Urinary incontinence in spinal cord injured individuals 10–45 years after injury

Hansen, Rikke Bølling; Biering‐Sørensen, Fin; Kristensen, Jørgen Kvist

doi:10.1038/sc.2009.46

Cited by 39 publications

(25 citation statements)

References 8 publications

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“…A recent epidemiologic follow-up study of SCI patients demonstrated a similar rate of UI (54%), while only a minority of individuals (19%) used medication for the treatment of incontinence. 10 Furthermore, a frequent UI rate (30%) in that study was nearly the same as the rate (31%) in our study. 10 In another study, a lower UI rate (38.1) was determined in SCI patients.…”

Section: Discussionsupporting

confidence: 69%

“…10 Furthermore, a frequent UI rate (30%) in that study was nearly the same as the rate (31%) in our study. 10 In another study, a lower UI rate (38.1) was determined in SCI patients. 6 In the present study, we found no difference in the frequencies of UI between respondents' characteristics such as age, time of injury and the level of injury.…”

Section: Discussionsupporting

confidence: 69%

“…One possible explanation could be that in the general community UI rates were found to be higher in middle-aged women than in men due to higher prevalence of stress incontinence and idiopathic detrusor overactivity in middle-aged women. In this regard, our findings were not consistent with the findings of Hansen et al 10 who determined a trend across the groups of incontinence with more paraplegics reporting daily incontinence compared with quadriplegics.…”

Section: Discussioncontrasting

confidence: 57%

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Urologic health condition of spinal cord-injured patients living in Turkey

et al. 2014

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Objectives: To determine the urologic health condition of spinal cord-injured (SCI) patients living in Turkey, and to analyze the relationship between the prevalence of urologic health condition parameters and the patient's characteristics. Methods: Telephone call survey was conducted with a structured questionnaire among all members of Turkish Society of Spinal Cord Injured Patients. Results: Data were obtained from 300 patients. Mean age was 42 years with a male/female ratio of 2.3, while the most common cause of injury was transport (35.3%). Although 70% were aware of potential kidney and bladder problems after injury 460% of the patients were not under regular urologic follow-up. Secondary health problems experienced as being most important was urination problems (50%). Of the patients 72.7% (83% in females vs 68% in males) had urinary incontinence (UI) during last 3 months, and 64.3% used clean intermittent catheterization (CIC) (68% in males vs 56% in females), while 73%, 57% and 26% of incontinent patients used diaper/pad, medication and condom catheter, respectively, and the use of CIC decreased with time. Surgical procedures on urinary tract were performed in 22.6% of the patients; stone surgeries were the most frequent ones. Conclusion: This study demonstrated that the UI rate was high among SCI patients, and more common in females with fairly good proportion of patients using incontinence medication. Main bladder management method was CIC and more prevalent in males, although the use of CIC decreased with time. Urinary stone surgery was the leading surgical procedure.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionsupporting

confidence: 69%

Section: Discussioncontrasting

confidence: 57%

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Urologic health condition of spinal cord-injured patients living in Turkey

et al. 2014

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“…These adaptations are well described by Stiens et al 15 There will always be a balance regarding the number of questions and the response rate, as too many questions may give fewer answers, not least because this study was part of a larger follow-up with many other questions included. [11][12][13][14] This study is, as far as we could see in literature, the first that illustrates which kind of home aids people with different severity of SCI use. This information can be of importance for a variety of professionals, including those in the municipalities, who administrate and finance home aids/ adaptations and personal assistance.…”

Section: Discussionmentioning

confidence: 99%

“…[11][12][13][14] The data concerning home aids, adaptations and personal assistance at the time of follow-up are given in Figure 1.…”

Section: Medical Record Datamentioning

confidence: 99%

Home aids and personal assistance 10–45 years after spinal cord injury

2008

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Objective: Assessment of home aids, adaptations and personal assistance received after traumatic spinal cord injury (SCI). Setting: Clinic for Spinal Cord Injuries, Denmark. Uptake area, 2.5 million inhabitants. Study design and methods: Cross-sectional follow-up with retrospective data from medical files. Materials: Individuals with traumatic SCI before 1 January 1991, still in regular follow-up and with sufficient medical record. In all, 279 were included, and 236 answered the questionnaire (193 men and 43 women), with a response rate of 84.6%. Mean age at follow-up was 50.5 years, and mean follow-up time, 24.1 years. One hundred and twenty-six were paraplegic and 110, tetraplegic. Responders and non-responders were comparable. Results: Most common aids or adaptations reported were commode/shower chair on wheels or a seat (69%), grab bar by the toilet (41%), electrical bed (44%), special mattress (28%), lift/hoist (20%), computers (39%) and kitchen tools or cutlery with special handles (14%). In all, 7.6% of the participants reported no aids. Eighty-two percent answered 'Yes' to the question 'Have the aids, you currently or previously needed, been available to you?' The majority reported that their source of information about aid had been various journals and magazines. Twenty-one percent had personal helpers, with 60 h per week in median (range 2-168). Thirty-three percent received domestic help with 2.5 h per week in median (range 0.5-37). Eight percent had a home nurse. A total of 98.7% were living in their own homes. Conclusions: This is the first study of a representative SCI population giving information on home aids. Individuals with SCI in Denmark seem to be sufficiently supplied with aids and personal assistance.

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