Evidence map›Paper›PMID 37738169›Full record

ArticleAge and ageing2023

Incontinence during and following hospitalisation: a prospective study of prevalence, incidence and association with clinical outcomes.

Jill Campbell, Ruth Hubbard, Joan Ostaszkiewicz, Theresa Green, Fiona Coyer, Alison Mudge

Open access · hybridAbstract read
In one paragraph

Article in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Jill CampbellNational Health and Medical Research Council Centre of Research Excellence in Wiser Wound Care, Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Southport, Australia.
Ruth HubbardCentre for Health Services Research, Faculty of Medicine, University of Queensland, Brisbane, Australia.
Joan OstaszkiewiczAged Care Division, National Ageing Research Institute, Melbourne, Australia.
Theresa GreenSchool of Nursing, Midwifery & Social Work, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
Fiona CoyerSchool of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Australia.
Alison MudgeInternal Medicine and Aged Care Department, Royal Brisbane and Women's Hospital, Brisbane, Australia.ORCID 0000-0002-0242-2165
The University of Queensland · AUFederation University · AUGriffith University · AUUniversity of Huddersfield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncontinence is common in hospitalised older adults but few studies report new incidence during or following hospitalisation.

objectiveTo describe prevalence and incidence of incontinence in older inpatients and associations with clinical outcomes.

designSecondary analysis of prospectively collected data from consecutive consenting inpatients age 65 years and older on medical and surgical wards in four Australian public hospitals.

methodsParticipants self-reported urinary and faecal incontinence 2 weeks prior to admission, at hospital discharge and 30 days after discharge as part of comprehensive assessment by a trained research assistant. Outcomes were length of stay, facility discharge, 30-day readmission and 6-month mortality.

resultsAnalysis included 970 participants (mean age 76.7 years, 48.9% female). Urinary and/or faecal incontinence was self-reported in 310/970 (32.0%, [95% confidence interval (CI) 29.0-35.0]) participants 2 weeks before admission, 201/834 (24.1% [95% CI 21.2-27.2]) at discharge and 193/776 (24.9% [95% CI 21.9-28.1]) 30 days after discharge. Continence patterns were dynamic within the peri-hospital period. Of participants without pre-hospital incontinence, 74/567 (13.1% [95% CI 10.4-16.1) reported incontinence at discharge and 85/537 (15.8% [95% CI 12.8-19.2]) reported incontinence at 30 days follow-up. Median hospital stay was longer in participants with pre-hospital incontinence (7 vs. 6 days, P = 0.02) even in adjusted analyses and pre-hospital incontinence was significantly associated with mortality in unadjusted but not adjusted analyses.

conclusionPre-hospital, hospital-acquired and new post-hospital incontinence are common in older inpatients. Better understanding of incontinence patterns may help target interventions to reduce this complication.

Indexed as

Fecal IncontinenceAgedAustraliaFemaleHospitalizationHospitals, PublicHumansIncidenceMalePrevalenceProspective Studiescontinence carehospital-associated complicationsincontinenceinpatientsolderolder people

Identifiers

PMID37738169
PMCPMC10516354
OpenAlexW4386954840

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.