1. Prevalence and Features of Post-stroke Urinary Incontinence: A Retrospective Cohort Study.
- Author
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Sadeghi, Mohammad Amin, Hemmati, Sara, Razavi, Seyede Zahra Emami, Vahabizad, Fahimeh, Yekaninejad, Mir Saeed, and Azadvari, Mohaddeseh
- Subjects
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STROKE , *AGE distribution , *RETROSPECTIVE studies , *ACQUISITION of data , *SEVERITY of illness index , *URINARY incontinence , *QUALITY of life , *MEDICAL records , *QUESTIONNAIRES , *DESCRIPTIVE statistics , *PHYSICAL mobility , *BODY mass index , *LONGITUDINAL method , *DISEASE complications , *EVALUATION - Abstract
Background: Long-term complications of stroke, persisting for more than 6 months after the initial event, substantially reduce the quality of life (QoL) in a significant percentage of stroke survivors. In this paper, we studied the prevalence of long-term urinary incontinence (UI) in post-stroke patients. In addition, we attempted to identify patient characteristics which were associated with higher UI prevalence, higher UI severity, and less UI-associated QoL. Methods: Medical records in a tertiary referral hospital were used to contact patients who had experienced a stroke between 6 to 32 months before the study date. The patients were given the International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI-SF) questionnaire for determining the presence of UI and its severity. UI-positive patients were then given the I-QOL questionnaire to determine their QoL. Results: The prevalence of UI in our study population (n = 189) was 31%. Older age at the time of stroke was associated with higher UI severity (r = 0.290) and lower QoL (r = -0.265). Furthermore, the presence of movement limitation was associated with higher UI prevalence (P < 0.001, OR = 3.89) and severity (P = 0.002, d = 1.05). Movement limitation also significantly impacted the psychological and social aspects of UI-associated QoL (P = 0.035, d = -0.74). Conversely, higher body mass indices (BMIs) were associated with lower UI severity (r = -0.346) and higher QoL (r = 0.281). Conclusion: In conclusion, UI continues to be prevalent in stroke survivors long after the cerebrovascular accident (CVA). As a result, these patients require continuous monitoring and UI prevention. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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