Department of Urology, Clinic Donaustadt, Vienna, Austria.
Department of Urology, Paracelsus Medical University, Salzburg, Austria.
Urol Int. 2023;107(9):866-871. doi: 10.1159/000531582. Epub 2023 Aug 23.
The aim of the study was to evaluate the prevalence of urinary incontinence (UI) and its subtypes, associated clinical factors, and impact on quality of life (QoL) in a geriatric population aged 80 years or older.
Male and female residents (inclusion criterion: 80 years or older) of three Viennese senior citizen homes were personally interviewed with the aid of a structured questionnaire based on the Bristol Female Lower Urinary Tract Symptom Questionnaire within a 12-month period. UI was defined as any involuntary loss of urine during the past 4 weeks. Several demographic parameters were obtained additionally.
434 participants with a mean age of 86.8 years (women: 87.6 years; men: 86.1 years) were included. UI was present in 52.5% (57% female vs. 23% male, p < 0.001), stress UI affected 36% (41% female vs. 5% male, p < 0.001), urge UI 38% (40.5% female vs. 23% male, p < 0.01), and mixed UI 28% (24% female vs. 5.0% male, p < 0.01). While the overall prevalence of UI remained rather stable in the four age cohorts (80-84 years, 85-89 years, 90-94 years, >94 years), there was a constant decline of SUI paralleled by an increase of UI and - to a lesser extent - of MUI with age. 36.5% (33% female vs. 57% male) participants did not report any negative impact on QoL, while a severe reduction of QoL was present in 31% of cases (35% female vs. 10.0% male). Risk factors for UI and its subtypes included female sex, reduced/no mobility, hysterectomy, and number of births.
This study provides data on the high prevalence of UI in a low-morbid geriatric cohort and evaluates gender-specific differences in UI prevalence, associated risk factors, and QoL.
本研究旨在评估 80 岁或以上的老年人群中尿失禁（UI）及其亚型的流行率、相关临床因素以及对生活质量（QoL）的影响。
在 12 个月的时间内，通过基于布里斯托女性下尿路症状问卷的结构化问卷，对维也纳的三家养老院的男性和女性居民（纳入标准：80 岁或以上）进行了个人访谈。在过去 4 周内出现任何不自主漏尿的患者被定义为患有 UI。此外，还获得了一些人口统计学参数。
共纳入 434 名参与者，平均年龄为 86.8 岁（女性 87.6 岁；男性 86.1 岁）。52.5%（女性 57%，男性 23%，p < 0.001）的患者存在 UI，压力性 UI 影响 36%（女性 41%，男性 5%，p < 0.001），急迫性 UI 影响 38%（女性 40.5%，男性 23%，p < 0.01），混合性 UI 影响 28%（女性 24%，男性 5.0%，p < 0.01）。尽管在四个年龄组（80-84 岁、85-89 岁、90-94 岁、>94 岁）中，UI 的总体流行率相对稳定，但随着年龄的增长，SUI 的发生率不断下降，而 UI 和（在较小程度上）MUI 的发生率则不断上升。36.5%（女性 33%，男性 57%）的患者未报告任何 QoL 受到负面影响，而 31%的患者（女性 35%，男性 10.0%）的 QoL 严重下降。UI 及其亚型的风险因素包括女性、活动能力降低/丧失、子宫切除术和分娩次数。
本研究提供了低患病风险老年人群中 UI 高流行率的数据，并评估了 UI 流行率、相关风险因素和 QoL 在性别上的差异。
