Prevalencia y principales características de la incontinencia urinaria en la población anciana institucionalizada de Madrid |
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Authors: | Begoña Prado Villanueva Cornelia Bischoffberger ValdésEmiliana Valderrama Gama Carlos Verdejo BravoJavier Damián |
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Institution: | a Servicio de Geriatría, Hospital Guadarrama, Madrid, España b Servicio de Medicina Preventiva, Hospital Guadarrama, Madrid, España c Centro de Salud Campo de la Paloma, Área 1 de Atención Primaria, Madrid, España d Servicio de Geriatría, Hospital Clínico Universitario San Carlos, Madrid, España e Área de Epidemiología Aplicada, Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España |
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Abstract: | IntroductionUrinary incontinence (UI) has been poorly studied in Spanish nursing homes. The objective is to determine the prevalence and related factors of UI in institutionalized older people in Madrid, Spain.MethodsA probabilistic sample of 754 subjects 65 years of age and older living in public and private institutions in Madrid was randomly selected through stratified cluster sampling. Residents, caregivers and physicians were interviewed. UI was defined as any leakage in the previous 14 days. We asked about the frequency (occasional, nocturnal, frequent and total), quantity (drops or small quantities, very much), and types (urge, stress, due to cognitive impairment, and due to walking difficulty). To determine the factors associated with UI, we built logistic regression models that adjusted for age, sex, functional dependency (Barthel index) and cognitive status (Pfeiffer's test).ResultsThe prevalence of UI was 53.6%. Of all residents 35.8% had frequent or total UI. Among those incontinent 60.1% had a very large quantity of urine loss and the most common presentation was mixed (54.1%). The most frequent type in the population was urgent UI (26.8%) followed by UI due to walking difficulty (21.4%). UI was associated (odds ratios 95% CI]) with moderate (3.51 1.56-7.89]) and severe functional disability (44.71 10.99-181.94]), faecal incontinence (4.97 2.04-12.16]), stroke (4.59 1.06-19.87]), physical restraints (4.03 1.02-17.87]), and falls (2.10 1.16-3.81]). The mean (95% CI) number of pads used per person per day was 3.0 (2.4-3.6).ConclusionsThe prevalence of UI was somewhat higher than that of other comparable populations. Mixed forms, including functional types, were common. |
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Keywords: | Incontinencia urinaria Prevalencia Epidemiologí a Residencias de mayores |
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