Urinary Incontinence and Its Association with Death, Nursing Home Admission, and Functional Decline

TitleUrinary Incontinence and Its Association with Death, Nursing Home Admission, and Functional Decline
Publication TypeJournal Article
Year of Publication2004
AuthorsHolroyd-Leduc, JM, Mehta, KM, Covinsky, KE
JournalJournal of the American Geriatrics Society
Volume52
Pagination712-718
Call Numberpubs_2004_Holroyd_etal.pdf
KeywordsHealth Conditions and Status, Healthcare
Abstract

OBJECTIVES: To determine whether urinary incontinence (UI) is an independent predictor of death, nursing home admission, decline in activities of daily living (ADLs), or decline in instrumental activities of daily living (IADLs). DESIGN: A population-based prospective cohort study from 1993 to 1995. SETTING: Community-dwelling within the United States. PARTICIPANTS: Six thousand five hundred six of the 7,447 subjects aged 70 and older in the Asset and Health Dynamics Among the Oldest Old study who had complete information on continence status and did not require a proxy interview at baseline. MEASUREMENTS: The predictor was UI, and the outcomes were death, nursing home admission, ADL decline, and IADL decline. Potential confounders considered were comorbid conditions, baseline function, sensory impairment, cognition, depressive symptoms, body mass index, smoking and alcohol, demographics, and socioeconomic status. CONCLUSION: Higher levels of baseline illness severity and functional impairment appear to mediate the relationship between UI and adverse outcomes. The results suggest that, although UI appears to be a marker of frailty in community-dwelling elderly, it is not a strong independent risk factor for death, nursing home admission, or functional decline.

Endnote Keywords

Urinary Incontinence/Mortality/Nursing Homes/Activities of Daily Living

Endnote ID

12532

Citation Key6929