Arginine vasopressin levels in nursing home residents with nighttime urinary incontinence

Joseph G. Ouslander, Samer Z. Nasr, Myron Miller, Wendy Withington, Carol S. Lee, Michelle Wiltshire-Clement, Patrice Cruise, John F. Schnelle

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: To examine the relationship between diurnal urine volume and plasma arginine vasopressin levels (AVP) in nursing home residents with nighttime urinary incontinence and a comparison group of frail but nondemented, continent geriatric board and care residents. DESIGN: Case series. SETTING: Four nursing homes and two board and care facilities. PARTICIPANTS: Sixty-two nursing home residents and 27 board and care residents. MEASUREMENTS: Daytime (7:00 a.m. to 7:00 p.m.) and nighttime (7:00 p.m. to 7:00 a.m.) urine volumes of incontinent nursing home residents were measured over 3 days and 3 nights by reweighing preweighed adults diapers and toileting inserts emptied by research staff for the comparison group. AVP levels were drawn in the early morning (5:00 a.m. to 7:00 a.m.) before subjects arose and in the evening after an hour of lying in bed (8:00 p.m. to 11:00 p.m.), and plasma levels were determined by radioimmunoassay. RESULTS: Half of the nursing home residents and 82% of the comparison group had night/total urine volume ratios ≤ 50%. Forty-nine percent of the total of 89 subjects had undetectable morning AVP levels, 61% had undetectable evening AVP levels, and 42% had undetectable AVP levels in both morning and evening. There were no significant differences in AVP levels between those with night/total urine volume ratios ≤ 50% and

Original languageEnglish (US)
Pages (from-to)1274-1279
Number of pages6
JournalJournal of the American Geriatrics Society
Volume46
Issue number10
StatePublished - Oct 1998

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Nocturnal Enuresis
Arginine Vasopressin
Nursing Homes
Urine
Adult Diapers
Plasma Volume
Geriatrics
Radioimmunoassay
Research

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Ouslander, J. G., Nasr, S. Z., Miller, M., Withington, W., Lee, C. S., Wiltshire-Clement, M., ... Schnelle, J. F. (1998). Arginine vasopressin levels in nursing home residents with nighttime urinary incontinence. Journal of the American Geriatrics Society, 46(10), 1274-1279.

Arginine vasopressin levels in nursing home residents with nighttime urinary incontinence. / Ouslander, Joseph G.; Nasr, Samer Z.; Miller, Myron; Withington, Wendy; Lee, Carol S.; Wiltshire-Clement, Michelle; Cruise, Patrice; Schnelle, John F.

In: Journal of the American Geriatrics Society, Vol. 46, No. 10, 10.1998, p. 1274-1279.

Research output: Contribution to journalArticle

Ouslander, JG, Nasr, SZ, Miller, M, Withington, W, Lee, CS, Wiltshire-Clement, M, Cruise, P & Schnelle, JF 1998, 'Arginine vasopressin levels in nursing home residents with nighttime urinary incontinence', Journal of the American Geriatrics Society, vol. 46, no. 10, pp. 1274-1279.
Ouslander JG, Nasr SZ, Miller M, Withington W, Lee CS, Wiltshire-Clement M et al. Arginine vasopressin levels in nursing home residents with nighttime urinary incontinence. Journal of the American Geriatrics Society. 1998 Oct;46(10):1274-1279.
Ouslander, Joseph G. ; Nasr, Samer Z. ; Miller, Myron ; Withington, Wendy ; Lee, Carol S. ; Wiltshire-Clement, Michelle ; Cruise, Patrice ; Schnelle, John F. / Arginine vasopressin levels in nursing home residents with nighttime urinary incontinence. In: Journal of the American Geriatrics Society. 1998 ; Vol. 46, No. 10. pp. 1274-1279.
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