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Potentially treatable causes of poor outcome in acute stroke patients with urinary incontinence
1Sheffield Institute for Studies on Ageing, The University of Sheffield & Barnsley District General Hospital, Sheffield, UK. s.e.gariballa@sheffield.ac.uk
Objective:
To identify potentially treatable clinical risk factors responsible for poor outcome in acute stroke patients with urinary incontinence.
Material And Methods:
All acute stroke patients admitted to our hospital within a 12-month period were considered for inclusion in this observational prospective study. Their clinical details were recorded prospectively during the hospital stay and at 3 months.
Results:
Two hundred and fifteen patients with complete records were enrolled in the study. After adjusting for age, disability, and comorbidity, urinary incontinence at admission was a significant predictor of stroke death at 3 months [hazard ratio 2.8 (95% CI 1.3 5.8), P = 0.006]. Stroke patients incontinent of urine were malnourished and had an increased risk of infective complications during the hospital stay compared with those without incontinence.
Conclusion:
Part of the poor outcome associated with incontinence of urine after acute stroke may be due to treatable conditions such malnutrition and infections.
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