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Potentially treatable causes of poor outcome in acute stroke patients with urinary incontinence
Author(s) -
Gariballa S. E.
Publication year - 2003
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1034/j.1600-0404.2003.02106.x
Subject(s) - medicine , stroke (engine) , urinary incontinence , hazard ratio , comorbidity , prospective cohort study , urinary system , acute stroke , observational study , pediatrics , surgery , confidence interval , mechanical engineering , tissue plasminogen activator , engineering
Objective – To identify potentially treatable clinical risk factors responsible for poor outcome in acute stroke patients with urinary incontinence. Material and methods – All acute stroke patients admitted to our hospital within a 12‐month period were considered for inclusion in this observational prospective study. Their clinical details were recorded prospectively during the hospital stay and at 3 months. Results – Two hundred and fifteen patients with complete records were enrolled in the study. After adjusting for age, disability, and comorbidity, urinary incontinence at admission was a significant predictor of stroke death at 3 months [hazard ratio 2.8 (95% CI 1.3–5.8), P = 0.006]. Stroke patients incontinent of urine were malnourished and had an increased risk of infective complications during the hospital stay compared with those without incontinence. Conclusion – Part of the poor outcome associated with incontinence of urine after acute stroke may be due to treatable conditions such malnutrition and infections.