Revista da Escola de Enfermagem da USP (Oct 2014)

Urinary incontinence in the prediction of falls in hospitalized elderly

  • Hellen Cristina de Almeida Abreu,
  • Annelita Almeida Oliveira Reiners,
  • Rosemeiry Capriata de Souza Azevedo,
  • Ageo Mário Cândido da Silva,
  • Débora Regina de Oliveira Moura Abreu

DOI
https://doi.org/10.1590/S0080-6234201400005000011
Journal volume & issue
Vol. 48, no. 5
pp. 851 – 856

Abstract

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Objective Analyzing the effect of urinary incontinence as a predictor of the incidence of falls among hospitalized elderly. Method Concurrent cohort study where 221 elderly inpatients were followed from the date of admission until discharge, death or fall. The Kaplan-Meier methods, the incidence density and the Cox regression model were used for the survival analysis and the assessment of the association between the exposure variable and the other variables. Results Urinary incontinence was a strong predictor of falls in the surveyed elderly, and was associated with shorter time until the occurrence of event. Urinary incontinence, concomitant with gait and balance dysfunction and use of antipsychotics was associated with falls. Conclusion Measures to prevent the risk of falls specific to hospitalized elderly patients who have urinary incontinence are necessary.

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