Evaluating a national assessment strategy for urinary incontinence in nursing home residents: Reliability of the minimum data set and validity of the resident assessment protocol

Resnick, Neil M.; Brandeis, Gary H.; Baumann, Margaret M.; Morris, John N.

doi:10.1002/(sici)1520-6777(1996)15:6<583::aid-nau1>3.0.co;2-b

Cited by 52 publications

(32 citation statements)

References 23 publications

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“…Frail elderly patients should first be evaluated by a clinician skilled in the care of older people before any invasive investigations, treatments or medications are advised to the patient. This allows easily reversible causes or contributory factors for urinary incontinence to be eliminated first, using conservative measures and therapies [74,75]. …”

Section: Urodynamic Testingmentioning

confidence: 99%

The evidence for urodynamic investigation of patients with symptoms of urinary incontinence

Rosier

2013

F1000Prime Rep

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Urodynamic studies are the gold standard to objectively diagnose dysfunction of the lower urinary tract. The widely available evidence for the clinical relevance is, however, fragmented. This article summarizes the published knowledge supporting the use of urodynamic studies in urinary incontinence in female, male and frail patients, as well as patients with relevant neurological disease. Five technological innovations are discussed briefly. Standard urodynamic cystometry can, on the basis of a solid body of evidence, objectively unveil the entire function of the lower urinary tract in all patients with urinary incontinence, regardless of the patients' perception of (ab-)normality of signs and or symptoms.

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Section: Urodynamic Testingmentioning

confidence: 99%

The evidence for urodynamic investigation of patients with symptoms of urinary incontinence

Rosier

2013

F1000Prime Rep

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“…Because of the multifactorial nature of UI in the elderly, the ICI-CDT recommends to consider easily reversible causes or contributory factors for UI to primarily initiate conservative therapies. [31][32][33] The ICI-CDT acknowledges that the invasive nature of UDS becomes a more important factor in the old-old or frail elderly; however, the committee has not found evidence to advise any specific management for UDS in this patient group.…”

Section: Urodynamic Testing Frail Elderly With Signs And/or Symptoms mentioning

confidence: 99%

Executive summary: The International Consultation on Incontinence 2008—committee on: “Dynamic Testing”; for urinary or fecal incontinence. Part 2: Urodynamic Testing in male patients with symptoms of urinary incontinence, in patients with relevant neurological abnormalities, and in children and in frail elderly with symptoms of urinary incontinence

Szabo

Capewell

Gajewski

et al. 2009

Neurourology and Urodynamics

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Aims:The members of 'The International Consultation on Incontinence 2008 (Paris) Committee on Dynamic Testing' provide an executive summary of the chapter 'Dynamic Testing' that discusses (urodynamic) testing methods for patients with signs and or symptoms of urinary incontinence. Testing of patients with signs and or symptoms of fecal incontinence is also discussed. Methods: Evidence based and consensus committee report. Results: The chapter 'Dynamic Testing' is a continuation of previous Consultation reports added with a new systematic literature search and expert discussion. Conclusions, based on the published evidence and recommendations, based on the integration of evidence with expert experience and discussion are provided separately, for transparency. Conclusion: This second part of a series of three articles summarizes the committee's recommendations about: 'Urodynamic testing of male patients with symptoms of incontinence, of patients with relevant neurological abnormalities, testing of children and of frail elderly with symptoms of incontinence' and includes only the most recent and relevant literature references. Neurourol. Urodynam. 29:146-152, 2010. ß 2009 Wiley-Liss, Inc.Key words: consensus committee; incontinence (children); incontinence (frail elderly); incontinence (male); incontinence (neurologic); urodynamics INTRODUCTIONSubsequent to the first two reports of the International Consultation on Incontinence (ICI) 1,2 the chapter ''Urodynamic Testing'' was renamed ''Dynamic Testing'' in the third and fourth reports because of the additional inclusion of recommendations on the (diagnostic) management of fecal incontinence. 3 We (members of ''The ICI 2008 Committee on Dynamic Testing'': ICI-CDT) provide an executive summary of the chapter ''Dynamic Testing'' in the fourth ICI-report on incontinence. 4 The ICI-report, with the ICI-CDT chapter discussed here, has the intention to provide recommendations on the basis of the most reliable evidence for the current state of assessment of the patient with urinary or fecal incontinence. To this aim, dedicated and systematic literature searches were performed on the basis of keywords and on the basis of articles related to references in the previous ICI-reports. Throughout the chapters' text ''conclusion(s)'': solely and entirely based on the published scientific evidence, and ''recommendation(s)'' are highlighted. The ''recommendations'' are the integration of scientific evidence with the expert group consensus, together with the discussion with the attendees during the ICI meeting. Conclusions are separated from recommendations to produce maximum transparency about the ''evidence base'' of the recommendations. Likewise obtained ''topics(s) for research'' are also highlighted in the text of the ICI-report. In this executive summary, we discuss the chapter ''Dynamic Testing'' from the ICI-report in three parts: The innovations in urodynamic techniques ''in general,'' the test characteristics and normal values of urodynamic studies (UDS) as well as the asse...

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“…Koh, Lee, & Youn, 2004;Richard & Sylvia, 2005), 성별 (Kim, 2002;Kiruchi et al, 2007;Richard & Sylvia, 2005), 일상생활 수행 의존도 (Coppola et al, 2002;Holroyd-Leduc et al, 2004;Miles et al, 2001;Valk, Moons, Cools, & Schrijvers, 2002), 인지기능 장애 정도 (Coppola et al, 2002;Richard & Sylvia, 2005;Valk et al, 2002), 질병 수 (Holroyd- Leduc et al, 2004;Jennifer et al, 2006;Jumadilova et al, 2005), 골반저 근육약화 (Holtedahl & Hunskaar, 1998), 이전의 부인과 질환 (Holtedahl & Hunskaar, 1998), BMI (Holroyd-Leduc et al, 2004;Holtedahl & Hunskaar, 1998), 심장질환 (Kim, 2002), 치매 (Richard & Sylvia, 2005), 뇌졸중 (Kim, 2002;Richard & Sylvia, 2005), 우울 (Jumadilova et al, 2005), 시력손상 (Holroyd-Leduc et al, 2004), 관절증 (Richard & Sylvia, 2005), 고관절 골절 (Saxer, Halfens, Muller, & Dassen, 2005), 변비 (Valk et al, 2002), 욕창 (Jumadilova et al, 2005), 이전의 흡연력 (Holroyd-Leduc et al, 2004), 요로계 감염 (Jumadilova et al, 2005), 신체적 억제대 적용 (Richard & Sylvia, 2005) (Carpenter, 2006;Hawes et al, 1995;Resnick, Brandeis, Baumann, & Morris, 1996) …”

Section: 선행연구에서 노인의 요실금과 관련이 있는 것으로 확인된 변mentioning

confidence: 99%

Prevalence Rate and Associated Factors of Urinary Incontinence among Nursing Home Residents

Kim

Lee

2008

J Korean Acad Nurs

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2Postdoctoral Researcher, School of Nursing, University of Texas at Austin, USA Purpose: The aim of this study was to estimate the prevalence of urinary incontinence among nursing home residents and to identify the factors associated with this condition. Method: The data were collected from 618 subjects (146 males and 472 females; mean age 79.9± ±8.4 yr; range 65-102 yr) of 30 nursing homes in Seoul, Gyeonggi-do and Gangwon-do in this cross-sectional study. The data were analyzed by chi-square test, t-test, and multiple logistic regression by using the SPSS/PC ver 12.0 program. Results: The prevalence of UI was 64.7% (64.6% in women; 65.1% in men). After adjustment for each of the variables considered in this study, six potential factors were strongly associated with UI: activities of daily living, comorbidity, age, cognition, specialty of the facility, and a bladder training program. Conclusion: Our finding suggests that it is necessary to develop a program for promotion of activities of daily living and to provide a bladder training program to prevent urinary incontinence among nursing home residents.

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Evaluating a national assessment strategy for urinary incontinence in nursing home residents: Reliability of the minimum data set and validity of the resident assessment protocol

Cited by 52 publications

References 23 publications

The evidence for urodynamic investigation of patients with symptoms of urinary incontinence

The evidence for urodynamic investigation of patients with symptoms of urinary incontinence

Prevalence Rate and Associated Factors of Urinary Incontinence among Nursing Home Residents

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