Prevalence and factors associated with faecal impaction in the Spanish old population

Falcón, Blanca Serrano; Sánchez, Antonio Rosino; Dı́az-Rubio, Manuel; Rey, Enrique

doi:10.1093/ageing/afw166

Cited by 16 publications

(12 citation statements)

References 27 publications

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“…The prescription of laxatives was found for the majority of patients with constipation (80%), which was in accordance with that described in the UK (86%) [6], Norway (85.3%) [15], Spain (91.7%) [17], and the USA (97.7%) [18] but in a greater proportion and differing markedly from that found in other European countries (38.4-55.3%) [12,19,20]. Monotherapy was the most fre-quent therapeutic pattern (70.4%), very similar to that described in Spain (79%) [17] but much higher than that described in the USA (54%) [18].…”

Section: Discussionsupporting

confidence: 88%

“…There was a predominance of women (69.4%), which was consistent with that described in the UK (64-69%) [6,14] and Norway (72.8%) [15] and in a multicenter study conducted in the USA, the UK, France, Germany, Italy, Brazil, and South Korea (62.9-75.5%) [16] but was not consistent with that found in Spain (43.4%) [12] and Australia (50%) [13]. The prescription of laxatives was found for the majority of patients with constipation (80%), which was in accordance with that described in the UK (86%) [6], Norway (85.3%) [15], Spain (91.7%) [17], and the USA (97.7%) [18] but in a greater proportion and differing markedly from that found in other European countries (38.4-55.3%) [12,19,20]. Monotherapy was the most fre-quent therapeutic pattern (70.4%), very similar to that described in Spain (79%) [17] but much higher than that described in the USA (54%) [18].…”

Section: Discussionmentioning

confidence: 52%

“…In this study, stimulant laxatives were the most prescribed pharmacological agents (52.1%); in other countries such as Finland, the UK, and Norway, osmotic laxatives were the most commonly used (45.8, 52-61, and 72.8%, respectively) [6,14,15,20], whereas in the USA and Spain, volume laxatives predominated (26.2 and 35.7%, respectively) [17,18]. The differences in the prescription patterns of laxatives are possibly due to the inclusion or absence of these medications in the health systems of different countries.…”

Section: Discussionmentioning

confidence: 58%

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Potentially Inappropriate Prescriptions for Anticholinergic Medications for Patients with Constipation

Valladales‐Restrepo

Paredes-Mendoza

Machado‐Alba

2020

Dig Dis

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Introduction: Constipation is a very common functional gastrointestinal disorder in the general population and can be primary or secondary. Objective: The aim of this study was to estimate the anticholinergic burden of prescribed drugs in a population diagnosed with constipation in Colombia. Methods: This was a cross-sectional study that used a population database of 6.5 million people to identify the prescription of cholinergic antagonists and drugs for the management of constipation in outpatient services. The anticholinergic burden was evaluated using the Anticholinergic Drug Scale. Potentially inappropriate prescriptions that increased the risk of constipation were identified. Results: A total of 3,887 patients with constipation were identified; the identified patients had a mean age of 54.4 ± 21.9 years, and 69.4% were women. Eighty percent received at least one laxative, and the most prescribed laxative was bisacodyl (50.5%). Forty-one percent (n = 1,586) of all patients received drugs with cholinergic antagonist activity, in particular codeine (6.5%) and valproic acid (6.5%). Being over 30 years of age (odds ratio [OR]: 1.79; 95% confidence interval [CI]: 1.24–2.57), being treated in the cities of Manizales (OR: 2.20; 95% CI: 1.50–3.21) and Pereira (OR: 1.49; 95% CI: 1.07–2.09), and having hypothyroidism as a comorbidity (OR: 1.37; 95% CI: 1.08–1.73) were associated with a greater probability of receiving medications with an anticholinergic burden of 3 or more points. Conclusions: The majority of patients with constipation were women and were using laxatives to manage constipation. A large proportion of patients were prescribed at least one cholinergic antagonist drug, with an increased probability of use after 30 years of age.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 58%

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Potentially Inappropriate Prescriptions for Anticholinergic Medications for Patients with Constipation

Valladales‐Restrepo

Paredes-Mendoza

Machado‐Alba

2020

Dig Dis

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“…Gastrografin was a hypertonic liquid, the application of nasogastric tubes may decrease the aspiration risk, and accelerated the time of gastrografin reached into colon. Many studies used nasogastric tube, and clamped for 2 h after administration . Even though it was clamped after complete suction of the gastric fluid, a risk of vomiting or aspiration could remain.…”

Section: Discussionmentioning

confidence: 99%

Use of gastrografin in the management of faecal impaction in patients with severe chronic constipation: a randomized clinical trial

Ding

Tian

et al. 2018

ANZ Journal of Surgery

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Background/Aim: Faecal impaction (FI) is a common cause of lower gastrointestinal tract obstruction. Gastrografin is a water-soluble radiologic contrast agent that may be orally or rectally administered, with proved therapeutic benefits in adhesive small bowel obstruction. Enemas have long been advocated as the best treatment for FI. The purpose of this study was to demonstrate that enteral administration of gastrografin might be more effective than enema in FI treatment inducing intestinal obstruction. Methods: A double-blinded, controlled and randomized trial was conducted. Participants received 100 mL of gastrografin (gastrografin group) through nasointestinal tube or enemas (enema group) once daily for six consecutive days. Successful faecal disimpaction, FI time to resolution, Bristol Stool Scale, constipation severity, symptom assessment and adverse events were evaluated. Results: A total of 124 patients were eligible, but only 83 were enrolled to this trial (mean age: 44 AE 15.8 years). Forty-two patients received enemas, and 41 patients received gastrografin, with six dropouts in each group. Successful disimpaction was achieved with enemas (69.44%) and gastrografin (88.57%; P = 0.034), mean duration of impaction was strikingly different between the two groups (67.13 versus 31.67, respectively; P < 0.01). Constipation severity and symptom assessment were significantly reduced in the gastrografin group. Conclusion: Gastrografin given through nasointestinal tube was more effective than enema in the treatment of FI inducing colon obstruction. Gastrografin might be taken into consideration as an effective and safe therapeutic option for FI.

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“…Fekal inkontinansın görülme sıklığı konusunda kesin bir veri bulunmamaktadır (4). Farklı ülkelerde yapılan prevalans çalışmalarında, toplum içinde Fİ %1.4-12.7 arasında iken bu oran, geriatri kliniklerinde %50 civarındadır (5)(6)(7)(8). Sıklık oranları arasındaki farklılık, inkontinansın farklı tanımlanması ve verilerin işlenmesindeki farklı metotların bulunması, bireylerin geriatrik olması ve yarısından fazlasının şikayetlerini dile getirmekten çekinmelerinden kaynaklanmaktadır (9).…”

Section: Introductionunclassified

Fecal incontinence and nursing approach

Yılmaz

Aslan

2018

Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi

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Fekal inkontinans (Fİ), katı veya sıvı haldeki feçesin istemsiz kaçırılmasıdır. Dünya’da milyonlarca kadını etkileyen Fİ bireyi yalnızca fiziksel olarak değil, aynı zamanda sosyal, psikolojik ve ekonomik olarak da olumsuz etkileyen patolojik bir durumdur. Fİ, birey için açıklanması güç, utanç verici bir durum olarak görülebilmektedir. Bireyler sık sık tuvalete gitme korkuları olduğundan oldukça kısıtlı bir sosyal hayat yaşar. Fekal inkontinanslı bireyler sosyal izolasyon yaşar. Fekal inkontinans toplumda bir tabu olarak görülmesi sebebiyle sorunun saptanması ve değerlendirilmesinde hemşirelere önemli rol ve sorumluluklar düşmektedir. Literatürde fekal inkontinansın tanı ve tedavi yöntemleri ile ilgili birçok kaynak bulunmaktadır. Bu derlemenin amacı, fekal inkontinansın nedenlerini, risk faktörlerini, güncel tanı ve tedavi yöntemlerini incelemek ve hastalığın tedavisinde her aşamasında aktif rol alan hemşirelerin sorumluluklarını ve rollerini belirtmektir.

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Prevalence and factors associated with faecal impaction in the Spanish old population

Abstract: FI is a prevalent problem in old Spanish population. Constipation and female gender are the main associated factors; low physical activity and CRF appear to play also a significant role. Further studies are required to confirm this association.

Cited by 16 publications

References 27 publications

Potentially Inappropriate Prescriptions for Anticholinergic Medications for Patients with Constipation

Potentially Inappropriate Prescriptions for Anticholinergic Medications for Patients with Constipation

Use of gastrografin in the management of faecal impaction in patients with severe chronic constipation: a randomized clinical trial

Fecal incontinence and nursing approach

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