Age and Ageing Advance Access originally published online on May 18, 2005
Age and Ageing 2005 34(4):377-381; doi:10.1093/ageing/afi094
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Research Paper |
Indwelling catheter use in home care: elderly, aged 65+, in 11 different countries in Europe
1 Diakonhjemmet University College, Box 184, 0319 Oslo, Norway
2 STAKES, Lintulahdenkuja 4, PO Box 220, FIN-00531, Helsinki, Finland
3 Centre for Gerontology and Health Economics, Karolinska Institute, Crafoords v. 12, S-113 24 Stockholm, Sweden
4 Department of Geriatrics, 1st Medical Faculty, Charles University and Institute of Postgraduate Medical Education, Lond
nská 15, 12000 Prague 2, Czech Republic
5 Via Sabotino 12, 00195 Rome, Italy
Address correspondence to: L. Sørbye. Fax: (+47) 22 451 950. Email: sorbye{at}diakonhjemmet.no
Abstract
Objective: to describe possible differences/patterns in the use of indwelling urinary catheters (IUC) in Europe.
Design: a prospective, population-based, assessment study.
Setting: the target population was 4,455 (random sample of 405 from each of 11 countries) aged 65+ receiving home care.
Methods: the clients were assessed by using the Resident Assessment Instrument MDS-HC; epidemiological and medical characteristics of clients and service utilisation were recorded.
Measurements: the frequency of use of IUC related to the patients’ activities of daily living (ADL) and cognitive functioning.
Results: the sample consisted of 4,010 informants: 74% female, with mean age 82.3 ±7.3 years; men 80.9 ±7.5 years and female 82.8 ±7.3 years. A total of 216 (5.4%) clients were using IUC. In Italy 23% were using a catheter compared with 0% in The Netherlands. Catheter use was more common in men than in women (11.5% versus 3.3%). Use of IUC was significantly correlated to certain diseases and symptoms and increase in care burden and formal services. Twenty-six per cent of the informants with indwelling catheters scored three or more on a hierarchical ADL scale (0–6). The clients using IUC in the Nordic countries were less dependent on care than in the other European countries. Models built on multivariate analysis explained 37% of the use of IUC. Tradition and attitudes may explain the differences between the sites.
Conclusions: catheter use is associated with formal or family care burden. The need for nursing home placement ought to be considered in some cases. A stricter criterion for using IUC may be considered in the southern European countries.
Keywords: elderly, home care, indwelling urinary catheter, quality of care, care burden, RAI-HC, elderly
Received January 7, 2005; accepted in revised form March 10, 2005.
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