Stroke, Ischemic, Stroke Hemorrhagic, Urinary Incontinence
Conditions
Keywords
stroke, inpatient rehabilitation, urinary disorders, treatment
Brief summary
This observational study will address urinary disorders in subacute stroke patients. Patients without and with urinary disorders will be compared, and treatment outcome will be assessed among the latter.
Detailed description
This prospective observational study will include 100 patients after first ischaemic or hemorrhagic stroke directly transferred from an acute hospital to our Institute for inpatient rehabilitation. Within admission assessment, patients will be classified according to stroke type, stroke localisation and time since stroke. Comorbidities will be recorded and associated neurological deficits will be assessed. Post mictional residue will be determined in all patients one day after admission. The patients with urinary disorders will be treated according to the published official protocol, either using the immediate urination approach or the bladder diary approach. Continence will be regularly assessed by the nursing staff. Urination-disorder-related complications (pressure ulcers, falls and urinary infections), drug therapy and the use of continence aids will also be followed.
Interventions
BEHAVIORALImmediate urination
Patients with decreased cognitive ability will be taught to immediately go to the toilet upon feeling the urge to urinate and to be independent in urinating.
BEHAVIORALBladder diary
Patients with normal cognitive abilities will be instructed to go to the toilet every 2-3 hours regardless of the urge to urinate
Sponsors
University Rehabilitation Institute, Republic of Slovenia
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* subacute patients after ischaemic or hemorrhagic stroke; * direct transfer from acute hospital to complex inpatient rehabilitation at our Institute.
Exclusion criteria
* incontinence before stroke; * previous brain injury or other brain disease; * previous bladder or prostate surgery; * inability to ambulate before stroke; * terminal disease with expected survival less than three months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Degree of urinary continence | Through study completion, for an average of 6 weeks | Urinary continence will be assessed daily by the nursing staff as either complete, partial or incontinence |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Presence of urinary-disorders-related complications | Through study completion, for an average of 6 weeks | Pressure ulcers, falls and urinary infections caused by urinary disorders will be recorded |
Countries
Slovenia
Contacts
Primary ContactHelena Burger, MD, PhD
Backup ContactNataša Bizovičar, MD, PhD
Outcome results
None listed