Prevalence of Comorbid Spasticity and Urinary Incontinence in Residents of a Long-Term Care Facility.

Prevalence of Comorbid Spasticity and Urinary Incontinence in Residents of a Long-Term Care Facility. J Gerontol Nurs. 2020 Aug 26;:1-8 Authors: Hacker ML, Tomaras MC, Sayce L, Ploucher S, Naik A, Turchan M, Harper KA, Hedera P, Charles D Abstract The current study evaluated the prevalence of comorbid spasticity and urinary incontinence (UI) in a long-term care facility. Medical history, presence of UI, and activities of daily living (ADL) dependency were obtained from medical records and Minimum Data Set 3.0. Quality of life was assessed with the EuroQoL-5D-5L (EQ-5D). Comorbid spasticity and UI presented in 29% of participants (14 of 49). Participants with spasticity and UI had higher ADL dependency and lower EQ-5D than participants without both conditions (4.9, 95% confidence interval [CI] [1.6, 80.], p = 0.003; -0.17, 95% CI [-0.33, 0.00], p = 0.044; respectively). More than one half of participants with lower limb spasticity had severe UI, compared to only 10% without lower limb spasticity (relative risk = 5.5; 95% CI [1.9, 15.9]; p = 0.006). Comorbid spasticity and UI may be common in the long-term care setting and negatively associated with ADL and quality of life. Further investigation is needed to confirm these findings. [Journal of Gerontological Nursing, xx(x), xx-xx.]. PMID: 32852045 [PubMed - as supplied by publisher]
Source: Journal of Gerontological Nursing - Category: Nursing Authors: Tags: J Gerontol Nurs Source Type: research