OBJECTIVES: The authors explored whether urinary incontinence (UI) is associated with higher mortality and, if so, whether adjustment for demographics, health, and functional status diminishes the association. METHODS: The Cox proportional hazards model was used with a nationally representative sample of community-living elderly people (N = 3,485). RESULTS: In an analysis adjusted for age, gender, education, and probability sampling design, participants with mild to moderate UI (hazard ratio [HR] = 1.51; 95% confidence interval [CI] = 1.09-2.08) and severe UI (HR = 1.54; 95% CI = 1.03-2.29) experienced a higher risk of death. Adjustment for health and functional status diminished the association of UI and risk of death (mild to moderate UI, HR = 1.20, 95% CI = 0.85-1.68; severe UI, HR = 0.91, 95% CI = 0.59-1.39). DISCUSSION: The relationship between UI and mortality in older adults can largely be understood on the basis of increased frailty in incontinent individuals.
OBJECTIVES: The authors explored whether urinary incontinence (UI) is associated with higher mortality and, if so, whether adjustment for demographics, health, and functional status diminishes the association. METHODS: The Cox proportional hazards model was used with a nationally representative sample of community-living elderly people (N = 3,485). RESULTS: In an analysis adjusted for age, gender, education, and probability sampling design, participants with mild to moderate UI (hazard ratio [HR] = 1.51; 95% confidence interval [CI] = 1.09-2.08) and severe UI (HR = 1.54; 95% CI = 1.03-2.29) experienced a higher risk of death. Adjustment for health and functional status diminished the association of UI and risk of death (mild to moderate UI, HR = 1.20, 95% CI = 0.85-1.68; severe UI, HR = 0.91, 95% CI = 0.59-1.39). DISCUSSION: The relationship between UI and mortality in older adults can largely be understood on the basis of increased frailty in incontinent individuals.
Authors: William N Elwood; Karen Huss; Dawn A Morales; Jenna M Norton; Melissa W Riddle; Rebecca A Roof; Jerry M Suls; Catherine M Stoney; Tamara G Bavendam; Ziya Kirkali Journal: Transl Behav Med Date: 2018-05-23 Impact factor: 3.046
Authors: Kristine M C Talley; Jean F Wyman; Ulf G Bronas; Becky J Olson-Kellogg; Teresa C McCarthy; Hong Zhao Journal: Nurs Res Date: 2014 Mar-Apr Impact factor: 2.381
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Authors: Noa M Buchman; Sue E Leurgans; Raj J Shah; Veronique VanderHorst; Robert S Wilson; Yaacov G Bachner; David Tanne; Julie A Schneider; David A Bennett; Aron S Buchman Journal: J Gerontol A Biol Sci Med Sci Date: 2017-09-01 Impact factor: 6.053