Time to and predictors of dual incontinence in older nursing home admissions
- 13 April 2017
- journal article
- research article
- Published by Wiley in Neurourology and Urodynamics
- Vol. 37 (1), 229-236
- https://doi.org/10.1002/nau.23279
Abstract
Aims There are few studies of nursing home residents that have investigated the development of dual incontinence, perhaps the most severe type of incontinence as both urinary and fecal incontinence occur. To determine the time to and predictors of dual incontinence in older nursing home residents. Methods Using a cohort design, records of older nursing home admissions who were continent or had only urinary or only fecal incontinence (n = 39,181) were followed forward for report of dual incontinence. Four national US datasets containing potential predictors at multiple levels describing characteristics of nursing home residents, nursing homes (n = 445), and socioeconomic and sociodemographic status of the community surrounding nursing homes were analyzed. A Cox proportional hazard regression with nursing home‐specific random effect was used. Results At 6 months after admission, 28% of nursing home residents developed dual incontinence, at 1 year 42% did so, and at 2 years, 61% had dual incontinence. Significant predictors for time to developing dual incontinence were having urinary incontinence, greater functional or cognitive deficits, more comorbidities, older age, and lesser quality of nursing home care. Conclusions The development of dual incontinence is a major problem among nursing home residents. Predictors in this study offer guidance in developing interventions to prevent and reduce the time to developing this problem which may improve the quality of life of nursing residents.Keywords
Funding Information
- National Institute of Nursing Research (1R01NR010731)
- University of Minnesota
This publication has 21 references indexed in Scilit:
- What characteristics predispose to continence in nursing home residents?: A population‐based cross‐sectional studyNeurourology and Urodynamics, 2014
- Prevalence of Incontinence by Race and Ethnicity of Older People Admitted to Nursing HomesJournal of the American Medical Directors Association, 2013
- A Controlled Trial of an Intervention to Improve Urinary and Fecal Incontinence and ConstipationJournal of the American Geriatrics Society, 2010
- Treatment Interventions in Nursing Home Residents With Urinary Incontinence: A Systematic Review of Randomized TrialsMayo Clinic Proceedings, 2008
- Preparing a large data set for analysis: using the Minimum Data Set to study perineal dermatitisJournal of Advanced Nursing, 2005
- Risk factors for the development of fecal and urinary incontinence in Wisconsin nursing home residentsMaturitas, 2005
- Improving Resident Outcomes With GAPN Organization Level InterventionsWestern Journal of Nursing Research, 2005
- Driven to Tiers: Socioeconomic and Racial Disparities in the Quality of Nursing Home CareThe Milbank Quarterly, 2004
- Bringing context back into epidemiology: variables and fallacies in multilevel analysis.American Journal of Public Health, 1998
- Facility and Area Variation Affecting the Use of Physical Restraints in Nursing HomesMedical Care, 1996