Factors Affecting Urinary Incontinence-related Quality of Life in Geriatric Patients: An observational Cross-Sectional Study in a Tertiary Hospital Urology Clinic in Turkey
Factores que afectan la calidad de vida relacionada con la incontinencia urinaria en pacientes geriátricos: un estudio transversal observacional en una clínica de urología de un hospital terciario en Turquía
Reha Girgin, Engin Denizhan Demirkıran
Abstract
Introduction: Geriatric syndromes are associated with morbidity and poor quality of life (QOL). Urinary incontinence (UI) is one of the most prevalent geriatric syndromes. However, there is little research on the association of UI and UI-related QOL with other geriatric syndromes. The aim of this exploratory study were to examine the effect and coexistence of geriatric syndromes, admission type and surgical severity on UI-related QoL in patients hospitalized in the urology clinic.
Materials and methods: This study was conducted among 250 older inpatients (aged 65 years and older between October 2019 and March 2020) at Zonguldak Bulent Ecevit University department of Urology, Zonguldak, Turkey. After ethical approval and patient consent, we examined geriatric syndromes and related factors including cognitive impairment, delirium, depression, decreased mobility, multiple drug use, malnutrition, pain and fecal incontinence as well as hospitalization patterns and surgical severity of the patients. UI-related QOL was assessed using the International Consultation on Incontinence Questionnaire-Short Form. Multiple logistic regression analysis was used to evaluate these associations.
Results: Geriatric syndromes and related factors were associated with UI. Moderate cognitive decline (odds ratio [OR], 3.764; 95% confidence interval [CI], 1.621- 8.742), Charlson Comorbidity Index (CCI) (odds ratio [OR], 1.56; 95% confidence interval [CI], 1.24–5.05) and the number of medication used (odds ratio [OR], 1,33; 95% confidence interval [CI], 1.11–1.58) were associated with increased probability of having UI. Cognitive impairment, length of hospital stay had an inverse and age of patients had a direct effect on patients UI-related QoL.
Conclusions: UI-related quality of life was associated with some factors. Especially in the urology clinic, evaluating the cognitive functions of elderly patients, reviewing the drugs they use and minimizing the length of stay in this patient group will contribute significantly to their quality of life.
Keywords
Resumen
Introducción: Los síndromes geriátricos se asocian con morbilidad y mala calidad de vida (CV). La incontinencia urinaria (IU) es uno de los síndromes geriátricos más prevalentes. Sin embargo, hay poca investigación sobre la asociación de la IU y la CdV relacionada con la IU con otros síndromes geriátricos. El objetivo de este estudio exploratorio fue examinar el efecto y la coexistencia de los síndromes geriátricos, el tipo de ingreso y la gravedad quirúrgica en la calidad de vida relacionada con la IU en pacientes hospitalizados en la consulta de urología.
Materiales y métodos: este estudio se realizó entre 250 pacientes hospitalizados mayores (de 65 años o más entre octubre de 2019 y marzo de 2020) en el departamento de Urología de la Universidad Zonguldak Bulent Ecevit, Zonguldak, Turquía. Después de la aprobación ética y el consentimiento del paciente, examinamos los síndromes geriátricos y los factores relacionados, incluidos el deterioro cognitivo, el delirio, la depresión, la disminución de la movilidad, el uso de múltiples drogas, la desnutrición, el dolor y la incontinencia fecal, así como los patrones de hospitalización y la gravedad quirúrgica de los pacientes. La calidad de vida relacionada con la IU se evaluó mediante el Cuestionario de consulta internacional sobre incontinencia: formato corto. Se utilizó análisis de regresión logística múltiple para evaluar estas asociaciones.
Resultados: Los síndromes geriátricos y factores relacionados se asociaron con la IU. Deterioro cognitivo moderado (odds ratio [OR], 3,764; intervalo de confianza [IC] del 95 %, 1,621-8,742), índice de comorbilidad de Charlson (ICC) (odds ratio [OR], 1,56; intervalo de confianza [IC] del 95 %, 1,24– 5,05) y el número de medicamentos utilizados (odds ratio [OR], 1,33; intervalo de confianza [IC] del 95 %, 1,11–1,58) se asociaron con una mayor probabilidad de tener IU. El deterioro cognitivo, la duración de la estancia hospitalaria tuvieron un efecto inverso y la edad de los pacientes tuvo un efecto directo sobre la calidad de vida relacionada con la IU de los pacientes.
Conclusiones: la calidad de vida relacionada con la IU se asoció con algunos factores. Especialmente en la consulta de urología, evaluar las funciones cognitivas de los pacientes mayores, revisar los fármacos que utilizan y minimizar el tiempo de estancia en este grupo de pacientes contribuirá significativamente a su calidad de vida.
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Submitted date:
05/10/2022
Reviewed date:
07/01/2022
Accepted date:
08/03/2022
Publication date:
08/05/2022
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