Poststroke Urinary Incontinence: One‐Year Outcome and Relationships with Measures of Attentiveness

Pettersen, Renate; Saxby, Brian K.; Wyller, Torgeir Bruun

doi:10.1111/j.1532-5415.2007.01396.x

Cited by 29 publications

(44 citation statements)

References 22 publications

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“…Age and functional impairment are risk factors for fecal incontinence on admission for stroke. 91 Impaired awareness of urinary incontinence is correlated with mortality 92 and the need for nursing home care 3 months after stroke. 93 On a positive note, many patients recover continence after stroke.…”

Section: Treatment Of Bowel and Bladder Incontinencementioning

confidence: 99%

“…The recommendation to remove indwelling urinary catheters within 24 hours is based on the Centers for Disease Control and Prevention recommendations for all hospitalized patients to prevent catheter-associated urinary tract infections and is not specific to stroke. 94 The studies reported by Pettersen et al 92 and Myint et al 95 combined multiple recommendations representing "best practice" for bladder management and applied them to a modestsized population of stroke patients. Their studies showed success but limited generalizability because of study design.…”

Section: Treatment Of Bowel and Bladder Incontinencementioning

confidence: 99%

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Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,179

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Treatment Of Bowel and Bladder Incontinencementioning

confidence: 99%

Section: Treatment Of Bowel and Bladder Incontinencementioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,179

840

View full text Add to dashboard Cite

show abstract

“…Training of attention may stimulate a This is an Open Access article distributed under the terms of the Creative Commons Attribution License 2.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. renewal of bladder control for patients who recognize their own urinary incontinence (Pettersen, Saxby, Wyller, 2007). Although information on urinary retention or urgent and frequent need to urinate is widely available, little is known of its original causes and their role in the prediction of recovery results.…”

mentioning

confidence: 99%

Correlation between urinary incontinence and localization of brain lesion and severity of neurological lesion caused by a stroke

Mihejeva

Vētra

2012

SHS Web of Conferences

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Abstract. Urinary incontinence is one of the medical problems, which may develop as a result of a stroke, and, according to several authors, its occurrence frequency may reach up to 80%. Clinical symptoms of urinary incontinence are considered to be one of the symptoms, which, along with the severity of the stroke and the level of functional limitations, allows to develop reliable predictions and to make targeted use of resources. Aim of the study, materials and methods. The aim of the study is to explore whether post-stroke urinary incontinence correlates with localization of lesion and clinical symptoms. The study includes 180 patients after a stroke, who have received treatment at Riga Eastern Clinic University Hospital Stroke Unit. All had a comprehensive clinical and functional assessment and cerebral computed tomography (CT). The examination took place at the hospital a few days after the stroke had occurred. Results. There are 180 participants to the study. Symptoms of urinary incontinence were reported for 70.6% of study participants. In 64% of cases new incontinence problems had developed, while in 6.5% of cases the previous symptoms of urinary incontinence (prior to the stroke) had worsened. The most common types of urinary incontinence in the acute period were urge and mixed incontinence (functional and urge incontinence). Patients with low Barthel Index showed higher frequency of urinary incontinence. A comparison of patient groups with and without symptoms of urinary incontinence showed that patients older than 75 years showed more symptoms of urinary incontinence (p = 0.013), and the same can be said about patients with low indicators of Barthel (p = 0.001) and patients with cognitive disorders (p = 0.001). Severity of paresis, aphasia and sensory disorders show a reliable correlation with the type of urinary incontinence.Conclusion. Symptoms of post-stroke urinary incontinence are linked both to a person's age, and functional and cognitive disorders. Urinary incontinence develops more frequently among patients with anterior circulation of the brain and subcortical brain lesion. There is a reliable correlation between severity of neurological lesion and urinary incontinence. Key words: stroke, rehabilitation, urinary incontinenceUrinary incontinence is a serious health disorder that develops after a stroke and occurs within the first days or weeks after affection in between 37% and 79% of cases (Van Kuijk, Van der Linde, Van Limbeek, 2001).Urinary incontinence is not seen as a specific early symptom of the stroke with characteristic brain lesion localization, however several authors view it as an indicator of potential occurrence of death, disability and re-hospitalization. The most common mechanism of post-stroke urinary incontinence is an increase in activity of bladder wall muscle or detrusor (m.detrusor), yet a decrease in activity of detrusor may be observed and urodynamic testing may show indicators below the norm.Lesion of various brain structures, movement and speech or language disorders, ...

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“…9,14,[18][19] Relativamente à tipologia dos artigos seleccionados, oito são originais, têm por base dados empiricos produzidos em investigações. [9][10][11][14][15][16][17]19 Os restantes são artigos de revisão da literatura. 8,[12][13]18 No que respeita à caracterização da produção cientifica analisada,os dados revelam que os artigos originais resultam na sua maioria de investigações exploratórias de natureza quantitativa e qualitativa.…”

unclassified

“…A utilização de técnicas como a micção imediata e os exercícios musculares do pavimento pélvico são importantes pelo envolvimento cerebral para controlo destas actividades. 15 A idade, a cognição e as limitações funcionais do membro inferior estão relacionadas com a incontinência. 19 As intervenções são sustentadas em juizos clinicos nos quais interessa considerar os riscos e os beneficios.…”

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Clinical protocols related with urinary incontinence post stroke: a literature review

Frade

Bule

Gemito

2011

Rev enferm UFPE on line.

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Frade MAG, Bule MJA, Gemito MLGP. Clinical protocols related with urinary incontinence…Rev enferm UFPE on line. 2011 mar./abr.;5(spe):505-13 505 DOI: 10.5205/reuol.1718-11976-1-LE.05spe201125 ISSN: 1981 ABSTRACTObjective: to review the literature on clinical protocols focusing on the differences and similarities related to urinary incontinence after stroke. Methodology: an exploratory study characterized as a research of literature review conducted through electronic review in scientific databases in the Virtual Library for Health Highwire Search, PubMed, Sielo, EBsco Host, held in November and December 2010. Found 12 full papers, were 5 in Highwire Search, 6 in EBsco Host and 1 in PubMed. Results: in the articles analyzed were not found protocols that, in a systematic way, guide the practice of evaluation, diagnosis, intervention and reassessment of care to patients with incontinence after stroke. Conclusion: Although the studies addressing important aspects of the patient's urinary incontinence after stroke, evaluation and identification of factors that enhance the situation, can make an important contribution to the selection of strategies and the definition of assistance for the recovery of continence. The evaluation of incontinence and these factors must be done systematically and using validated instruments for this purpose. Descriptors: rehabilitation; protocols; stroke; nursing; urinary incontinence RESUMO Objetivo: rever a literatura sobre protocolos clínicos focalizando as diferenças e semelhanças relacionadas com a incontinência urinária pós AVC. Metodologia: estudo exploratório caracterizado como pesquisa de revisão de literatura realizada por meio de revisão eletrônica nas bases de dados científicas da Biblioteca Virtual de Saúde Highwire Search, PubMed, Sielo e EBsco Host, realizada em Novembro e Dezembro de 2010. Foram encontrados 12 artigos completos sendo 5 na Highwire Search 6 na EBsco Host e 1 no PubMed. Resultados: nos artigos analisados não foram encontrados protocolos que, de forma sistematizada orientem as práticas de avaliação, diagnóstico, intervenção e reavaliação dos cuidados ao doente com incontinência após AVC. Conclusão: apesar de os estudos tratarem de aspectos importantes da incontinência urinária do doente pós AVC, a avaliação e identificação de factores que potenciam a situação, podem dar um contributo importante na selecção das estratégias e na definição das intervenções com vista à recuperação da continência. A avaliação da incontinência e desses factores deve ser efectuada de forma sistemática e com recurso a instrumentos validados para esse fim. Descritores: reabilitação; protocolos; AVC; enfermagem; incontinência urinária. RESUMENObjetivo: revisar la literatura sobre los protocolos clínicos centrándose en las diferencias y similitudes en relación a la incontinencia urinaria después del accidente cerebrovascular. Metodología: un estudio exploratorio caracterizado como una investigación de la revisión de la literatura llevada a cabo mediante la revisión electrónica de base...

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Poststroke Urinary Incontinence: One‐Year Outcome and Relationships with Measures of Attentiveness

Cited by 29 publications

References 22 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Correlation between urinary incontinence and localization of brain lesion and severity of neurological lesion caused by a stroke

Clinical protocols related with urinary incontinence post stroke: a literature review

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