Chiarelli Pauline E, Mackenzie Lynette A, Osmotherly Peter G
School of Health Sciences, University of Newcastle, Newcastle, NSW, Australia.
Aust J Physiother. 2009;55(2):89-95. doi: 10.1016/s0004-9514(09)70038-8.
Is urinary incontinence associated with falls in community-dwelling older people?
A systematic review and meta-analysis of observational studies investigating falls and urinary incontinence.
Community-dwelling older people.
Falls rather than fracture or injury, and any type of urinary incontinence.
Odds ratios of nine studies were included in the meta-analysis. The odds of falling were 1.45 (95% CI 1.36 to 1.54) in the presence of any type of urinary incontinence. The odds of falling were 1.54 (95% CI 1.41 to 1.69) in the presence of urge incontinence. The odds of falling were 1.11 (95% CI 1.00 to 1.23) in the presence of stress incontinence. The odds of falling were 1.92 (95% CI 1.69 to 2.18) in the presence of mixed incontinence.
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.
在社区居住的老年人中，尿失禁与跌倒有关吗？
对调查跌倒与尿失禁的观察性研究进行系统综述和荟萃分析。
社区居住的老年人。
跌倒而非骨折或受伤，以及任何类型的尿失禁。
荟萃分析纳入了9项研究的比值比。存在任何类型尿失禁时跌倒的比值比为1.45（95%可信区间1.36至1.54）。存在急迫性尿失禁时跌倒的比值比为1.54（95%可信区间1.41至1.69）。存在压力性尿失禁时跌倒的比值比为1.11（95%可信区间1.00至1.23）。存在混合性尿失禁时跌倒的比值比为1.92（95%可信区间1.69至2.18）。
急迫性尿失禁而非压力性尿失禁与跌倒适度增加有关。跌倒预防计划需要包括对尿失禁的评估以及转介进行干预以改善急迫性尿失禁的症状。
