Urinary incontinence is associated with an increase in falls: a systematic review

Australian Journal of Physiotherapy Pub Date : 2009-01-01 DOI:10.1016/S0004-9514(09)70038-8

Pauline E. Chiarelli , Lynette A. Mackenzie , Peter G. Osmotherly

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引用次数: 184

Abstract

Question

Is urinary incontinence associated with falls in community-dwelling older people?

Design

A systematic review and meta-analysis of observational studies investigating falls and urinary incontinence.

Participants

Community-dwelling older people.

Outcome measures

Falls rather than fracture or injury, and any type of urinary incontinence.

Results

Odds ratios of nine studies were included in the meta-analysis. The odds of falling were 1.45 (95% CI 1.36 to 1.54) in the presence of any type of urinary incontinence. The odds of falling were 1.54 (95% CI 1.41 to 1.69) in the presence of urge incontinence. The odds of falling were 1.11 (95% CI 1.00 to 1.23) in the presence of stress incontinence. The odds of falling were 1.92 (95% CI 1.69 to 2.18) in the presence of mixed incontinence.

Conclusion

Urge urinary incontinence, but not stress urinary incontinence, is associated with a modest increase in falls. Falls prevention programs need to include an assessment of incontinence and referral for interventions to ameliorate the symptoms of urge incontinence.

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尿失禁与跌倒增加有关:一项系统综述

在社区居住的老年人中，尿失禁与跌倒有关吗?对调查跌倒和尿失禁的观察性研究进行系统回顾和荟萃分析。参与者:居住在社区的老年人。结局指标:跌倒而非骨折或损伤，以及任何类型的尿失禁。结果meta分析纳入了9项研究的sod比值。出现任何类型尿失禁时跌倒的几率为1.45 (95% CI 1.36 ~ 1.54)。出现急迫性尿失禁时跌倒的几率为1.54 (95% CI 1.41 ~ 1.69)。出现压力性尿失禁时跌倒的几率为1.11 (95% CI 1.00 ~ 1.23)。混合性尿失禁患者跌倒的几率为1.92 (95% CI 1.69 ~ 2.18)。结论急迫性尿失禁与跌倒的适度增加有关，而非应激性尿失禁。跌倒预防计划需要包括失禁的评估和推荐干预措施，以改善急迫性失禁的症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of Physiotherapy 医学-康复医学

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