[Post void residual volume in patients at geriatric ward]
Hanne Pedersen1, Jeanne Nielsen, Annie Elena Juncher
1Roskilde Hospital, Geriatrisk Afdeling, Forskningscenter for Aldring og Osteoporose, Roskilde, Denmark. hannepedersen@dadlnet.dk
Insights
Post Void Residual Volume (PVRV) is common in older adults and linked to infections and poor mobility. Ultrasound bladder scans are effective for screening PVRV in geriatric wards.
Area of Science:
- Geriatric Medicine
- Urology
- Diagnostic Imaging
Background:
- Post Void Residual Volume (PVRV) is a significant risk factor for urinary tract infections, incontinence, and renal insufficiency in the elderly.
- High PVRV is associated with advanced age, immobility, constipation, and various neurological and metabolic diseases.
Purpose of the Study:
- To determine the prevalence of high Post Void Residual Volume (PVRV) in geriatric patients.
- To identify risk factors associated with elevated PVRV in this population.
Main Methods:
- A prospective study involving 100 geriatric patients admitted to a ward.
- Ultrasound bladder scans (UB) were performed three times within the first two days of admission.
- Data collected included age, gender, cognitive function (MMSE), functional status (Barthel score), and presence of bacteriuria, incontinence, and constipation.
Main Results:
- Out of 100 patients (mean age 83.9 years), 14 patients had PVRV > 150 ml, and 48 had PVRV < 100 ml.
- Significant correlations were found between high PVRV (>150 ml) and bacteriuria (p=0.04) and lower Barthel scores (p=0.03).
- Prevalence of constipation was 29%, urinary incontinence 41%, and bacteriuria 37%.
Conclusions:
- Post Void Residual Volume (PVRV) is prevalent in geriatric populations.
- High PVRV is positively correlated with bacteriuria and reduced functional performance.
- Ultrasound bladder scanning is a feasible screening method for PVRV in geriatric settings.
Introduction:
Post Void Residual Volume (PVRV) is a known risk factor for urinary infection, incontinence and renal insufficiency. Disposing for the condition is high age, immobility, constipation, neurological and metabolic disease. The objectives of this study were to determine the prevalence and to examine risk factors for high PVRV among geriatric patients.
Material And Methods:
In a prospective study 100 consecutive patients admitted to a geriatric ward had an ultrasound bladder scan (UB) performed three times during the first two days of stay. The following background parameters were registered: age, gender, Mini Mental-State Examination (MMSE), modified Barthel score, bacteriuria, urinary incontinence and constipation.
Exclusion Criteria:
urinary catheter, incapability of giving informed consent. Patients could only be included once.
Results:
A total of 142 patients were screened, among whom 100 were included (81 women and 19 men). The mean age was 83.9 years (range: 65-101 years). Background parameters: constipation 29%, urinary incontinence 41%, bacteriuria 37%. Barthel (maximum score 100): 12% score < 26, 25% score 26-49, 41% score 50-79 and 20% score > 79. MMSE: 12% < 15.37% 15-24 and 39% > 24. UB results: A total of 48 patients had a PVRV < 100 ml in all three UB, and 14 patients had a PVRV > 150 ml in all three UB. In all, 38 patients had a PVRV between 100 and 150 ml or diverging results. Barthel score (p = 0.03) and bacteriuria (p = 0.04) varied significantly between patients with a PVRV > 150 ml and a PVRV < 100 ml.
Conclusion:
PVRV is a common condition in geriatric populations and is positively correlated with bacteriuria and low functional performance. It is feasible to implement UB as a screening procedure in geriatric wards.
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