The prevalence of incontinence in people with cognitive impairment or dementia living at home: a systematic review

Drennan, Vari M., Rait, Greta, Cole, Laura ORCID: https://orcid.org/0000-0001-7194-5616, Grant, Robert and Iliffe, Steve (2013) The prevalence of incontinence in people with cognitive impairment or dementia living at home: a systematic review. Neurourology and Urodynamics, 32 (4). pp. 314-324. ISSN 0733-2467

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Abstract

Aims
To investigate the prevalence of urinary and fecal incontinence in people with cognitive impairment or dementia, living at home.

Method
We searched electronic databases, MEDLINE, EMBASE, CINAHL, PsycINFO, BNI, and the Cochrane Library (including DARE, NTIS), from January 1, 1990 to 2012 week 13 (April 4) for studies reporting prevalence data of urinary and fecal incontinence in the population of interest. Quality assessments of studies considered risk of bias in criteria for prevalence studies. Due to the heterogeneity of the included study populations and results, meta‐analysis was not appropriate and a narrative analysis was undertaken.

Results
From 427 references, eight studies met the inclusion criteria. Seven studies provided prevalence rates as findings incidental to their primary question. Populations and assessment tools were varied. Reported prevalence of urinary incontinence ranged from 1.1% in a general community population to 38% in those receiving home care services. Reported rates of fecal incontinence were from 0.9% in a community population to 27% in a population attending an old age psychiatry outpatient clinic.

Conclusions
The prevalence of incontinence in people with dementia or cognitive impairment living at home has not been clearly established. Population level data is required to inform clinicians and to reliably underpin decision‐making in service planning, resource allocation and interventions for people with dementia and incontinence. Neurourol. Urodynam. 32: 314–324, 2013. © 2012 Wiley Periodicals, Inc.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Drennan, V.M., Rait, G., Cole, L., Grant, R. and Iliffe, S. (2013), The prevalence of incontinence in people with cognitive impairment or dementia living at home: A systematic review. Neurourol. Urodyn., 32: 314-324. https://doi.org/10.1002/nau.22333, which has been published in final form at https://doi.org/10.1002/nau.22333. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Uncontrolled Keywords: community dwelling, dementia, fecal incontinence, prevalence, systematic review, urinary incontinence
Subjects: Medicine and health > Clinical medicine > Dementia
Medicine and health > Person centered care
Related URLs:
Depositing User: Laura Cole
Date Deposited: 26 Feb 2021 10:40
Last Modified: 28 Aug 2021 07:14
URI: http://repository.uwl.ac.uk/id/eprint/7701

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