Urinary incontinence in nursing home residents: a cross-national comparison

TitleUrinary incontinence in nursing home residents: a cross-national comparison
Publication TypeJournal Article
Year of Publication1997
AuthorsSgadari A., Topinkova E., Bjørnson J., Bernabei R.
JournalAge Ageing
Volume26 Suppl 2
Date PublishedSep
Accession NumberWOS:000071339800009
Keywords*Nursing Homes, Activities of Daily Living, Aged, 80 and over, Aged/*statistics & numerical data, Europe, Female, Geriatric Assessment, Health Care Surveys, Health Surveys, Human, Japan, Male, Prevalence, Risk Factors, United States, Urinary Incontinence/*etiology/*prevention & control

BACKGROUND: using data from a cross-national data base we report the prevalence of urinary incontinence in nursing home residents, describe the main factors associated with bladder incontinence, and compare the usage of incontinence-related tests and care practices across countries. RESULTS: urinary incontinence is highly prevalent (43-65%) in the seven countries studied. Dependency in ambulating, cognitive impairment and urinary tract infections are significantly associated with urinary incontinence in nursing home populations in most countries. Large cross-country differences are observed in the percentage of elderly undergoing incontinence-related testing and in the percentage of residents using appliances and programmes to treat or prevent incontinence. CONCLUSION: this study of different cultural approaches and strategies to evaluate and treat urinary incontinence may stimulate a public debate on the quality of care in nursing homes and promote the sharing of care practices designed to reduce urinary incontinence.