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Incontinence after brain injury: prevalence, outcome and multidisciplinary management on a neurological rehabilitation unit

Regional Neurological Rehabilitation Unit, Homerton University Hospital and National Hospital for Neurology and Neurosurgery, University College London Hospitals

C Liu

A L Cheesman

A Ritter

S Thompson

Regional Neurological Rehabilitation Unit, Homerton University Hospital

R Greenwood

Regional Neurological Rehabilitation Unit, Homerton University Hospital and National Hospital for Neurology and Neurosurgery, University College London, London, UK

Objective: To investigate the prevalence, outcome and multidisciplinary management of incontinence in patients with acquired brain injury.

Design: Retrospective case notes review.

Setting: Regional neurological rehabilitation unit. Subjects: Two hundred and thirty-eight patients with acquired brain injury.

Main measures: Bladder and bowel subscores of the Barthel Index and Functional Independence Measure; number of multidisciplinary goals addressing bladder and bowel function.

Results: Fifty per cent of patients (n=112) had impaired bladder or bowel subscores on admission. Significant improvement was seen at discharge but 36% of patients (n=77) still had some degree of impairment. Over 90% of patients were set multidisciplinary goals addressing self-care (n=213) and mobility (n=205) but only 3.5% (n=8) were set multidisciplinary goals addressing bladder and bowel function.

Conclusions: Incontinence was common in patients with brain injury on a neurological rehabilitation unit. Significant improvement was seen following rehabilitation. Bladder and bowel management was not well incorporated into the multidisciplinary management process.

References

• Brittain KR, Peet SM, Castleden CM. Stroke and incontinence . Stroke 1998; 29: 524–528 .[Abstract/Free Full Text]
• Foxx-Orenstein A, Kolakowsky-Hayner S, Marwitz JH et al. Incidence, risk factors, and outcomes of fecal incontinence after acute brain injury; findings from the traumatic brain injury model systems national database . Arch Phys Med Rehabil 2003; 84: 231–237 .[CrossRef][ISI][Medline] [Order article via Infotrieve]
• Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index . Md State Med J 1965; 14: 61–65 .[Medline] [Order article via Infotrieve]
• Keith RA, Granger CV, Hamilton BB, Sherwin FS. The functional independence measure: a new tool for rehabilitation . Adv Clin Rehabil 1987; 1: 6–18 .[Medline] [Order article via Infotrieve]
• Nakayama H, Jorgensen HS, Pedersen PM, Raaschou HO, Olsen TS. Prevalence and risk factors of incontinence after stroke . Stroke 1997; 28: 58–62 .[Abstract/Free Full Text]
• Harari D, Coshall C, Rudd AG, Wolfe CDA. New-onset fecal incontinence after stroke. Prevalence, natural history, risk factors, and impact . Stroke 2003; 34: 144–150 .[Abstract/Free Full Text]
• Chua K, Chuo A, Kong KH. Urinary incontinence after traumatic brain injury: incidence, outcome and correlates . Brain Inj 2003; 17: 469–478 .[CrossRef][ISI][Medline] [Order article via Infotrieve]
• Brittain KR, Peet SM, Potter JF, Castleden CM. Prevalence and management of urinary incontinence in stroke survivors . Age Ageing 1999; 28: 509–511 .[Free Full Text]
• Brooks W. The use of practice guidelines for urinary incontinence following stroke . Br J Nurs 2004; 13: 1176–1179 .[Medline] [Order article via Infotrieve]
• Grinspun D. Bladder management for adults following head injury . Rehabil Nurs 1993; 18: 300–305 .[Medline] [Order article via Infotrieve]
• Harari D, Norton C, Lockwood L, Swift C. Treatment of constipation and fecal incontinence in stroke patients: randomized controlled trial . Stroke 2004; 35: 2549–2555 .[Abstract/Free Full Text]
• Wade DT. Evidence relating to goal planning in rehabilitation . Clin Rehabil 1998; 12: 273–275 .[Free Full Text]
• Intercollegiate Stroke Working Party. National clinical guidelines for stroke, second edition. Royal College of Physicians , 2004.
• Liu C, McNeil JE, Greenwood R. Rehabilitation outcomes after brain injury: disability measures or goal achievement? Clin Rehabil 2004; 18: 398–404 .[Abstract/Free Full Text]

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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Leary, S M Articles by Greenwood, R Search for Related Content PubMed PubMed Citation Articles by Leary, S M Articles by Greenwood, R Social Bookmarking                   What's this?