Continence status at rehabilitation admission poststroke does not predict 3- to 4-year institutionalization

L. L. Glasser, R. D. Zorowitz, T. A. Linsenmeyer

Research output: Contribution to journalReview articlepeer-review

Abstract

Poststroke urinary incontinence has been associated with death, poor functional outcome, and institutionalization. No studies have evaluated the impact of urinary incontinence on the placement of stroke survivors 3 to 4 years poststroke. Two hundred thirty first-time stroke survivors admitted consecutively to a stroke rehabilitation unit between August 1991 and August 1992 were screened for signs and symptoms of voiding dysfunction. Of these, 172 (74.7%) subjects were contacted and interviewed an average of 3.5 years poststroke. Of these, 10 (5.8%) subjects were institutionalized. Institutionalization at follow-up was not correlated with urinary incontinence at rehabilitation admission (χ2 = 3.52, p = 0.08) but was correlated with urinary incontinence at follow-up (χ2 = 6.77, p = 0.02, relative risk 5.75 [95% CI 1.26, 26.1]). Death of incontinent stroke survivors prior to follow-up may have weakened the correlation between urinary incontinence and institutionalization. However, incontinence was a major factor in the institutionalization decision in 6 of 6 (100%) subjects who were incontinent and remained so after stroke onset.

Original languageEnglish (US)
Pages (from-to)38-50
Number of pages13
JournalTopics in Stroke Rehabilitation
Volume4
Issue number3
DOIs
StatePublished - Jan 1 1997

Keywords

  • Bladder cerebrovascular disorders
  • Institutionalization
  • Nursing home
  • Urinary incontinence

ASJC Scopus subject areas

  • Rehabilitation
  • Community and Home Care
  • Clinical Neurology

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