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ArticleEuropean geriatric medicine2018

Screening for urinary incontinence in acute care for elders unit: comparative performance analysis of Katz's ADL and ICIQ-UI-SF.

G Mary-Heck, H Krief, R Akrour, M Ishida, B Schurch, P-O Lang

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Article in European geriatric medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

G Mary-HeckService of Geriatric and Geriatric Rehabilitation, University Hospital of Lausanne (CHUV), Chemin de Mont Paisible 16, 1011, Lausanne, Switzerland. Gregoire.Mary@chuv.ch.ORCID http://orcid.org/0000-0003-0215-1868
H KriefService of Geriatric and Geriatric Rehabilitation, University Hospital of Lausanne (CHUV), Chemin de Mont Paisible 16, 1011, Lausanne, Switzerland.
R AkrourService of Geriatric and Geriatric Rehabilitation, University Hospital of Lausanne (CHUV), Chemin de Mont Paisible 16, 1011, Lausanne, Switzerland.
M IshidaNeuro-Urology Unit, Service of Neuropsychology and Neuro-rehabilitation, Nestlé Hospital, University Hospital (CHUV), 1011, Lausanne, Switzerland.
B SchurchNeuro-Urology Unit, Service of Neuropsychology and Neuro-rehabilitation, Nestlé Hospital, University Hospital (CHUV), 1011, Lausanne, Switzerland.
P-O LangService of Geriatric and Geriatric Rehabilitation, University Hospital of Lausanne (CHUV), Chemin de Mont Paisible 16, 1011, Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary incontinence (UI) is a frequent, but neglected geriatric syndrome, particularly in vulnerable older patients. Optimizing screening procedures is necessary.

objectiveTo compare the clinometric performances of the "continence" item of the Katz's ADL scale and the ICIQ-UI-sf for the screening of UI in vulnerable aged patients.

methodsA prospective study was conducted in the acute care for elders (ACE) unit of an academic centre. Two independent nurses screened all patients with spontaneous urination for UI with Katz's ADL item and ICIQ-UI-sf upon the hospital admission. The diagnosis of UI resulted from an interdisciplinary conciliating meeting for urinary functional disorders (TOFU), gathering geriatricians and neuro-urologists and was considered as reference.

results294 consecutive patients (mean age 86.2 ± 6.5 years; 76.5% female) admitted to the ACE unit were screened; 169 were incontinent (57.5%) according to TOFU. The Katz's ADL item identified 106 incontinent patients with 20 false positives; 83 incontinent patients were not identified. If the sensitivity and specificity of the ICIQ-UI-sf were 100.0%, they were, respectively, 50.9 and 84.0% for the Katz's ADL item. Positive and negative predictive values were 100.0% for ICIQ-UI-sf; 81.1 and 55.9% for ADL, respectively.

conclusionThis study validates the ICIQ-UI-sf as a simple and effective screening tool for UI in vulnerable and complex hospitalized aged patients. It also demonstrates that the "continence" item of the Katz's ADL scale is not sensitive enough for UI screening in this population.

Indexed as

Acute care for elder’s unitAged patientsICIQ-UI-sfKatz’s ADLScreeningUrinary incontinence

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.