Korean J Fam Med.  2019 Jul;40(4):235-240. 10.4082/kjfm.18.0011.

Association of Geriatric Syndromes with Urinary Incontinence according to Sex and Urinary-Incontinence-Related Quality of Life in Older Inpatients: A Cross-Sectional Study of an Acute Care Hospital

Affiliations
  • 1Department of Family Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea. cjk@kuh.ac.kr
  • 2Department of Family Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Urology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
  • 4Department of Rehabilitation Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
  • 5Department of Neurology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.

Abstract

BACKGROUND
Geriatric syndromes are associated with morbidity and poor quality of life (QOL). Urinary incontinence (UI) is one of the most prevalent geriatric syndromes. However, there is little research on the association of UI and UI-related QOL with other geriatric syndromes. We investigated the relationship between geriatric syndromes and UI according to gender and UI-related QOL among older inpatients.
METHODS
This study was conducted among 444 older inpatients (aged 65 years and older) between October 2016 and July 2017. We examined geriatric syndromes and related factors involving cognitive impairment, delirium, depression, mobility decline, polypharmacy, undernutrition, pain, and fecal incontinence. UI-related QOL was assessed using the International Consultation on Incontinence Questionnaire-Short Form. Multiple logistic regression analysis was used to evaluate these associations.
RESULTS
Geriatric syndromes and related factors were associated with UI. Mobility decline (odds ratio [OR], 4.16; 95% confidence interval [CI], 2.29-7.56), polypharmacy (OR, 3.35; 95% CI, 1.89-5.92), and pain (OR, 6.80; 95% CI, 3.53-13.09) were related to UI in both genders. Especially, delirium (OR, 7.55; 95% CI, 1.61-35.44) and fecal incontinence (OR, 10.15; 95% CI, 2.50-41.17) were associated with UI in men, while cognitive impairment (OR, 4.19; 95% CI, 1.14-15.44) was significantly associated with UI in women. Patients with depression were more likely to have poor UI-related QOL (OR, 8.54; 95% CI, 1.43-51.15).
CONCLUSION
UI was associated with different geriatric syndromes and related factors according to gender. Care for patients with depression, related to poor UI-related QOL, should be considered in primary care to improve the UIrelated QOL of these individuals.

Keyword

Urinary Incontinence; Geriatric Syndrome; Older Adults; Inpatients

MeSH Terms

Cognition Disorders
Cross-Sectional Studies*
Delirium
Depression
Fecal Incontinence
Female
Humans
Inpatients*
Logistic Models
Male
Malnutrition
Polypharmacy
Primary Health Care
Quality of Life*
Urinary Incontinence*
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