Fecal incontinence in the institutionalized elderly : Incidence, risk factors, and prognosis.
This study was conducted to evaluate the incidence, identify the risk factors, and assess the prognosis of elderly institutionalized patients who develop fecal incontinence.
PATIENTS AND METHODS
We enrolled 1,186 patients 60 years of age and older living in long-term care facilities who did not have fecal incontinence.
We assessed their medical history, treatment, mobility, and cognitive function.
Patients were followed up for 10 months to determine the incidence of fecal incontinence, defined as at least one involuntary loss of feces.
Independent risk factors associated with fecal incontinence were identified using Cox proportional hazards models.
The prognosis of incontinent patients was assessed by comparing their survival rate with that in the continent patients.
Fecal incontinence occurred in 234 patients (20%), and was usually associated with acute diarrhea or fecal impaction.
We identified five risk factors for the development of fecal incontinence :
a history of urinary incontinence (rate ratio [ RR] : 2.0,95% confidence interval [CI ] 1.5 to 2.6) ;
neurological disease (RR : 1.9,95% CI 1.0 to 3.4) ;
poor mobility (RR : 1.7,95% CI 1.2 to 2.4) ;
severe cognitive decline (RR : 1.4,95% CI 1.1 to 1.9) ;
and age older than 70 years (RR : 1.7,95% CI 1.0 to 2.8).
Tenmonth mortality in the 89 patients with long-term (>=8 days) incontinence was 26%, significantly greater than that observed in the continent group (6. (...)
Mots-clés Pascal : Incontinence anale, Etablissement troisième âge, Incidence, Evaluation, Facteur risque, Pronostic, Personne âgée, Homme, Appareil digestif pathologie, Intestin pathologie, Anorectale pathologie
Mots-clés Pascal anglais : Anal incontinence, Homes for the aged, Incidence, Evaluation, Risk factor, Prognosis, Elderly, Human, Digestive diseases, Intestinal disease, Anorectal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0168873
Code Inist : 002B13B03. Création : 16/11/1999.