Urinary incontinence: An under‐recognized risk factor for falls among elderly dementia patients

Lee, Chun-Ying; Chen, Liang Kung; Lo, Yuk Keung; Liang, Chih‐Kuang; Chou, Ming Yueh; Lo, Chung Cheng; Huang, Chia Tsuan; Lin, Yu Te

doi:10.1002/nau.21044

Cited by 29 publications

(32 citation statements)

References 36 publications

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“…Overactive bladder syndrome is the most common cause of urinary incontinence in older adults . Our study aimed at analyzing the association between this pervasive condition and the risk of falls among older adult Medicare fee‐for‐service enrollees.…”

Section: Discussionmentioning

confidence: 99%

Association between overactive bladder treatment and falls among older adults

Jayadevappa

Chhatre

Newman

et al. 2018

Neurourology and Urodynamics

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Section: Discussionmentioning

confidence: 99%

Association between overactive bladder treatment and falls among older adults

Jayadevappa

Chhatre

Newman

et al. 2018

Neurourology and Urodynamics

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“…Urinary incontinence is a known risk factor for falls among elderly persons with dementia. (24) Urinary incontinence is about four times more common among elderly persons with dementia than those without. Among elderly persons with dementia, the prevalence of urinary incontinence was found to range between 22% (community-dwelling) and 84% (residing in a nursing home).…”

Section: Discussionmentioning

confidence: 99%

Comparison between elderly inpatient fallers with and without dementia

Lim¹,

Mamun²,

Lim³

2014

smedj

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INTRODUCTIONThis study aimed to examine the various factors associated with inpatient falls among patients with and without dementia in a hospital setting. METHODSThis was a retrospective one-year study using data collected from Singapore General Hospital's electronic reporting system for inpatient falls. RESUlTSIn the study period, 298 patients aged ≥ 65 years fell during their hospital stay. The majority of the patients (n = 248) did not have dementia. In our study, fallers with dementia were more likely to use ambulatory aids, be visually impaired and have urinary incontinence. More patients with dementia than those without had a history of previous falls, and were placed on fall precaution with restricted freedom of movement, which at times, included restraints. However, the difference between patients who were put on restraints and those who were allowed to move freely was not statistically significant. The majority of falls in both groups occurred at the bedside. We found that fallers without dementia were more likely to fall during the morning shift, whereas fallers with dementia were more likely to fall during the night shift. Fallers with dementia were more likely to be confused at the time of the fall. CONClUSIONIn our study, we found that fallers with dementia were more likely to have visual impairment, have urinary incontinence, use walking aids, and to be confused and physically restrained at the time of the fall. The fallers without dementia in our study may have undiagnosed dementia.

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“…In a prospective cohort study, the use of 4 or more medications was associated with increased risk of falling and the risk of recurrent falls [37]. A study in elderly patients with dementia reported that those patients who reported a fall had an increased prevalence of polypharmacy [38]. In a study of institutionalized older adults the risk of experiencing a fall within the previous 30 days was by 7% for each additional medication [39].…”

Section: 0 Consequences Of Polypharmacymentioning

confidence: 99%

Clinical consequences of polypharmacy in elderly

Maher

Hanlon

Hajjar

2013

Expert Opinion on Drug Safety

1,451

1,028

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Introduction Polypharmacy, defined as the use of multiple drugs or more than are medically necessary, is a growing concern for older adults. Areas Covered We present information about; 1.) Prevalence of polypharmacy and unnecessary medication use. ; 2.) Negative Consequences of Polypharmacy; 3.) Interventions to improve polypharmacy. Expert Opinion International research shows that polypharmacy is common in older adults with the highest number of drugs taken by those residing in nursing homes. Nearly 50% of older adults take one or more medications that are not medically necessary. Research has clearly established a strong relationship between polypharmacy and negative clinical consequences. Moreover, well designed inter-professional (often incuding clinical pharmacist) intervention studies that focus on enrolling high risk older patients with polypharmacy have shown that they can be effective in improving the overall quality of prescribing with mixed results on distal health outcomes.

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Urinary incontinence: An under‐recognized risk factor for falls among elderly dementia patients

Abstract: Urinary incontinence is a previously unidentified risk factor for falls among elderly dementia patients. An interventional study with the focus of urinary incontinence could improve the effectiveness of fall prevention among these patients.

Cited by 29 publications

References 36 publications

Association between overactive bladder treatment and falls among older adults

Association between overactive bladder treatment and falls among older adults

Comparison between elderly inpatient fallers with and without dementia

Clinical consequences of polypharmacy in elderly

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