Risk Factors for Hospital-Acquired Incontinence in Elderly Female Hip Fracture Patients
Open Access
- 1 October 2002
- journal article
- research article
- Published by Oxford University Press (OUP) in The Journals of Gerontology: Series A
- Vol. 57 (10), M672-M677
- https://doi.org/10.1093/gerona/57.10.m672
Abstract
Background. The objective of this study was to estimate the incidence of, and identify risk factors for, incontinence in female hip fracture patients. The study was a secondary analysis of data abstracted from medical records in hospitals in Pennsylvania, Texas, New Jersey, and Virginia. Methods. The study included women aged 60 years and older who were admitted to one of the study hospitals with hip fracture. Measurements included incontinence at discharge as recorded in the medical records, demographic information, cognitive and functional status, and two measures of severity of illness (Charlson Comorbidity Index and Sickness at Admission Scale score). Results. Data from 6516 women were analyzed. Twenty-one percent (n = 1365) became incontinent during hospitalization. After adjusting for confounders (i.e., age, race, malnutrition, comorbidity, and severity of illness), admission from a nursing home or other long-term care facility (odds ratio [OR] 1.68, 95% confidence interval [CI] 1.29–2.19), confusion (OR 3.44, 95% CI 2.79–4.24), use of a wheelchair or device for walking (OR 1.53, 95% CI 1.29–1.83), and prefracture dependence on others for ambulation (OR 2.51, 95% CI 1.64–3.85) significantly increased the odds of developing incontinence during hospitalization. Conclusion. Hospital-acquired incontinence affects 21% of female hip fracture patients. Certain easily identifiable patient characteristics place female hip fracture patients at high risk. Interventions to increase staff awareness of this vulnerable population need to be tested to minimize the incidence of hospital-acquired incontinence.Keywords
This publication has 19 references indexed in Scilit:
- Urinary Incontinence: Does it Increase Risk for Falls and Fractures?Journal of the American Geriatrics Society, 2000
- Short-term persistent depression following hip fracture: A risk factor and target to increase resilience in elderly peopleSocial Work Research, 1999
- Geriatric syndromes as outcome measures of hospital care: can administrative data be used?Journal of the American Geriatrics Society, 1999
- Perioperative Blood Transfusion and Postoperative MortalityJAMA, 1998
- Urinary Continence Changes after Hip-Fracture RepairClinical Nursing Research, 1997
- Urinary incontinence in older women: Who is at risk?Obstetrics & Gynecology, 1996
- Urinary Incontinence Associated with DementiaJournal of the American Geriatrics Society, 1995
- Perspectives: How many women have osteoporosis now?Journal of Bone and Mineral Research, 1995
- Detecting urinary incontinence in older adults during hospitalizationApplied Nursing Research, 1992
- Risk factors for urinary incontinence one year after nursing home admissionResearch in Nursing & Health, 1991