Urininkontinenz

Becher, Klaus

doi:10.1055/a-1677-7634

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…The proportion of women in our study was 83.3% and was higher than the average in German nursing homes of 72% [34]. A reason for the elevated proportion of women may be that the inclusion criteria for urinary incontinence, which has a higher prevalence among women [35], biased the gender composition in this open observational study. Another limitation is the high number of missing observations for the frequency of nocturnal episodes and incontinence episodes for 24 h caused by the question character of the ICIQ-Cog.…”

Section: Limitationsmentioning

confidence: 61%

Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers

Jaekel,

Rings,

Schmitz

et al. 2023

JCM

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Urinary or double incontinence in frail elderly people is common and leads to a reduction in quality of life and an increased burden on the patients’ caregivers. Up to now, no special instrument has been available to assess the impact of incontinence on cognitively impaired patients and their professional caregivers. Thus, the outcomes of incontinence-specific medical and nursing interventions for cognitively impaired individuals are not measurable. Our aim was to investigate the impacts of urinary and double incontinence on both the affected patients and their caregivers using the newly developed “International Consultation on Incontinence Questionnaire Cognitively Impaired Elderly” (ICIQ-Cog) tool. The severity of incontinence was measured by incontinence episodes per night/per 24 h, the type of incontinence, the type of incontinence devices used, and the proportion of incontinence care out of total care; all these measures were correlated to the ICIQ-Cog. Incontinence episodes per night and the proportion of incontinence care out of total care showed significant correlations with the patient- and caregiver-related ICIQ-Cog scores. Both items have negative effects on patient quality of life and caregiver burden. Improving nocturnal incontinence and reducing the need for incontinence care overall can decrease the incontinence-specific bother of affected patients and their professional caregivers. The ICIQ-Cog can be used to verify the impacts of medical and nursing interventions.

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Section: Limitationsmentioning

confidence: 61%

Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers

Jaekel,

Rings,

Schmitz

et al. 2023

JCM

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“…For example, urinary incontinence itself can lead to mobility inconvenience, which can lead to falls and mental impairments in elderly individuals. More importantly, because many women suffer in silence and accept UI as a normal part of the aging process, they may be underdiagnosed; however, even after the diagnosis, treatment and care are often inadequate 4 . In addition to affecting the physical and mental health of patients, UI also carries a significant economic burden, with the direct cost of incontinence-related care in the United States alone estimated at $19.5 billion 5 .…”

Section: Introductionmentioning

confidence: 99%

Synergistic interaction between hyperlipidemia and obesity as a risk factor for stress urinary incontinence in Americans

Zhu,

Chen,

Xiao

et al. 2024

Sci Rep

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Urinary incontinence is a common disease among middle-aged and elderly women, which not only affects the physical and mental health of patients, but also brings a great medical burden to society. Obesity is a known risk factor for urinary incontinence and is the most common secondary cause of hyperlipidemia. Most obese patients also suffer from hyperlipidemia in the clinic. However, few studies have explored the role of hyperlipidemia in women with urinary incontinence. Using data from the 2005–2018 National Health and Nutrition Examination Survey (NHANES), we aimed to evaluated the independent associations of high body mass index and hyperlipidemia with urinary incontinence in Americans by conducting a weighted multivariate logistic regression model. Additive interactions were also assessed using the relative excess risk due to interaction (RERI), attributed proportion of interaction (AP) and synergy index (S). This study demonstrated that hyperlipidemia was associated with a higher risk of stress urinary incontinence among women with obesity (OR = 1.52, 95% CI = 1.03–2.25), and there was a significant synergistic effect of hyperlipidemia and obesity on stress urinary incontinence(adjusted RERI: 3.75, 95% CI 0.30–7.20; adjusted AP: 0.67, 95% CI 0.54–0.80; adjusted S: 5.49, 95% CI 4.15–7.27). Moreover, fasting serum triglyceride lipids were the most relevant blood lipid indicator for the risk of stress urinary incontinence, especially among obese women younger than 50 years old, which contributes to the development of more refined lipid control protocols for patients with urinary incontinence in different age groups.

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Urininkontinenz

Cited by 2 publications

References 25 publications

Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers

Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers

Synergistic interaction between hyperlipidemia and obesity as a risk factor for stress urinary incontinence in Americans

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