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© 1997 Oxford University Press

Articles

Urinary Incontinence in Nursing Home Residents: A Cross-National Comparison

Antonio Sgadari, EVA Topinková1, JAN Bjørnson2 and Roberto Bernabei

Istituto di Medicina Interna e Geriatria, Universita Cattolica del Sacro Cuore Largo A. Gemelli 8, 00168 Rome, Italy
1 Department of Geriatrics, Postgraduate Medical School Prague, Czech Republic
2 Diakonhjemmets Sykehus Oslo, Norway

Address correspondence to A. Sgadari. Fax: (+39) 6 305 1911. E-mail: A.SGADARI{at}caspurit

Background: Using data from a cross-national data base we report the prevalence of urinary incontinence in nursing home residents, describe the main factors associated with bladder incontinence, and compare the usage of incontinence-related tests and care practices across countries.

Results: Urinary incontinence is highly prevalent (43–65%) in the seven countries studied. Dependency in ambulating, cognitive impairment and urinary tract infections are significantly associated with urinary incontinence in nursing home populations in most countries. Large cross-country differences are observed in the percentage of elderly undergoing incontinence-related testing and in the percentage of residents using appliances and programmes to treat or prevent incontinence.

Conclusion: This study of different cultural approaches and strategies to evaluate and treat urinary incontinence may stimulate a public debate on the quality of care in nursing homes and promote the sharing of care practices designed to reduce urinary incontinence.

Keywords: cross-national comparisons, elderly people, nursing homes, urinary incontinence


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Mayo Clin. Proc., December 1, 2008; 83(12): 1332 - 1343.
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