Prevalence and predictors of continence containment products and catheter use in an acute hospital: A cross-sectional study
Ghafar, Mohd Zaquan Arif Abd
Murphy, Robert P
McCarthy, Christine E
AffiliationMercy University Hospital, Grenville Place, Cork, Ireland
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CitationMarie Condon, Edel Mannion, Gillian Collins, Mohd Zaquan Arif Abd Ghafar, Bushra Ali, Majella Small, Robert P. Murphy, Christine E. McCarthy, Anthony Sharkey, Conall MacGearailt, Aisling Hennebry, Stephanie Robinson, Rónán O'Caoimh (2021) Prevalence and predictors of continence containment products and catheter use in an acute hospital: A cross-sectional study, Geriatric Nursing, 42 (2), pp. 433-439. https://doi.org/10.1016/j.gerinurse.2021.02.008
AbstractAlthough incontinence is common in hospital, the prevalence and predictors of continence aid use (continence wear and catheters) are poorly described. A one-day cross-sectional study was conducted in a large university hospital assessing consecutive inpatients (≥55) for their pre-admission and current use of continence aids. Barthel Index, Clinical Frailty Scale and Charlson Co-morbidity scores were recorded. Appropriateness was defined by local guidelines. 355 inpatients, median age 75±17 years, were included; 53% were male. Continence aid use was high; prevalence was 46% increasing to 58% for those ≥75. All-in-one pads were the most common, an overall prevalence of 31%. Older age, lower Barthel and higher frailty scores were associated with continence aid use in multivariate analysis. Inappropriate use of aids was high at 45% with older age being the only independent predictor. Continence aids are often used inappropriately during hospitalisation by older patients. Concerted efforts are required to address this issue.
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