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Related Experiment Videos

Urinary incontinence and stroke outcomes.

J C Gross1

  • 1College of Nursing, University of Kentucky, Lexington, USA.

Archives of Physical Medicine and Rehabilitation
|January 19, 2000
PubMed
Summary

Urinary incontinence in stroke rehabilitation patients impacts functional status but not discharge destination. Regaining continence correlates with improved functional gains, particularly in social cognition.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Gerontology

Background:

  • Urinary incontinence is a common complication following stroke.
  • Its impact on functional recovery and discharge outcomes in stroke rehabilitation patients requires further elucidation.

Purpose of the Study:

  • To investigate the relationship between urinary incontinence and functional status in stroke rehabilitation patients.
  • To determine if urinary incontinence affects discharge destination in this population.

Main Methods:

  • A historical cohort study was conducted at a freestanding rehabilitation hospital.
  • Ninety stroke patients with daily urinary incontinence and low Functional Independence Measure (FIM) bladder scores were included.
  • Functional status was assessed using FIM scores, changes in FIM, and weekly FIM gains.

Main Results:

  • Urinary incontinence at discharge did not correlate with discharge destination.
  • Continence status predicted overall FIM score at discharge and FIM score improvement.
  • Patients regaining continence showed better weekly FIM gains, especially in social cognition and self-care.

Conclusions:

  • Urinary incontinence significantly influences functional recovery trajectories in stroke survivors.
  • Cognitive assessments using more comprehensive tools are recommended for better understanding and management of incontinence-related deficits.

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