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Characteristics of Geriatric Rehabilitation Inpatients with Nocturia: RESORT

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Title: Characteristics of Geriatric Rehabilitation Inpatients with Nocturia: RESORT
Authors: Bower, Wendy F, Lau, Lisa, Whishaw, D Michael, Reijnierse, Esmee M, Maier, Andrea B
Source: Gerontology
Publisher Information: S. Karger AG, 2024.
Publication Year: 2024
Subject Terms: Male, Aged, 80 and over, Inpatients, Severity of Illness Index, Urinary Incontinence, Geriatric Assessment/methods, Urinary Incontinence/rehabilitation, 80 and over, Quality of Life, Humans, Nocturia/epidemiology, Female, Nocturia, Prospective Studies, Longitudinal Studies, Clinical Section: Research Article, Geriatric Assessment, Aged
Description: Introduction: Nocturnal lower urinary tract symptoms are common in geriatric rehabilitation inpatients but have not been well described. The aim of this study was to compare patient characteristics stratified by self-reported nocturia severity in geriatric rehabilitation inpatients. Methods: The REStORing health of acutely unwell adulTs (RESORT) is an observational, longitudinal, prospective inception cohort of geriatric rehabilitation inpatients who underwent a Comprehensive Geriatric Assessment (CGA) at admission and discharge. Nocturia was captured by item 7 of the American Urology Association Symptom Score (AUASS) and dichotomised as ≤1 void and >1 void at night as per the International Continence Society definition. Differences in demographic, functional, and medical characteristics of the inpatients with and without nocturia >1 were compared. Results: Overall, 641 inpatients completed the nocturia item (mean age 82.6 [SD 7.7] years, 59.9% female). Nocturia occurred >once per night in 57.4%; mean number of episodes was 1.96 (SD 1.38), ranging from 0 to 5. There was no change in nocturia severity between admission and discharge. Daily urinary incontinence, urinary urgency, and comorbid illness were independently associated with multiple nocturia episodes. A history of falls within the last year, difficulty climbing stairs pre-admission, higher faecal incontinence score, impaired quality of life domains, higher levels of anxiety and depression were significantly more common in inpatients with multiple episodes of nocturia compared to no or only one episode of nocturia. Conclusion: Lower urinary tract symptoms, poor functional status and frailty markers were associated with repeated episodes of nocturia. Targeted intervention may reduce the severity of nocturia, with potential to improve sleep quality, impact therapeutic gains and influence discharge destination.
Document Type: Article
Other literature type
Language: English
ISSN: 1423-0003
0304-324X
DOI: 10.1159/000542056
Access URL: https://pubmed.ncbi.nlm.nih.gov/39433035
https://hdl.handle.net/1871.1/60d8e6ff-b103-4380-9c5a-63c3f52d6c9e
https://doi.org/10.1159/000542056
https://research.vu.nl/en/publications/60d8e6ff-b103-4380-9c5a-63c3f52d6c9e
Rights: CC BY
URL: http://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution 4.0 International License (CC BY) (http://www.karger.com/Services/OpenAccessLicense). Usage, derivative works and distribution are permitted provided that proper credit is given to the author and the original publisher.
Accession Number: edsair.doi.dedup.....0deefb34e86af3a3856c042663240ce8
Database: OpenAIRE
Description
Abstract:Introduction: Nocturnal lower urinary tract symptoms are common in geriatric rehabilitation inpatients but have not been well described. The aim of this study was to compare patient characteristics stratified by self-reported nocturia severity in geriatric rehabilitation inpatients. Methods: The REStORing health of acutely unwell adulTs (RESORT) is an observational, longitudinal, prospective inception cohort of geriatric rehabilitation inpatients who underwent a Comprehensive Geriatric Assessment (CGA) at admission and discharge. Nocturia was captured by item 7 of the American Urology Association Symptom Score (AUASS) and dichotomised as ≤1 void and >1 void at night as per the International Continence Society definition. Differences in demographic, functional, and medical characteristics of the inpatients with and without nocturia >1 were compared. Results: Overall, 641 inpatients completed the nocturia item (mean age 82.6 [SD 7.7] years, 59.9% female). Nocturia occurred >once per night in 57.4%; mean number of episodes was 1.96 (SD 1.38), ranging from 0 to 5. There was no change in nocturia severity between admission and discharge. Daily urinary incontinence, urinary urgency, and comorbid illness were independently associated with multiple nocturia episodes. A history of falls within the last year, difficulty climbing stairs pre-admission, higher faecal incontinence score, impaired quality of life domains, higher levels of anxiety and depression were significantly more common in inpatients with multiple episodes of nocturia compared to no or only one episode of nocturia. Conclusion: Lower urinary tract symptoms, poor functional status and frailty markers were associated with repeated episodes of nocturia. Targeted intervention may reduce the severity of nocturia, with potential to improve sleep quality, impact therapeutic gains and influence discharge destination.
ISSN:14230003
0304324X
DOI:10.1159/000542056