Clinical Burden and Nonpharmacologic Management of Nursing Facility Residents with Overactive Bladder and/or Urinary Incontinence

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists
Barbara J ZarowitzJoseph G Ouslander

Abstract

To identify clinical characteristics of residents with a diagnosis of overactive bladder (OAB) and/or urinary incontinence (UI) to determine the prevalence of comorbidities, severe mobility impairment (SMI), moderate-to-severe cognitive impairment (MSCI), and a toileting program and the response to that program. Cross-sectional retrospective analysis. Skilled nursing facilities. Residents with a diagnosis of OAB and/or UI and an age range, and gender frequency-matched 1:1 control cohort without OAB and/or UI. None. De-identified Minimum Data Set data 3.0 records (October 1, 2010, to September 30, 2012). Of the 175,632 residents, 65% had a diagnosis of UI and 1% had a diagnosis of OAB. Those with UI and/or OAB were more likely to have MSCI (mean Brief Inventory of Mental Status score 10.2 ± 4.5 vs. 12.5 ± 3.6; P = 0.001) and SMI (49.4% vs. 26.4%; P < 0.001), multiple comorbid conditions, falls and falls with injury, hip fractures (5.5% vs. 4.9%; P < 0.001), urinary tract infections (21.4% vs. 16.5%; P = 0.001), and moisture-associated skin damage (5.2% vs. 2.6%; P = 0.001) than the control cohort. Toileting programs were attempted more often (17.0% vs. 5.1%; P < 0.001) in those with UI and/or OAB but were only minimally successf...Continue Reading

Citations

Jun 18, 2017·Geriatrics & Gerontology International·Christopher BliemelLudwig Oberkircher
May 16, 2017·Urology·Anne M SuskindEmily Finlayson
Aug 10, 2018·Expert Opinion on Pharmacotherapy·Adrian Wagg
Jun 20, 2020·Drugs & Aging·Christina Shaw, Adrian Wagg
Jun 25, 2019·The Journal of Nutrition, Health & Aging·S IdaK Murata
Sep 2, 2020·International Journal of Environmental Research and Public Health·Soo-Kyoung LeeJi Yeon Lee
Oct 22, 2020·Neurourology and Urodynamics·William GibsonAdrian Wagg
Apr 14, 2020·Journal of the American Medical Directors Association·Aaron M OgletreeDeborah Perfetto
Nov 23, 2020·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·V Phé, X Gamé

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