Prevalence of Incontinence During Rehabilitation in Patients Following a Stroke

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• 作者：Apichana Kovindha (1)
  Jean-Jacques Wyndaele (2)
  Helmut Madersbacher (3)
  
• 关键词：Incontinence ; Stroke ; Rehabilitation ; Prevalence
• 刊名：Current Bladder Dysfunction Reports
• 出版年：2010
• 出版时间：March 2010
• 年：2010
• 卷：5
• 期：1
• 页码：32-38
• 全文大小：139KB
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• 作者单位：Apichana Kovindha (1)
  Jean-Jacques Wyndaele (2)
  Helmut Madersbacher (3)
  
  1. Faculty of Medicine, Department of Rehabilitation Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand
  2. Faculty Medicine, Department of Urology, University Antwerp and Antwerp University Hospital, Antwerp, Belgium
  3. LKH-Univ.-Klinik Innsbruck, Anichstraβe 35, 6020, Innsbruck, Austria
  

文摘

According to current studies, the prevalence of urinary incontinence (UI) ranges from 25% to 45%, while prevalence of poststroke or new-onset UI ranges from 21% to 56% and is higher among older adults. On admission to postacute rehabilitation, double incontinence (UI with fecal incontinence [FI]) is more prevalent (33%) than isolated UI (12%) and isolated FI (8%)—figures that decrease at discharge from stroke rehabilitation (double incontinence, 15%; isolated UI, 8%; isolated FI, 5%). Impaired awareness of UI is more prevalent (ranges from 12% in young old group to 58% in older age group) than urge UI (9-2%) and seems to be a more specific prognostic indicator of poor functional outcome. Therefore, rehabilitation professionals should place more attention on impaired awareness of the need to void and double incontinence during stroke rehabilitation.