- Title
- Urinary incontinence is associated with an increase in falls: a systematic review
- Creator
- Chiarelli, Pauline E.; Mackenzie, Lynette A.; Osmotherly, Peter G.
- Relation
- Australian Journal of Physiotherapy Vol. 55, Issue 2, p. 89-95
- Relation
- http://physiotherapy.asn.au/index.php/quality-practice/ajp/about-ajp
- Publisher
- Australian Physiotherapy Association
- Resource Type
- journal article
- Date
- 2009
- Description
- Question: Is urinary incontinence associated with falls in community-dwelling older people? Design: A systematic review and meta-analysis of observational studies investigating falls and urinary incontinence. Participants: Community-dwelling older people. Outcome measures: Falls rather than fracture or injury, and any type of urinary incontinence. Results: Odds ratios of nine studies were included in the meta-analysis. The odds of falling were 1.45 (95% Cl 1.36 to 1.54) in the presence of any type of urinary incontinence. The odds of falling were 1.54 (95% Cl 1.41 to 1.69) in the presence of urge incontinence. The odds of falling were 1.11 (95% Cl 1.00 to 1.23) in the presence of stress incontinence. The odds of falling were 1.92 (95% Cl 1.69 to 2.18) in the presence of mixed incontinence. Conclusion: 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.
- Subject
- urinary incontinence; accidental falls; systematic review; accident prevention
- Identifier
- http://hdl.handle.net/1959.13/35215
- Identifier
- uon:3820
- Identifier
- ISSN:0004-9514
- Language
- eng
- Full Text
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