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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Assessment of urinary incontinence in the elderly using the InterRAI-AC instrument

Department of Geriatrics, Kaunas University of Medicine, Lithuania
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Medicina 2009, 45(5), 365; https://doi.org/10.3390/medicina45050046
Received: 28 August 2008 / Accepted: 5 May 2009 / Published: 10 May 2009
The aim of this study was to identify and evaluate the prevalence of urinary incontinence and risk factors that influenced it among inpatients treated in the departments of internal medicine.
Material and methods
. A total of 151 inpatients were questioned using a standardized geriatric questionnaire (InterRAI-Acute Care). Inpatients aged 65 years and more and who gave written informed consent were enrolled into the study. The mean age of the inpatients was 78±0.6 years. There were 58.9% of women and 41.06% of men.
Results
. Urinary incontinence was significantly influenced by the age of the inpatients. Inpatients with urinary incontinence were 3 years older on the average as compared to those without urinary continence (P<0.025). Women were more frequently affected than men (74.2% vs. 48.4%). A significant association between urinary and fecal incontinence and memory problems, movement disorders, delirium, dependence in daily activities, falls was established. The odds of having double incontinence were increased by dementia (OR=20.9; 95%, CI 2.3–186) and residual effects of a stroke (OR=3.5; 95%, CI 1.2–9.6). The prevalence of urinary incontinence decreased from 63.6% before hospitalization to 39.7% after hospitalization. According to standard medical documentation, urinary incontinence was diagnosed in 3.3% of cases, while using the interRAI-AC questionnaire, it was documented in 63.6% of cases.
Conclusions. The prevalence of urinary incontinence increases in the elderly; therefore, it has to be investigated and treated. Memory problems, delirium, dependence in daily activities, movement disorders, and falls are directly related to the risk of urinary, fecal, and double incontinence among elderly inpatients. Double incontinence was significantly influenced by dementia (20.9 times) and residual effects of a stroke (3.5 times). Underdiagnosis of urinary and fecal incontinence in inpatients burdens the possibility of providing aid for elderly patients with this disorder.
Keywords: the elderly; urinary and fecal incontinence; influence of risk factors the elderly; urinary and fecal incontinence; influence of risk factors
MDPI and ACS Style

Kučikienė, O.; Lesauskaitė, V.; Macijauskienė, J.; Jievaltienė, G. Assessment of urinary incontinence in the elderly using the InterRAI-AC instrument. Medicina 2009, 45, 365.

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