Wade D T, Hewer R L
Q J Med. 1985 Sep;56(221):601-8.
Data from a sample of 532 patients seen within seven days of an acute stroke has been analysed to compare the prognostic importance of urinary incontinence with that of a history of any depression of consciousness. Urinary incontinence was more specific and had a higher predictive value. Considering conscious patients with moderate or severe initial disability, after six months 53 per cent of incontinent patients had died and 57 per cent of the survivors were still moderately or severely disabled whereas only 19 per cent of continent patients had died and 80 per cent of survivors made a good recovery. We conclude that early urinary incontinence is an important indicator of poor prognosis, identifying patients who may need extra attention.
对532例急性中风后7天内就诊患者的样本数据进行了分析，以比较尿失禁与任何意识障碍病史的预后重要性。尿失禁更具特异性且预测价值更高。对于初始有中度或重度残疾的清醒患者，6个月后，53%的尿失禁患者死亡，57%的幸存者仍有中度或重度残疾，而只有19%的无尿失禁患者死亡，80%的幸存者恢复良好。我们得出结论，早期尿失禁是预后不良的重要指标，可识别可能需要额外关注的患者。
