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[Lower Urinary Tract Dysfunction (LUTD) in institutionalized handicapped adults].

N Bamoudou1, A Desvergee1, F Leroy2

  • 1Service de médecine physique et de réadaptation (MPR), centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|January 28, 2019
PubMed
Summary

Lower urinary tract dysfunction (LUTD) affects 88.67% of institutionalized handicapped adults, with higher prevalence in those with physical or mental disabilities. Management often involves medical devices, with limited use of expert advice or specific treatments.

Keywords:
HandicapLower urinary tract dysfunctionMedical careNursing homePrevalencePrise en charge médicalePrévalenceTroubles vésico-sphinctériensÉtablissements médico-sociaux

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Area of Science:

  • Gerontology
  • Urology
  • Public Health

Background:

  • Lower urinary tract dysfunction (LUTD) is a common issue, particularly in institutionalized populations.
  • Handicapped adults in long-term care facilities face unique challenges regarding urinary health.
  • Understanding LUTD prevalence and management is crucial for improving quality of life in this demographic.

Purpose of the Study:

  • To determine the prevalence of lower urinary tract dysfunction (LUTD) among institutionalized handicapped adults.
  • To investigate the current management strategies employed for LUTD in this population.
  • To identify factors associated with a higher prevalence of LUTD.

Main Methods:

  • A descriptive, transversal, observational, and epidemiological study design was utilized.
  • Data were collected from 150 residents across 6 nursing homes.
  • Statistical analysis included prevalence calculations, P-values, and odds ratios (OR) to assess associations.

Main Results:

  • The overall prevalence of LUTD was 88.67% (133/150).
  • Higher LUTD prevalence was significantly associated with physical disability (OR=10.70), mental disability (OR=5.85), and urological comorbidity (OR=9.70).
  • Medical devices were the most common management strategy (82.71%), while expert medical advice and specific treatments were less frequent.

Conclusions:

  • Institutionalized handicapped adults exhibit a very high prevalence of lower urinary tract dysfunction (LUTD).
  • Physical and mental disabilities, along with urological comorbidities, are key risk factors for LUTD in this population.
  • Current management predominantly relies on medical devices, indicating a potential gap in comprehensive care and treatment strategies.