BACKGROUND & AIMS:
OBJECTIVES:this study examined the association between medically recognized urinary incontinence and risk of several disease conditions, hospitalization, nursing home admission and mortality.
DESIGN:review and abstraction of medical records and computerized data bases from 5986 members, aged 65 years and older, of a large health maintenance organization in northern California.
RESULTS:there was an increased risk of newly recognized urinary incontinence following a diagnosis of Parkinson's disease, dementia, stroke, depression and congestive heart failure in both men and women, after adjustment for age and cohort. The risk of hospitalization was 30% higher in women following the diagnosis of incontinence [relative risk (RR) = 1.3, 95% confidence interval (CI) = 1.2-1.5] and 50% higher in men (RR = 1.5, 95% CI = 1.3-1.6) after adjustment for age, cohort and co-morbid conditions. The adjusted risk of admission to a nursing facility was 2.0 times greater for incontinent women (95% CI = 1.7-2.4) and 3.2 times greater for incontinent men (95% CI = 2.7-3.8). In contrast, the adjusted risk of mortality was only slightly greater for women (RR = 1.1; 95% CI = 0.99-1.3) and men (RR= 1.2; 95% CI= 1.1-1.4).
CONCLUSIONS:urinary incontinence increases the risk of hospitalization and substantially increases the risk of admission to a nursing home, independently of age, gender and the presence of other disease conditions, but has little effect on total mortality.
背景与目标:
目标 strong>:这项研究检查了医学上公认的尿失禁与多种疾病状况,住院,疗养院入院率和死亡率之间的关系。
DESIGN strong>:综述加利福尼亚北部一家大型健康维护组织的5986名年龄在65岁及以上的成员的病历和计算机数据库的摘要和摘要。
结果 strong>:患病风险增加调整年龄和队列后,在诊断出帕金森氏病,痴呆,中风,抑郁和充血性心力衰竭后,新发现了一种尿失禁。诊断为失禁后,妇女的住院风险高出30%[相对风险(RR)= 1.3,95%置信区间(CI)= 1.2-1.5],而男性则高出50%(RR = 1.5,95%CI = 1.3-1.6)调整年龄,同类和合并病状后。失禁女性的调整后入院风险是失禁女性的2.0倍(95%CI = 1.7-2.4),失禁男性是3.2倍(95%CI = 2.7-3.8)。相比之下,女性(RR = 1.1; 95%CI = 0.99-1.3)和男性(RR = 1.2; 95%CI = 1.1-1.4)的调整后死亡风险仅稍高。强有力的结论 strong>:尿失禁增加了住院的风险,并显着增加了进入疗养院的风险,而与年龄,性别和其他疾病状况无关,但对总死亡率影响不大。