Urinary incontinence in stroke: results from the UK National Sentinel Audits of Stroke 1998-2004.
BACKGROUND
urinary incontinence (UI) after stroke is associated with significant morbidity and mortality. The UK National Sentinel Audits of Stroke have collected data on UI which has not previously been reported.


METHODS
data on standards relating to both organisations and process of care were extracted from the audits to look for trends in service provision, continence care planning and discharge destination of incontinent versus continent stroke survivors. In addition, 2004 data was analysed statistically to look for a link between stroke units meeting certain standards and the likelihood of patients having continence plans.


RESULTS
UI rates have changed little over the four audit cycles. The influence of UI on discharge destination has also altered little. Stroke unit care is more strongly associated with management planning for UI in stroke.
Wilson
Dan
D
Consultant Physician, Department of Clinical Gerontology, Kings College Hospital, NHS Foundation Trust, Denmark Hill, London SE5 9PJ, UK.
Lowe
Derek
D
Hoffman
Alex
A
Rudd
Anthony
A
Wagg
Adrian
A
D000369:Aged, 80 and over; D005260:Female; D006299:Health Services for the Aged / Q000458:organization & administration / Q000706:statistics & numerical data; D006757:Hospital Units / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008485:Medical Audit; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D010351:Patient Discharge; D011787:Quality of Health Care / Q000706:statistics & numerical data; D018571:Sentinel Surveillance; D020521:Stroke / Q000150:complications* / Q000453:epidemiology / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome; D006113:United Kingdom / Q000453:epidemiology; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy