ArticleHealthcare (Basel, Switzerland)2018
Fecal Distribution Changes Using Colorectal Ultrasonography in Older People with Physical and Cognitive Impairment Living in Long-Term Care Facilities: A Longitudinal Observational Study.
Article in Healthcare (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 30 citations in OpenAlex.
- Point-of-care ultrasound diagnostic accuracy for fecal impaction in the emergency department: a prospective study.Internal and emergency medicine · 2026Trial
- Dependence-related screening positivity among regular stimulant-laxative users with chronic constipation: a multicenter prospective observational study.Journal of gastroenterology · 2026Observational
- Usefulness of ultrasound in diagnosing constipation in children: a narrative review.Frontiers in pediatrics · 2026Review
- Expert Position Statement: Defining the Role of Intestinal Ultrasound in Assessing Constipation and Faecal Loading.Alimentary pharmacology & therapeutics · 2025Article
- The Effectiveness of Transabdominal Ultrasonography in Managing Chronic Constipation in the Elderly, with a Focus on the Underlying Pathological Conditions.Diagnostics (Basel, Switzerland) · 2025Review
- Development of an automated ultrasonographic detection method for fecal retention using a transgluteal cleft approach.PloS one · 2025Article
- Ultrasound assessment of gastrointestinal luminal contents: a narrative review.Journal of ultrasound · 2024Review
- Prevalence of constipation and associated factors in university hospital inpatients.Fujita medical journal · 2024Article
- Constipation: a neglected condition in older emergency department patients.Internal and emergency medicine · 2024Review
- A Handheld Ultrasound Device Can Predict Constipation with Rectal Fecal Retention in a Palliative Care Setting.Diagnostics (Basel, Switzerland) · 2024Article
- Evaluating Accuracy of Rectal Fecal Stool Assessment Using Transgluteal Cleft Approach Ultrasonography.Healthcare (Basel, Switzerland) · 2024Article
- Diagnostic Ability of Ultrasonography Compared with Computed Tomography for Assessing Rectal Feces.Journal of the anus, rectum and colon · 2024Article
- Review
- Expert Consensus Document: Diagnosis for Chronic Constipation with Faecal Retention in the Rectum Using Ultrasonography.Diagnostics (Basel, Switzerland) · 2022Article
- Development of colonic transit time and ultrasound imaging tools as objective indicators for assessing abnormal defecation associated with food intake: a narrative review based on previous scientific knowledge.BioPsychoSocial medicine · 2021Review
- Abdominal Stiffness Evaluation in Massage for Constipation.Sensors (Basel, Switzerland) · 2021Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Nurses encounter difficulties evaluating constipation in elderly people with physical and cognitive impairment. Transabdominal ultrasonography (US) has been used to evaluate fecal impaction or fecal quality. However, it is unclear whether colorectal US can evaluate constipation symptoms in older people. Using colorectal US, we continuously observed the elderly and clarified the relationship between patterns of fecal distribution changes and constipation symptoms in older people with physical and cognitive impairment at long-term care facilities. This study included patients aged ≥65 years with oral intake. US was performed once a day until the next defecation, and fecal hardness was assessed. US images were extracted and categorized. Then, patterns of fecal distribution changes in the colorectum were classified. Multiple logistic regression analysis was performed to examine related factors associated with a constipation pattern. Among 101 patients, US images of 95 patients were analyzed. In 74.4% of the patients, US showed continuation of reflection with acoustic shadow in the rectum, which was significantly associated with defecation on the bed. Of the patients with a continuous crescent-shaped reflection pattern (R3), 92.9% had hard stool. R3 was found to be significantly associated with a Mini-Mental State Examination score of ≤10. In most of the patients, US detected a continuation of reflection with acoustic shadow in rectal patterns, indicating fecal retention in the rectum. Point-of-care US can be used by nurses to visualize rectal fecal retention as constipation patterns in the older people with physical and cognitive impairment at long-term care facilities.
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