Urinary incontinence in hospital patients: prevalence and associated factors.
Jaqueline Betteloni Junqueira, Vera Lúcia Conceição de Gouveia Santos
PMID 29319744WHAT IT FOUND
Among 319 adult hospital patients, 22.9% had urinary incontinence, including 28% of women and 16.1% of men.
Female sex, age, asthma, laxative use, and diaper use were more common among patients with leakage.
Key findings
01Urinary incontinence affected 22.9% of patients, including 28% of women and 16.1% of men.
02The logistic regression reported associations with female sex (OR=3.89), age (OR=1.03), asthma (OR=3.66), laxative use (OR=3.26), and diaper use during evaluation (OR=2.75).
03Among patients with UI, 57.5% reported small amounts of leakage and 52.1% reported leakage when coughing or sneezing.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was cross-sectional, so it can show association but not cause and effect. It was done in one hospital, so it may not apply to other settings. Patients with indwelling urethral catheter, anuria, or urinary diversion were excluded, so the result does not describe those patients. Data were collected on four single days, and 64 patients were excluded and 27 were not interviewed, so some hospitalized patients were not represented. Diaper use and UI were collinear in the analysis, so the model cannot tell whether diapers preceded UI or reflected long-standing UI.
The easy way to misread this
Do not conclude that using diapers causes urinary incontinence. This was a cross-sectional study, and diaper use was reported alongside UI, especially in patients with long-standing leakage. The design cannot show which came first.