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Maturitas. 2011 Jun;69(2):179-83. doi: 10.1016/j.maturitas.2011.03.018. Epub 2011 May 6.

Is urinary continence considered in the assessment of older people after a fall in England and Wales? Cross-sectional clinical audit results.

Author information

  • 1Department of Geriatric Medicine, University College Hospital London, London, United Kingdom. rhodri_edwards@hotmail.com

Abstract

OBJECTIVES:

To investigate adherence to the urinary function assessments of the national falls guidelines for England and Wales.

STUDY DESIGN:

Secondary data analysis of the 2006 National Clinical Audit of Falls and Bone Health.

SETTING:

Acute hospitals in the UK.

PARTICIPANTS:

Patients aged 65 years and older with a fragility fracture as a result of a fall.

MAIN OUTCOME MEASURES:

Data were analysed to determine whether patients with fragility fractures received an assessment of urinary function including continence status; whether impairment was detected and if action was taken to prevent continence related falls.

RESULTS:

63% (2009) of 3184 patients were assessed for urinary continence following a hip fracture and 41% (817) of these identified a problem. 21% (1187) of 5642 patients with nonhip fragility fractures were assessed and a problem was found in 27% (316). Hip fracture patients were more likely (p<0.0001) to receive a continence assessment and have problems detected. Only about half of those with problems had any intervention or a referral to a continence service. Admission to hospital for nonhip fracture patients was a strong predictor of being assessed (p<0.0001).

CONCLUSION:

Rates of assessment and action for those with who fall and have continence problems are low despite current national guidelines.

Crown Copyright © 2011. Published by Elsevier Ireland Ltd. All rights reserved.

PMID:
21530116
[PubMed - indexed for MEDLINE]
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