Zárate Alejandro J, López-Köstner Francisco, Vergara Flavia, Badilla Nathalia, Viviani Paola
Programa de Formación como especialista en Cirugía General, Pontificia Universidad Católica de Chile.
Rev Med Chil. 2008 Jul;136(7):867-72. Epub 2008 Sep 4.
Fecal and urinary incontinence (FI and UI) are psychologically and socially debilitating and embarrassing conditions.
To determine the prevalence of FI and associated factors in patients assessed in health centers (HC) and nursing home (NH) residents.
Prospective, multicentric survey carried out in 3 HC and 16 NH of Santiago. Patients and residents of NH were interrogated about FI between March and July 2004.
The questionnaire was answered by 618 patients attending health centers aged 18 to 87 years (75% females) and 128 nursing home residents aged 40 to 103 years (80% females). The prevalence of liquid or solid FI in HC and NH was 2.7 and 45%, respectively. Among the latter, the incontinence for liquids and solids was 19% and 42%, respectively. The prevalence of UI was 30.1 and 62.7% in HC patients and NH residents, respectively. Among patients attending HC, multivariable analysis showed a relation between older age and urinary incontinence with liquid or solid FI. Among NH residents, multivariate analysis showed a relation between urinary incontinence and motor disabilities with liquid or solid FI.
The prevalence of liquid or solid FI among patients assessed in health center is 2.7%. This figure increases in older people, those with UI and in NH residents.
粪失禁和尿失禁（FI和UI）是会造成心理和社交障碍且令人尴尬的病症。
确定在健康中心（HC）接受评估的患者以及养老院（NH）居民中FI的患病率及其相关因素。
在圣地亚哥的3家健康中心和16家养老院进行前瞻性多中心调查。2004年3月至7月期间，对健康中心的患者和养老院居民进行了关于FI的询问。
618名年龄在18至87岁的健康中心就诊患者（75%为女性）和128名年龄在40至103岁的养老院居民（80%为女性）回答了问卷。健康中心和养老院中液体或固体粪失禁的患病率分别为2.7%和45%。在养老院居民中，液体和固体失禁分别为19%和42%。健康中心患者和养老院居民中尿失禁的患病率分别为30.1%和62.%"。在健康中心就诊的患者中，多变量分析显示高龄与液体或固体粪失禁合并尿失禁之间存在关联。在养老院居民中，多变量分析显示尿失禁和运动障碍与液体或固体粪失禁之间存在关联。
在健康中心接受评估的患者中，液体或固体粪失禁的患病率为2.7%。这一数字在老年人、患有尿失禁的人群以及养老院居民中有所增加。
