Is well-being associated with lower urinary tract symptoms in patients with stroke?
OBJECTIVE
This study aimed to assess self-reported well-being in a clinical sample of stroke patients and to identify possible associations with prevalence, severity and bother of lower urinary tract symptoms (LUTS).


METHODS
A cross-sectional, clinical survey was initiated whereby stroke patients were invited to complete The WHO-Five Well-Being Index (WHO-5) and a LUTS instrument, the Danish Prostatic Symptom Score (DAN-PSS-1) questionnaire. Of 519 stroke patients invited, 482 subjects were eligible and 407 (84%) respondents answered the questionnaires.


RESULTS
Poor well-being (sum score <13) was reported by 22% of all stroke patients, for women 29% and for men 14%. Depression (sum score <8) was reported by 10%, for women 11% and for men 8%. Poor well-being was significantly (p < 0.01) associated with severity and bother of LUTS. Likewise, poor well-being was significantly (p < 0.001) associated with the prevalence of four different symptom groups of LUTS.


CONCLUSIONS
The results indicate that poor well-being is present in stroke patients with LUTS, especially in women. Likewise, the data showed significant association between poor well-being and LUTS. Screening for well-being and LUTS in stroke patients is strongly recommended.
Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Glostrup, DK-2600 Glostrup, Denmark. sigrid@tibaek.dk
Sigrid
S
Tibaek
Christian
C
Dehlendorff
Helle K
HK
Iversen
Peter
P
Klarskov
Gunvor
G
Gard
Rigmor
R
Jensen
D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D015995:Prevalence; D011788:Quality of Life / Q000523:psychology*; D012189:Retrospective Studies; D057566:Self Report; D012720:Severity of Illness Index; D012727:Sex Characteristics; D020521:Stroke / Q000523:psychology*; D011795:Surveys and Questionnaires; D014551:Urinary Tract / Q000503:physiopathology; D014555:Urination Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*