1. Post-stroke lower urinary system dysfunction and its relation with functional and mental status: a multicenter cross-sectional study
- Author
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Kurtuluş Köklü, Merve Sekizkardeş, Ebru Alemdaroğlu, Yesim Akkoc, Murat Ersöz, Engin Koyuncu, Ayşe Güler, Necmettin Yildiz, Nilgun Simsir Atalay, Ayşe Nur Bardak, Berrin Gündüz, Yasin Demir, Ozlem Satır, Asuman Doğan, Rıdvan Işık, Evren Yaşar, Bilge Yilmaz, Hakan Tunç, Ezgi Sasmaz, Zuhal Özişler, Belgin Erhan, and Ege Üniversitesi
- Subjects
Male ,030506 rehabilitation ,Cross-sectional study ,medicine.medical_treatment ,Urinary incontinence ,functional status ,Turkey (republic) ,0302 clinical medicine ,Quality of life ,Surveys and Questionnaires ,middle aged ,Prevalence ,Barthel index ,Aged ,Cross-Sectional Studies ,Female ,Humans ,Lower Urinary Tract Symptoms/*etiology/*psychology ,Mental Status and Dementia Tests ,Middle Aged ,Quality of Life ,Stroke/*complications/*psychology ,Stroke Rehabilitation ,Urinary Incontinence/psychology ,Stroke ,Incontinence Quality of Life Questionnaire ,lower urinary tract symptom ,stroke rehabilitation ,Modified Barthel Index ,Rehabilitation ,medicine.diagnostic_test ,adult ,stroke patient ,Mini Mental State Examination ,clinical trial ,stroke ,female ,disease severity ,cerebrovascular accident ,medicine.symptom ,0305 other medical science ,Danish Prostatic Symptom Score ,mental health ,nocturia ,medicine.medical_specialty ,Lower urinary tract dysfunction ,Urinary system ,prevalence ,complication ,psychology ,Article ,urine incontinence ,03 medical and health sciences ,Lower Urinary Tract Symptoms ,Internal medicine ,medicine ,cross-sectional study ,Nocturia ,human ,Community and Home Care ,Mini–Mental State Examination ,business.industry ,questionnaire ,medicine.disease ,major clinical study ,stress incontinence ,multicenter study ,Urinary Incontinence ,quality of life ,dementia assessment ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
EgeUn###, Background: Review of the literature clearly reveals that little is known about the association between functional and mental status, and Lower Urinary Tract Dysfunction (LUTD) in patients with stroke. Objective: The aim of this study was to assess functional and mental status in stroke patients and to identify possible associations with the prevalence, severity and bother of LUTD. Material and methods: This study was designed as a cross-sectional study and included 260 stroke patients enrolled from six different hospitals in Turkey. The patients were questioned using the Danish Prostatic Symptom Score (DAN-PSS) Questionnaire to evaluate LUTD, and evaluated using the Modified Barthel Index (MBI), Incontinence Quality of Life Questionnaire (I-QoL), and the Mini Mental State Examination (MMSE). Results: At least one LUTD finding was reported in 243 (93.5%) patients; the most commonly encountered complaint in these patients was nocturia (75.8%). The mean MBI, MMSE, and I-QoL scores were found to be significantly lower in LUTD (+) patients compared to LUTD (-) patients (p = 0.000, p = 0.005, and p < 0.01, respectively). Similarly all parameters (MBI, MMSE, and I-QoL scores) assessed were found to be significantly lower for patients with urinary incontinence than those without incontinence (p = 0.000, p = 0.000, and p < 0.01, respectively). Conclusion: LUTD is a common problem in patients with stroke. LUTD is associated with poorer cognitive and functional status and the quality of life in these patients. We, therefore, suggest that bladder dysfunction should not be overlooked during rehabilitation of stroke patients.
- Published
- 2018