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Published on: March 26, 2019
Incontinence after brain injury: prevalence, outcome and multidisciplinary management on a neurological
S M Leary1, C Liu, A L Cheesman
1Regional Neurological Rehabilitation Unit, Homerton University Hospital and National Hospital for Neurology and Neurosurgery, University College London Hospitals, Queen Square, London, UK. siobhan.leary@uclh.nhs.uk
Objective:
To investigate the prevalence, outcome and multidisciplinary management of incontinence in patients with acquired brain injury.
Design:
Retrospective case notes review.
Setting:
Regional neurological rehabilitation unit.
Subjects:
Two hundred and thirty-eight patients with acquired brain injury.
Main Measures:
Bladder and bowel subscores of the Barthel Index and Functional Independence Measure; number of multidisciplinary goals addressing bladder and bowel function.
Results:
Fifty per cent of patients (n=112) had impaired bladder or bowel subscores on admission. Significant improvement was seen at discharge but 36% of patients (n=77) still had some degree of impairment. Over 90% of patients were set multidisciplinary goals addressing self-care (n=213) and mobility (n=205) but only 3.5% (n=8) were set multidisciplinary goals addressing bladder and bowel function.
Conclusions:
Incontinence was common in patients with brain injury on a neurological rehabilitation unit. Significant improvement was seen following rehabilitation. Bladder and bowel management was not well incorporated into the multidisciplinary management process.
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