specialty concerned with the study, diagnosis, and treatment of diseases of the urinary tract in both sexes, and the genital tract in the male. Common urological problems include urinary obstruction, URINARY INCONTINENCE, infections, and UROGENITAL NEOPLASMS.
Employment or passage of a catheter into the URINARY BLADDER (urethral c.) or kidney (ureteral c.) for therapeutic or diagnostic purposes.
Symptom of overactive detrusor muscle of the URINARY BLADDER that contracts with abnormally high frequency and urgency. Overactive bladder is characterized by the frequent feeling of needing to urinate during the day, during the night, or both. URINARY INCONTINENCE may or may not be present.