Mortality in relation to urinary and faecal incontinence in elderly peopleliving at home

Citation
N. Nakanishi et al., Mortality in relation to urinary and faecal incontinence in elderly peopleliving at home, AGE AGEING, 28(3), 1999, pp. 301-306
Citations number
39
Language
INGLESE
art.tipo
Article
Categorie Soggetti
General & Internal Medicine
Journal title
AGE AND AGEING
ISSN journal
0002-0729 → ACNP
Volume
28
Issue
3
Year of publication
1999
Pages
301 - 306
Database
ISI
SICI code
0002-0729(199905)28:3<301:MIRTUA>2.0.ZU;2-K
Abstract
Objective: to examine the relationship between incontinence and mortality i n elderly people living at home. Design: of the randomly selected people aged 65 years and older living in S ettsu city, Osaka in October 1992, 1405 were contacted and constituted the study cohort. Follow-up for 42 months was completed for 1318 (93.8%; 1129 a live, 189 dead). Measures: data on general health status, history of health management, psyc hosocial conditions and urinary and faecal incontinence were collected by i nterview during home visits at the time of enrolment. Results: from the Kaplan-Meier analysis, the estimated survival rates decre ased with a decline in continence in both the 65-74 and 75 years and older age groups. From the Cox proportional hazards model, unadjusted hazard rati os Of minor, moderate and severe incontinence for mortality, compared with continence, were 2.27, 2.96 and 5.94, respectively. Multivariate analysis y ielded adjusted hazard ratios of minor, moderate and severe incontinence of 0.99, 1.17 and 1.91, respectively, leaving severe incontinence as the sign ificant factor, when other indicators are compelled. Conclusions: incontinence is related to mortality and severe incontinence r epresents an increased risk factor for mortality in elderly people living a t home.