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Urinary and fecal incontinence in stroke survivors followed in general practice : A retrospective cohort study / Louis Jacob in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)
[article]
Titre : Urinary and fecal incontinence in stroke survivors followed in general practice : A retrospective cohort study Type de document : texte imprimé Auteurs : Louis Jacob ; Karel Kostev Année de publication : 2020 Article en page(s) : p. 488-494 Note générale : doi.org/10.1016/j.rehab.2019.12.007 Langues : Anglais (eng) Mots-clés : Urinary incontinence Fecal incontinence Stroke General practices Germany Retrospective cohort study Résumé : Background
Investigating the short- and long-term health outcomes after stroke is a public health priority.
Objectives
We aimed to analyse the incidence of urinary and fecal incontinence within 10 years of stroke in individuals followed in general practice in Germany.
Methods
Individuals who had received an initial stroke diagnosis at one of 1262 general practices in Germany between January 2006 and December 2015 were included (index date). Individuals without stroke were matched (1:1) to those with stroke based on propensity scores by using a “greedy” algorithm and logistic regression with sex, age, index year, and 17 comorbidities diagnosed in the 12 months before the index date. The main outcome of the study was the incidence of urinary and fecal incontinence within 10 years of stroke.
Results
This study analysed data for 16,181 individuals with stroke and 16,181 without stroke. Within 10 years of the index date, 22% and 11% of men with and without stroke received a diagnosis of urinary incontinence (log-rank P < 0.001); the prevalence of urinary incontinence was 34% in female stroke survivors and 17% in females with no history of stroke (log-rank P < 0.001). The respective proportions of fecal incontinence were 5% and 2% for men (log-rank P < 0.001) and 6% and 3% for women (log-rank P < 0.001). Overall, stroke was positively associated with both urinary incontinence (men: hazard ratio [HR] 2.34, 95% confidence interval [CI] 2.10–2.61; women: HR 2.36, 95% CI 2.14–2.61) and fecal incontinence (men: HR 2.43, 95% CI 1.88–3.13; women: HR 2.60, 95% CI 1.98–3.41).
Conclusion
This study, using data from Germany, suggests that general practitioners should regularly screen for urinary and fecal incontinence in the decade following stroke.Permalink : ./index.php?lvl=notice_display&id=91326
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 488-494[article] Urinary and fecal incontinence in stroke survivors followed in general practice : A retrospective cohort study [texte imprimé] / Louis Jacob ; Karel Kostev . - 2020 . - p. 488-494.
doi.org/10.1016/j.rehab.2019.12.007
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 488-494
Mots-clés : Urinary incontinence Fecal incontinence Stroke General practices Germany Retrospective cohort study Résumé : Background
Investigating the short- and long-term health outcomes after stroke is a public health priority.
Objectives
We aimed to analyse the incidence of urinary and fecal incontinence within 10 years of stroke in individuals followed in general practice in Germany.
Methods
Individuals who had received an initial stroke diagnosis at one of 1262 general practices in Germany between January 2006 and December 2015 were included (index date). Individuals without stroke were matched (1:1) to those with stroke based on propensity scores by using a “greedy” algorithm and logistic regression with sex, age, index year, and 17 comorbidities diagnosed in the 12 months before the index date. The main outcome of the study was the incidence of urinary and fecal incontinence within 10 years of stroke.
Results
This study analysed data for 16,181 individuals with stroke and 16,181 without stroke. Within 10 years of the index date, 22% and 11% of men with and without stroke received a diagnosis of urinary incontinence (log-rank P < 0.001); the prevalence of urinary incontinence was 34% in female stroke survivors and 17% in females with no history of stroke (log-rank P < 0.001). The respective proportions of fecal incontinence were 5% and 2% for men (log-rank P < 0.001) and 6% and 3% for women (log-rank P < 0.001). Overall, stroke was positively associated with both urinary incontinence (men: hazard ratio [HR] 2.34, 95% confidence interval [CI] 2.10–2.61; women: HR 2.36, 95% CI 2.14–2.61) and fecal incontinence (men: HR 2.43, 95% CI 1.88–3.13; women: HR 2.60, 95% CI 1.98–3.41).
Conclusion
This study, using data from Germany, suggests that general practitioners should regularly screen for urinary and fecal incontinence in the decade following stroke.Permalink : ./index.php?lvl=notice_display&id=91326 Exemplaires (1)
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Exclu du prêtTime to be Ready to Void: A new tool to assess the time needed to perform micturition for patients with multiple sclerosis / Claire Hentzen in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)
[article]
Titre : Time to be Ready to Void: A new tool to assess the time needed to perform micturition for patients with multiple sclerosis Type de document : texte imprimé Auteurs : Claire Hentzen ; Anaïs Villaumé ; Nicolas Trumel ; Gabriel Miget ; Frédéric Le Breton ; Camille Chesnel ; Gérard Amarenco Année de publication : 2020 Article en page(s) : p. 99-105 Note générale : doi.org/10.1016/j.rehab.2020.01.002 Langues : Anglais (eng) Mots-clés : Multiple sclerosis Overactive bladder Urinary incontinence Urge Task performance and analysis Résumé : Background
Urgency urinary incontinence is one of the major disabling urinary symptoms in people with multiple sclerosis (PwMS). The warning time (time from first sensation of urgency to voiding or incontinence) only partially reflects the possibility of continence. Other factors such as mobility, difficulties in transfer or undressing can influence this time.
Objectives
The aim was to create a specific test for PwMS to assess the global time required to be ready to perform micturition and to assess its reliability.
Methods
The Time to be Ready to Void (TRV) was based on 2 timed steps: “mobility” stage, including standing up and walking 6 m to the toilet, and the “settled” stage, starting as soon as the individual opens the toilet door until readiness for micturition. All participants performed the TRV twice. Reliability were assessed by the intraclass correlation coefficient (ICC) and convergent validity by Spearman correlation coefficient.
Results
We included 71 PwMS (mean [SD] age 54.4 [11.7] years). Inter-rater reliability was excellent for the TRV mobility stage (ICC: 0.97), settled stage (ICC: 0.99) and total test (ICC: 0.99). Test–retest reliability was good for the mobility stage (ICC: 0.88) and total test (ICC: 0.81) and moderate for the settled stage (ICC: 0.67). Test–retest reliability assessed by a Likert-type scale was good for each stage (κ 0.75 and 0.88). The mobility stage was correlated with the scores for the Timed Up and Go test, 10-Meter Walk Test, and Tinetti Mobility Test (ρ = 0.89; ρ = 0.88; ρ = −0.67, respectively; P < 0.0001) and the settled stage with scores for the Tinetti Mobility Test, Functional Independence Measure and Nine Hold Peg test (right) (ρ = −0.48; ρ = −0.36; ρ = 0.31, respectively; P < 0.01). Comprehension, acceptance and relevance were rated good by most participants (97%, 95% and 90%, respectively).
Conclusion
The TRV is a new tool to measure the global time needed to be ready to achieve micturition in PwMS. It seems useful in clinical practice for overactive bladder in addition to the classical warning time because it takes into account all the time needed to accomplish micturition (mobility, undressing, installation).Permalink : ./index.php?lvl=notice_display&id=90778
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 99-105[article] Time to be Ready to Void: A new tool to assess the time needed to perform micturition for patients with multiple sclerosis [texte imprimé] / Claire Hentzen ; Anaïs Villaumé ; Nicolas Trumel ; Gabriel Miget ; Frédéric Le Breton ; Camille Chesnel ; Gérard Amarenco . - 2020 . - p. 99-105.
doi.org/10.1016/j.rehab.2020.01.002
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 99-105
Mots-clés : Multiple sclerosis Overactive bladder Urinary incontinence Urge Task performance and analysis Résumé : Background
Urgency urinary incontinence is one of the major disabling urinary symptoms in people with multiple sclerosis (PwMS). The warning time (time from first sensation of urgency to voiding or incontinence) only partially reflects the possibility of continence. Other factors such as mobility, difficulties in transfer or undressing can influence this time.
Objectives
The aim was to create a specific test for PwMS to assess the global time required to be ready to perform micturition and to assess its reliability.
Methods
The Time to be Ready to Void (TRV) was based on 2 timed steps: “mobility” stage, including standing up and walking 6 m to the toilet, and the “settled” stage, starting as soon as the individual opens the toilet door until readiness for micturition. All participants performed the TRV twice. Reliability were assessed by the intraclass correlation coefficient (ICC) and convergent validity by Spearman correlation coefficient.
Results
We included 71 PwMS (mean [SD] age 54.4 [11.7] years). Inter-rater reliability was excellent for the TRV mobility stage (ICC: 0.97), settled stage (ICC: 0.99) and total test (ICC: 0.99). Test–retest reliability was good for the mobility stage (ICC: 0.88) and total test (ICC: 0.81) and moderate for the settled stage (ICC: 0.67). Test–retest reliability assessed by a Likert-type scale was good for each stage (κ 0.75 and 0.88). The mobility stage was correlated with the scores for the Timed Up and Go test, 10-Meter Walk Test, and Tinetti Mobility Test (ρ = 0.89; ρ = 0.88; ρ = −0.67, respectively; P < 0.0001) and the settled stage with scores for the Tinetti Mobility Test, Functional Independence Measure and Nine Hold Peg test (right) (ρ = −0.48; ρ = −0.36; ρ = 0.31, respectively; P < 0.01). Comprehension, acceptance and relevance were rated good by most participants (97%, 95% and 90%, respectively).
Conclusion
The TRV is a new tool to measure the global time needed to be ready to achieve micturition in PwMS. It seems useful in clinical practice for overactive bladder in addition to the classical warning time because it takes into account all the time needed to accomplish micturition (mobility, undressing, installation).Permalink : ./index.php?lvl=notice_display&id=90778 Exemplaires (1)
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