Indwelling catheter use in home care: elderly, aged 65+, in 11 different countries in Europe

TitleIndwelling catheter use in home care: elderly, aged 65+, in 11 different countries in Europe
Publication TypeJournal Article
Year of Publication2005
AuthorsSorbye L.W, Finne-Soveri H., Ljunggren G., Topinkova E., Bernabei R.
JournalAge & Ageing
Date PublishedJul
Type of ArticleResearch Support, Non-U.S. Gov't
ISBN Number0002-0729
Accession Number15901577
Keywords*Urinary Catheterization/ut [Utilization], *Urinary Incontinence/th [Therapy], Activities of Daily Living, Aged, Aged, 80 and over, Catheters, Indwelling/ut [Utilization], Cognition Disorders/co [Complications], Cost of Illness, Europe, Female, Home Nursing, Humans, Male, Prospective Studies, Urinary Incontinence/et [Etiology]

OBJECTIVE: To describe possible differences/patterns in the use of indwelling urinary catheters (IUC) in Europe.DESIGN: A prospective, population-based, assessment study.SETTING: The target population was 4,455 (random sample of 405 from each of 11 countries) aged 65+ receiving home care.METHODS: The clients were assessed by using the Resident Assessment Instrument MDS-HC; epidemiological and medical characteristics of clients and service utilisation were recorded.MEASUREMENTS: The frequency of use of IUC related to the patients' activities of daily living (ADL) and cognitive functioning.RESULTS: The sample consisted of 4,010 informants: 74% female, with mean age 82.3 +/-7.3 years; men 80.9 +/-7.5 years and female 82.8 +/-7.3 years. A total of 216 (5.4%) clients were using IUC. In Italy 23% were using a catheter compared with 0% in The Netherlands. Catheter use was more common in men than in women (11.5% versus 3.3%). Use of IUC was significantly correlated to certain diseases and symptoms and increase in care burden and formal services. Twenty-six per cent of the informants with indwelling catheters scored three or more on a hierarchical ADL scale (0-6). The clients using IUC in the Nordic countries were less dependent on care than in the other European countries. Models built on multivariate analysis explained 37% of the use of IUC. Tradition and attitudes may explain the differences between the sites.CONCLUSIONS: Catheter use is associated with formal or family care burden. The need for nursing home placement ought to be considered in some cases. A stricter criterion for using IUC may be considered in the southern European countries.


Alternate JournalAge Ageing