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  1. Fecal incontinence in Wisconsin nursing homes : Prevalence and associations.

    Article - En anglais

    INTRODUCTION 

    This report determines the characteristics and health histories that are associated with fecal incontinence in a nursing home population.

    METHODS 

    A cross-sectional survey is reported comprised of data from the Health Care Finance Administration's Minimum Data Set submitted by Wisconsin skilled nursing facilities to the Wisconsin Center for Health Statistics'Annual Nursing Home Survey in 1992 and 1993.

    Demographic characteristics, functional status, and disease history were correlated with the dependent variable, fecal incontinence.

    RESULTS 

    In both 1992 and 1993, significant positive associations with fecal incontinence included the following, in order of adjusted odds ratios : urinary incontinence, tube feeding, any loss of activities of daily living, diarrhea, truncal restraints, pressure ulcers, dementia, impaired vision, fecal impaction, constipation, male gender, age, and increasing body mass index.

    Significant inverse associations were noted for heart disease and depression in one of the years and arthritis in both years.

    In both years, diabetes was not associated with fecal incontinence.

    CONCLUSION 

    Urinary incontinence frequently coexists with fecal incontinence.

    The treatment of fecal incontinence may depend more on awareness of these significant associations, such as tube feeding, impaction, diarrhea, and loss of activities of daily living, which might exacerbate fecal incontinence, than on the condition of the anal sphincter.

    Mots-clés Pascal : Incontinence anale, Vieillard, Homme, Prévalence, Identification, Association, Facteur risque, Etablissement troisième âge, Base donnée, Wisconsin, Etats Unis, Amérique du Nord, Amérique, Appareil digestif pathologie, Intestin pathologie, Anorectale pathologie

    Mots-clés Pascal anglais : Anal incontinence, Elderly, Human, Prevalence, Identification, Association, Risk factor, Homes for the aged, Database, Wisconsin, United States, North America, America, Digestive diseases, Intestinal disease, Anorectal disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0499746

    Code Inist : 002B13B03. Création : 19/02/1999.