1. Prevalence and predictors of continence containment products and catheter use in an acute hospital: A cross-sectional study
- Author
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Christine McCarthy, Edel Mannion, Rónán O'Caoimh, Aisling Hennebry, Conall MacGearailt, Robert P. Murphy, Bushra Ali, Majella Small, Mohd Zaquan Arif Abd Ghafar, Anthony T Sharkey, Gillian Collins, Marie Condon, and Stephanie Robinson
- Subjects
Male ,medicine.medical_specialty ,Multivariate analysis ,Catheters ,Cross-sectional study ,Barthel index ,Urinary catheter ,03 medical and health sciences ,Hospital ,0302 clinical medicine ,Older patients ,Acquired immunodeficiency syndrome (AIDS) ,Risk Factors ,Prevalence ,Medicine ,Humans ,030212 general & internal medicine ,Acute hospital ,Aged ,Aged, 80 and over ,Frailty ,business.industry ,University hospital ,medicine.disease ,Hospitals ,Catheter ,Cross-Sectional Studies ,Emergency medicine ,Continence wear ,business ,Gerontology ,030217 neurology & neurosurgery - Abstract
Although incontinence is common in hospital, the prevalence and predictors of continence aid use (continence wear and catheters) are poorly described. A one-day cross-sectional study was conducted in a large university hospital assessing consecutive inpatients (≥55) for their pre-admission and current use of continence aids. Barthel Index, Clinical Frailty Scale and Charlson Co-morbidity scores were recorded. Appropriateness was defined by local guidelines. 355 inpatients, median age 75±17 years, were included; 53% were male. Continence aid use was high; prevalence was 46% increasing to 58% for those ≥75. All-in-one pads were the most common, an overall prevalence of 31%. Older age, lower Barthel and higher frailty scores were associated with continence aid use in multivariate analysis. Inappropriate use of aids was high at 45% with older age being the only independent predictor. Continence aids are often used inappropriately during hospitalisation by older patients. Concerted efforts are required to address this issue.
- Published
- 2021