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Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.13/35215

Title
Urinary incontinence is associated with an increase in falls: a systematic review
Author/Creator
Chiarelli, Pauline E.;  Mackenzie, Lynette A.;  Osmotherly, Peter G.
Description
Question: Is urinary incontinence associated with falls in community-dwelling older people? Design: A systematic review and meta-analysis of observational studies investigating falls and urinary incontinence. Participants: Community-dwelling older people. Outcome measures: Falls rather than fracture or injury, and any type of urinary incontinence. Results: Odds ratios of nine studies were included in the meta-analysis. The odds of falling were 1.45 (95% Cl 1.36 to 1.54) in the presence of any type of urinary incontinence. The odds of falling were 1.54 (95% Cl 1.41 to 1.69) in the presence of urge incontinence. The odds of falling were 1.11 (95% Cl 1.00 to 1.23) in the presence of stress incontinence. The odds of falling were 1.92 (95% Cl 1.69 to 2.18) in the presence of mixed incontinence. Conclusion: Urge urinary incontinence, but not stress urinary incontinence, is associated with a modest increase in falls. Falls prevention programs need to include an assessment of incontinence and referral for interventions to ameliorate the symptoms of urge incontinence.
Relation
Australian Journal of Physiotherapy Vol. 55, Issue 2, p. 89-95
Relation
http://physiotherapy.asn.au/index.php/quality-practice/ajp/about-ajp
Date
2009
Publisher
Australian Physiotherapy Association
Keyword(s)
urinary incontinence;  accidental falls;  systematic review;  accident prevention
Resource Type
journal article
Identifier
http://hdl.handle.net/1959.13/35215
Identifier
ISSN:0004-9514
Language
eng
Reviewed
Reviewed
 
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Subject
"Australian Journal of Physiotherapy"
 
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