Prevalence and risk factors of urinary incontinence for post-stroke inpatients in Southern China

Abstract

The prevalence of UI among post-stroke inpatients is high. Stroke inpatients looked after by health care assistant, hemorrhagic stroke, mixed stroke, parietal lobe lesion, chronic cough, aphasia, and post-stroke depression were high-risk groups for UI. These patients should be targeted when planning intervention programs.

Urinary Incontinence and Indwelling Urinary Catheters as Predictors of Death after New-Onset Stroke: A Report of the South London Stroke Register

“…Functional status, haemorrhagic stroke, aphasia, motor deficit, mental impairment and post-stroke depression have all been associated with the risk of developing UI. [1,2] Its prevalence ranges between 33% and 79% in the days following acute stroke with almost half of those patients remaining incontinent oneyear after stroke. [1,3] UI has been reported to be an independent predictor of institutionalization, severe disability, and death in the post-stroke period.…”

Acidente vascular encefálico como fator de risco para incontinência urinária em: idosos institucionalizados

“…Alterações neurológicas, decorrentes de um acidente vascular encefálico, são as que mais provocam quadros de incontinência urinária (CAI et al, 2015). A incontinência urinária é uma circunstância clínica comum após o acidente vascular encefálico, decorrendo da hiperreflexia ou hipo-reflexia da bexiga, distúrbios no controle do esfíncter e ou perda sensória (DUMOULIN; KORNER-BITENSKY;TANNENBAUM, 2007).…”

“…Estudo realizado em uma cidade da China por Cai et al (2015), com 711 pa cientes após acidente vascular encefálico, identificou prevalência de 44,3% de in continência urinária e os principais fatores de risco para incontinência associados com acidente vascular encefálico foram tipo de acidente vascular encefálico, lesão de lobo parietal, tosse crônica, afasia e depressão. Em um estudo realizado no Canadá por Pizzi et al (2014) em pacientes após acidente vascular encefálico isquêmico, foi evidenciada prevalência de incontinência urinária de 79%.…”

Urinary incontinence nursing diagnoses in patients with stroke

“…Among the situations that imply the clinical condition of urinary incontinence are neurological disorders, and among them, the observation of incontinence among stroke patients (5) . Regardless of the cause, stroke can alter brain structures responsible for controlling urination, thus compromising the urinary system (6) .…”

“…A study realized in a city in China with 711 patients after stroke identified prevalence of 44.3% of urinary incontinence, and the main risk factors for incontinence associated with stroke were the stroke, parietal lobe lesion, chronic cough, aphasia and post-stroke depression (5) . A study on patients after ischemic stroke showed a 79% prevalence of urinary incontinence (6) .…”