Urinary Incontinence Is Associated With Increased All-Cause Mortality in Older Nursing Home Residents: A Meta-Analysis

被引:11
作者
Huang, Pan [1 ]
Luo, Kai [2 ]
Wang, Chunyan [2 ]
Guo, Dawei [2 ]
Wang, Shixuan [2 ]
Jiang, Yuan [2 ]
Huang, Wenxuan [3 ]
Zhang, Weiqiangxin [2 ]
Ding, Mei [2 ]
Wang, Jiang [2 ,4 ]
机构
[1] Wenzhou Med Univ, Coll Nursing, Wenzhou, Zhejiang, Peoples R China
[2] Jinggangshan Univ, Dept Med, Jian 343009, Jiangxi, Peoples R China
[3] Jian Social Org Cultivat & Dev Ctr, Jian, Jiangxi, Peoples R China
[4] Jinggangshan Univ, Coll Nursing, Jian 343009, Jiangxi, Peoples R China
关键词
Elderly; mortality; nursing home; urinary incontinence; WOMEN; DEPRESSION; DISABILITY; HEALTH; POPULATION; QUALITY; ANXIETY; LIFE;
D O I
10.1111/jnu.12671
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Purpose Urinary incontinence is a syndrome common in older adults, but it is not clear whether urinary incontinence is associated with the risk for mortality in elderly nursing home residents. Methods We conducted a systematic review and meta-analysis in PubMed, Cochrane, Embase, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science databases. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of the included studies. The meta-analysis was summarized using a random-effects or fixed-effects model, and the heterogeneity among studies was examined using the I2 statistic. Findings Six cohort studies with 1,656 participants were included in the final analysis. The NOS score for each study was greater than 6. Urinary incontinence was significantly associated with a higher risk for mortality in nursing homes, with a hazard ratio (HR) of 1.20 (95% confidence interval [CI] 1.12-1.28, I-2 = 41.6%). The significant association of urinary incontinence with increased mortality risk was observed in subgroup analysis according to region, status of dementia, and follow-up period, with a pooled HR of 2.02 (95% CI 1.32-3.11, I-2 = 0%) for Asian countries, 1.18 (95% CI 1.11-1.26, I-2 = 41.6%) for Western countries, 1.17 (95% CI 1.09-1.26, I-2 = 0%) for patients with dementia, 1.35 (95% CI 1.13-1.60, I-2 = 58.9%) for patients without dementia, 1.16 (95% CI 1.07-1.25, I-2 = 43.2%) for studies with a follow-up period of 1 year, and 1.30 (95% CI 1.15-1.48, I-2 = 24.5%) for studies with a follow-up period of more than 1 year. Conclusions Urinary incontinence is associated with an increased risk for death among residents of care facilities. Therefore, it was necessary to screen the elderly dwelling in nursing homes who were experiencing or at risk for urinary incontinence with useful tools (e.g., overactive bladder symptom score, bladder control self-assessment questionnaire, three incontinence questions). In addition, early interventions strategies, such as weight loss, stopping smoking, pelvic floor muscle training, and medical and surgical treatments would contribute to decreasing the risk for urinary incontinence and preventing adverse outcomes in nursing home residents. Clinical Relevance In our study, we found that the elderly with urinary incontinence who resided in nursing homes had a higher risk for mortality than those without urinary incontinence. Therefore, urinary incontinence in the elderly residing in nursing homes is of particular concern. Early detection and intervention are important for the elderly with urinary incontinence, and caregivers should be made aware of this importance.
引用
收藏
页码:561 / 567
页数:7
相关论文
共 32 条
  • [1] Abrams P, 2002, NEUROUROL URODYNAM, V21, P167, DOI 10.1002/nau.10052
  • [2] Urinary incontinence and psychological distress in community-dwelling older adults
    Bogner, HR
    Gallo, JJ
    Sammel, MD
    Ford, DE
    Armenian, HK
    Eaton, WW
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (03) : 489 - 495
  • [3] Urinary bacteria in adult women with urgency urinary incontinence
    Brubaker, Linda
    Nager, Charles W.
    Richter, Holly E.
    Visco, Anthony
    Nygaard, Ingrid
    Barber, Matthew D.
    Schaffer, Joseph
    Meikle, Susan
    Wallace, Dennis
    Shibata, Noriko
    Wolfe, Alan J.
    [J]. INTERNATIONAL UROGYNECOLOGY JOURNAL, 2014, 25 (09) : 1179 - 1184
  • [4] Depression and disability in late life -: Directions for future research
    Bruce, ML
    [J]. AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2001, 9 (02) : 102 - 112
  • [5] Predicting Mortality of Older Residents in Long-Term Care Facilities: Comorbidity or Care Problems?
    Chen, Liang-Kung
    Peng, Li-Ning
    Lin, Ming-Hsien
    Lai, Hsiu-Yun
    Hwang, Shinn-Jang
    Lan, Chung-Fu
    [J]. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2010, 11 (08) : 567 - 571
  • [6] Association of urinary incontinence and depression or anxiety: a meta-analysis
    Cheng, Shulin
    Lin, Dong
    Hu, Tinghui
    Cao, Liang
    Liao, Hai
    Mou, Xiaoxi
    Zhang, Qiang
    Liu, Junbo
    Wu, Tao
    [J]. JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2020, 48 (06)
  • [7] Corley M C, 1992, Dimens Crit Care Nurs, V11, P36
  • [8] Urinary incontinence and mortality among older adults residing in care homes
    Damian, Javier
    Pastor-Barriuso, Roberto
    Garcia Lopez, Fernando J.
    de Pedro-Cuesta, Jesus
    [J]. JOURNAL OF ADVANCED NURSING, 2017, 73 (03) : 688 - 699
  • [9] Anxiety and depression associated with urinary incontinence. A 10-year follow-up study from the Norwegian HUNT study (EPINCONT) (vol 36, pg 322, 2017)
    Felde, Gunhild
    Ebbesen, Marit
    Hunskaar, Steinar
    [J]. NEUROUROLOGY AND URODYNAMICS, 2020, 39 (02) : 871 - 872
  • [10] Functional Disability and Compromised Mobility Among Older Women With Urinary Incontinence
    Erekson, Elisabeth A.
    Ciarleglio, Maria M.
    Hanissian, Paul D.
    Strohbehn, Kris
    Bynum, Julie P. W.
    Fried, Terri R.
    [J]. FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY, 2015, 21 (03): : 170 - 175