Massirfufulay Kpehe Musa1, Susan Saga2, Lene Elisabeth Blekken2, Ruth Harris3, Claire Goodman4, Christine Norton3. 1. Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, United Kingdom. Electronic address: musaj2@yahoo.com. 2. Faculty of Medicine and Health Sciences, Norwegian University of Technology, Trondheim, Norway. 3. Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, United Kingdom. 4. Centre for Research in Public Health and Community Care, University of Hertfordshire, Hertfordshire, United Kingdom.
Abstract
OBJECTIVE: Older people resident in care homes often rely on staff for support relating to their activities of daily living, including intimate care such as continence care. Managing fecal incontinence can be challenging for both residents and care staff. We conducted this review to describe the prevalence, incidence, and correlates of fecal incontinence among care home residents. DESIGN: Systematic literature review. SETTING AND PARTICIPANTS: Older care home residents (both nursing and residential care) aged 60 years and older. MEASURES: We defined double incontinence as the presence of fecal plus urinary incontinence, isolated fecal incontinence as fecal incontinence with no urinary incontinence, and all fecal incontinence as anyone with fecal incontinence (whether isolated or double). The CINAHL and MEDLINE databases were searched up to December 31, 2017, to retrieve all studies reporting the prevalence and/or incidence and correlates of fecal incontinence. RESULTS: We identified 278 citations after removing duplicates, and 23 articles met the inclusion criteria. There were 12 high-quality studies, 5 medium-quality studies, and 6 low-quality studies. The medians for prevalence (as reported by the studies) of isolated fecal incontinence, double incontinence, and all fecal incontinence were 3.5% [interquartile range (IQR) = 2.8%], 47.1% (IQR = 32.1%), and 42.8% (IQR = 21.1%), respectively. The most frequently reported correlates of fecal incontinence were cognitive impairment, limited functional capacity, urinary incontinence, reduced mobility, advanced age, and diarrhea. CONCLUSIONS/IMPLICATIONS: Fecal incontinence is prevalent among older people living in care homes. Correlates included impaired ability to undertake activities of daily living, reduced mobility, laxative use, and altered stool consistency (eg, constipation or diarrhea) which are potentially amenable to interventions to improve fecal incontinence.
OBJECTIVE: Older people resident in care homes often rely on staff for support relating to their activities of daily living, including intimate care such as continence care. Managing fecal incontinence can be challenging for both residents and care staff. We conducted this review to describe the prevalence, incidence, and correlates of fecal incontinence among care home residents. DESIGN: Systematic literature review. SETTING AND PARTICIPANTS: Older care home residents (both nursing and residential care) aged 60 years and older. MEASURES: We defined double incontinence as the presence of fecal plus urinary incontinence, isolated fecal incontinence as fecal incontinence with no urinary incontinence, and all fecal incontinence as anyone with fecal incontinence (whether isolated or double). The CINAHL and MEDLINE databases were searched up to December 31, 2017, to retrieve all studies reporting the prevalence and/or incidence and correlates of fecal incontinence. RESULTS: We identified 278 citations after removing duplicates, and 23 articles met the inclusion criteria. There were 12 high-quality studies, 5 medium-quality studies, and 6 low-quality studies. The medians for prevalence (as reported by the studies) of isolated fecal incontinence, double incontinence, and all fecal incontinence were 3.5% [interquartile range (IQR) = 2.8%], 47.1% (IQR = 32.1%), and 42.8% (IQR = 21.1%), respectively. The most frequently reported correlates of fecal incontinence were cognitive impairment, limited functional capacity, urinary incontinence, reduced mobility, advanced age, and diarrhea. CONCLUSIONS/IMPLICATIONS: Fecal incontinence is prevalent among older people living in care homes. Correlates included impaired ability to undertake activities of daily living, reduced mobility, laxative use, and altered stool consistency (eg, constipation or diarrhea) which are potentially amenable to interventions to improve fecal incontinence.
Authors: Edoardo Savarino; Fabiana Zingone; Brigida Barberio; Giovanni Marasco; Filiz Akyuz; Hale Akpinar; Oana Barboi; Giorgia Bodini; Serhat Bor; Giuseppe Chiarioni; Gheorghe Cristian; Maura Corsetti; Antonio Di Sabatino; Anca Mirela Dimitriu; Vasile Drug; Dan L Dumitrascu; Alexander C Ford; Goran Hauser; Radislav Nakov; Nisha Patel; Daniel Pohl; Cătălin Sfarti; Jordi Serra; Magnus Simrén; Alina Suciu; Jan Tack; Murat Toruner; Julian Walters; Cesare Cremon; Giovanni Barbara Journal: United European Gastroenterol J Date: 2022-06-13 Impact factor: 6.866
Authors: Massirfufulay Kpehe Musa; Gizdem Akdur; Sarah Brand; Anne Killett; Karen Spilsbury; Guy Peryer; Jennifer Kirsty Burton; Adam Lee Gordon; Barbara Hanratty; Ann-Marie Towers; Lisa Irvine; Sarah Kelly; Liz Jones; Julienne Meyer; Claire Goodman Journal: BMC Geriatr Date: 2022-01-07 Impact factor: 3.921
Authors: Pau Farrés-Godayol; Javier Jerez-Roig; Eduard Minobes-Molina; Meltem Yildirim; Miriam Molas-Tuneu; Anna Escribà-Salvans; Sandra Rierola-Fochs; Montse Romero-Mas; Miriam Torres-Moreno; Laura Coll-Planas; Joanne Booth; Maria Giné-Garriga Journal: Int J Environ Res Public Health Date: 2022-01-28 Impact factor: 4.614
Authors: Massirfufulay Kpehe Musa; Gizdem Akdur; Barbara Hanratty; Sarah Kelly; Adam Gordon; Guy Peryer; Karen Spilsbury; Anne Killett; Jennifer Burton; Julienne Meyer; Sue Fortescue; Ann-Marie Towers; Lisa Irvine; Claire Goodman Journal: BMJ Open Date: 2020-11-14 Impact factor: 2.692
Authors: Howard Fillit; Myrlene S Aigbogun; Patrick Gagnon-Sanschagrin; Martin Cloutier; Mikhaïl Davidson; Elizabeth Serra; Annie Guérin; Ross A Baker; Christy R Houle; George Grossberg Journal: Int J Geriatr Psychiatry Date: 2021-08-27 Impact factor: 3.850