Pauline E. Chiarelli , Lynette A. Mackenzie , Peter G. Osmotherly
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引用次数: 184
摘要
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。
Urinary incontinence is associated with an increase in falls: a systematic review
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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