title: In-hospital use of continence aids and new-onset urinary incontinence in adults aged 70 and older.
abstract: OBJECTIVE
  To describe the types of continence aids that older adults hospitalized in acute medical units use and to test the association between use of continence aids and development of new urinary incontinence (UI) at discharge.
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  A 900-bed teaching hospital in Israel.
  
  
  METHODS
  Three hundred fifty-two acute medical patients aged 70 and older who were continent before admission.
  
  
  METHODS
  In-hospital use of continence aids was assessed according to participant self-report on use of urinary catheters (UCs) or adult diapers or of self-toileting. The development of new UI was defined as participant report of inability to control voiding at discharge. Multivariate analyses modeled the association between use of continence aids (vs self-toileting) and the development of new UI, controlling for baseline functional and cognitive status, disease severity, age, and length of stay.
  
  
  RESULTS
  Of the 352 participants, 58 (16.5%) used adult diapers, and 27 (7.7%) had a UC during most of the hospital stay. Sixty (17.1%) participants developed new UI at discharge. The odds of developing new UI were 4.26 (95% confidence interval (CI)=1.53-11.83) times higher for UC users and 2.62 (95% CI=1.17-5.87) times higher for adult diaper users than for the self-toileting group, controlling for the above risk factors.
  
  
  CONCLUSIONS
  The use of adult diapers and UCs during acute hospitalization is associated with the development of new UI at discharge. The management of continence in hospitalized older adults requires more diligence, and further investigation is needed to devise continence promotion methods in hospital settings.
authors.affiliation: Cheryl Spencer Department of Nursing, Center for Research and Study of Aging, Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel, Haifa, Israel. azisberg@univ.haifa.ac.il
authors.forename: Anna
authors.initials: A
authors.lastname: Zisberg
authors.forename: Gary
authors.initials: G
authors.lastname: Sinoff
authors.forename: Sinoff
authors.initials: S
authors.lastname: Gary
authors.forename: Nurit
authors.initials: N
authors.lastname: Gur-Yaish
authors.forename: Hanna
authors.initials: H
authors.lastname: Admi
authors.forename: Efrat
authors.initials: E
authors.lastname: Shadmi
mesh_terms: D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000453:epidemiology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D041382:Diapers, Adult / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006801:Humans; D007557:Israel; D008297:Male; D010343:Patient Admission / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012307:Risk Factors; D012648:Self Care; D014039:Toilet Training; D014546:Urinary Catheterization / Q000706:statistics & numerical data*; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000517:prevention & control; D014600:Utilization Review / Q000706:statistics & numerical data