title: Fecal incontinence among nursing home residents: Is it still a problem?
abstract: Fecal incontinence (FI) is a significant health problem among the elderly, with a devastating effect on their quality of life. The aim of the present study was to describe the prevalence and severity of FI among nursing home residents, and to investigate factors associated with FI.
  
  
  
  This was a cross-sectional study conducted in nursing homes in Ostrava, Czech Republic. Demographics and comorbidities were extracted from medical records of nursing homes. Data regarding incontinence were obtained via face-to-face interviews with residents or extracted from registered nurses' accounts (regarding residents with severe cognitive impairment).
  
  
  
  In total, 588 nursing home residents were enrolled into the study. FI was noted in 336 (57.1%) participating residents. The majority of FI residents (57.8%) reported FI episodes several times a week; daily FI episodes were found in 22.9% of the FI residents. The mean Cleveland Clinic Incontinence Score in FI residents was 17.2±1.8 (mean±SD). Factors associated with FI (statistically significant) were poor general health status (≥4 comorbidities), urinary incontinence, cognitive-function impairment (dementia), decreased mobility, and length of nursing home residency. There was no association between FI and age, sex, body mass index, or living with/without a partner.
  
  
  
  Our data indicate that FI is still a serious health problem-FI currently affects more than half of the nursing home residents in Ostrava, Czech Republic. The study outcomes (revealed high prevalence and seriousness of FI) emphasize the importance of close monitoring and appropriately managing FI in nursing home residents.
authors.affiliation: Department of Surgical Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 703 00, Czech Republic; Department of Surgery, University Hospital Ostrava, 17. listopadu 1790, Ostrava 70852, Czech Republic. Electronic address: peterihnat@yahoo.com.
authors.forename: Peter
authors.initials: P
authors.lastname: Ihnát
authors.affiliation: Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava 703 00, Czech Republic.
authors.forename: Radka
authors.initials: R
authors.lastname: Kozáková
authors.affiliation: Department of Forensic Pathology, University Hospital Ostrava, 17. listopadu 1790, Ostrava 70852, Czech Republic.
authors.forename: Lucia Ihnát
authors.initials: LI
authors.lastname: Rudinská
authors.affiliation: Department of Surgical Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 703 00, Czech Republic; Department of Surgery, University Hospital Ostrava, 17. listopadu 1790, Ostrava 70852, Czech Republic.
authors.forename: Matúš
authors.initials: M
authors.lastname: Peteja
authors.affiliation: Department of Surgical Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 703 00, Czech Republic; Department of Surgery, University Hospital Ostrava, 17. listopadu 1790, Ostrava 70852, Czech Republic.
authors.forename: Petr
authors.initials: P
authors.lastname: Vávra
authors.affiliation: Department of Surgical Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 703 00, Czech Republic; Department of Surgery, University Hospital Ostrava, 17. listopadu 1790, Ostrava 70852, Czech Republic.
authors.forename: Pavel
authors.initials: P
authors.lastname: Zonča
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000453:epidemiology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D018153:Czech Republic / Q000453:epidemiology; D005242:Fecal Incontinence / Q000453:epidemiology*; D005260:Female; D006304:Health Status; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data*; D015995:Prevalence; D011788:Quality of Life; D012307:Risk Factors
keywords: Fecal incontinence; Institutionalized persons; Nursing home resident; Prevalence; Risk factors