Nocturia as a marker of poor health: Causal associations to inform care

Bower, Wendy; Whishaw, David M.; Khan, Fary

doi:10.1002/nau.23000

Cited by 42 publications

(58 citation statements)

References 33 publications

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“…High costs associated with containing bladder dysfunction at night may be reduced. The risk of morbidity and reduced functional ability at discharge may be modifiable with the treatment of nocturnal bladder dysfunction during hospitalization …”

Section: Nocturia On the Ward: Improve Diagnosis And Therapymentioning

confidence: 99%

Is our current understanding and management of nocturia allowing improved care? International Consultation on Incontinence‐Research Society 2018

Hervé

Abrams

Bower

et al. 2019

Neurourology and Urodynamics

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Aims: Nocturia or waking at night, to urinate is a common cause of awakenings and may lead to sleep disturbance, impaired somatic health, impaired quality of life, and increased mortality.The aim of this report is to point out and discuss the aspects and issues that need to be addressed to improve the care of nocturia. Methods: This paper is a report of the presentations and subsequent discussion of a Think Tank session at the annual International Consultation on Incontinence-Research Society (ICI-RS) in June 2018 in Bristol.Results and conclusion: Nocturia is a known risk factor for in-hospital falls. Unfortunately, its assessment in acutely hospitalized (older) people is not the current practice and ward-based care plans are not tailored to this symptom. A new care pathway for hospitalized patients who have nocturia should be considered.

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Section: Nocturia On the Ward: Improve Diagnosis And Therapymentioning

confidence: 99%

Is our current understanding and management of nocturia allowing improved care? International Consultation on Incontinence‐Research Society 2018

Hervé

Abrams

Bower

et al. 2019

Neurourology and Urodynamics

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“…Unmanaged nocturia has significant morbidity and is associated with impaired general health . In fact, individuals with more than two nocturia episodes per night have double the risk of early death and over 4 times the risk of cardiovascular/cerebrovascular morbidity .…”

Section: Introductionmentioning

confidence: 99%

Toileting‐related falls at night in hospitalised patients: The role of nocturia

et al. 2019

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Objective The purpose of this study was to describe the prevalence and characteristics of toileting‐related falls in hospitalised older people. Methods Retrospective analysis of falls related to night‐time toileting in patients 60 years or over in a tertiary hospital during a one‐year period. Results Overall 34% of falls were related to toileting with at least 44% of these falls occurring during the night. Toilet‐related falls peaked between 11 pm and 1 am, a period that coincides with maximum supine‐induced diuresis. Almost half of night falls occurred at the bedside. In 80% of night toileting‐related falls, patients were mobilising without the recommended level of assistance. Half of all patients had no strategies for toileting documented in their care plan. Conclusion Findings support screening for nocturia in older inpatients and implementation of strategies to reduce both the need for toileting at night and risk factors for falling.

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“…Its prevalence increases with age and varies according to definitions. Nocturia ≥2 per night affects up to 60% of both men and women older than 65 years . Despite its high prevalence, the pathophysiology of nocturia is not completely understood and age is the only well‐recognized risk factor …”

Section: Introductionmentioning

confidence: 99%

Metabolic syndrome and smoking are associated with persistence of nocturia after transurethral resection of the prostate

Nunzio

Tema

Lombardo

et al. 2019

Neurourology and Urodynamics

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Aims The aim of our study was to evaluate the relationship between smoking, metabolic syndrome (MetS) and persistence of nocturia in patients with moderate/severe nocturia (nocturia episodes ≥2), lower urinary tract symptoms (LUTSs), and benign prostatic enlargement (BPE) undergoing transurethral resection of the prostate (TURP). Methods From 2015 onward, a consecutive series of patients with moderate/severe nocturia (nocturia episodes ≥2), LUTS, and BPE undergoing TURP were prospectively enrolled. Medical history, physical examination, and smoking status were recorded. MetS was defined according to Adult Treatment Panel III. Moderate/severe persistent nocturia after TURP was defined as nocturia episodes ≥2. Binary logistic regression analysis was used to evaluate the risk of persisting nocturia. Results One hundred two patients were enrolled with a median age of 70 years (interquartile range: 65/73). After TURP, moderate/severe nocturia was reported in 43 of 102 (42%) of the patients. Overall 40 of 102 (39%) patients presented a MetS, and out of them, 23 of 40 (58%) presented a moderate/severe persistent nocturia after TURP ( P = .001). Overall 62 of 102 (61%) patients were smokers, and out of them, 32 of 62 (52%) presented moderate/severe persistent nocturia after TURP ( P = .034). On multivariate analysis, prostate volume, MetS, and smoking were independent risk factors for moderate/severe persistent nocturia after TURP. Conclusion In our single‐center study, MetS and smoking increased the risk of moderate/severe persistent nocturia after TURP in patients with LUTS‐BPE. Although these results should be confirmed, and the pathophysiology is yet to be completely understood, counseling smokers and MetS patients about the risk of postoperative persistent nocturia is warranted.

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Nocturia as a marker of poor health: Causal associations to inform care

Cited by 42 publications

References 33 publications

Is our current understanding and management of nocturia allowing improved care? International Consultation on Incontinence‐Research Society 2018

Is our current understanding and management of nocturia allowing improved care? International Consultation on Incontinence‐Research Society 2018

Toileting‐related falls at night in hospitalised patients: The role of nocturia

Metabolic syndrome and smoking are associated with persistence of nocturia after transurethral resection of the prostate

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