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Self-reported urinary incontinence in noninstitutionalized long-term stroke survivors: A population-based study
Lone Jørgensen1, Torgeir Engstad, Bjarne K Jacobsen
1Institute of Community Medicine, University of Tromsø, Tromsø, Norway. lone.jorgensen@ism.uit.no
Archives of Physical Medicine and Rehabilitation
|March 11, 2005
Summary
Urinary incontinence is significantly more common in long-term stroke survivors than in the general population. Risk factors like depression and cognitive impairment increase this prevalence.
Area of Science:
- Neurology
- Urology
- Public Health
Background:
- Stroke survivors often experience long-term health issues.
- Urinary incontinence is a common but often underreported complication post-stroke.
Purpose of the Study:
- To compare urinary incontinence prevalence in stroke survivors versus controls.
- To identify risk factors for urinary incontinence in stroke survivors.
Main Methods:
- Community-based, cross-sectional study in Tronso.
- 213 noninstitutionalized stroke survivors and 242 controls participated.
- Self-reported urinary incontinence was the primary outcome measure.
Main Results:
- 17% of stroke survivors reported incontinence vs. 7% of controls (OR=2.8).
- Incontinence was associated with depression, motor, and cognitive function in survivors.
- Prevalence increased with the number of risk factors present (P trend <.001).
Conclusions:
- Urinary incontinence is highly prevalent in long-term stroke survivors.
- Paresis, depressive symptoms, and impaired cognition are key associated factors.