Predictors of urinary incontinence in community-dwelling frail older adults with diabetes mellitus in a cross-sectional study

摘要: Diabetes mellitus is a potent risk factor for urinary incontinence. Previous studies of incontinence in patients with diabetes have focused on younger, healthier patients. Our objective was to characterize factors among frail older adults real-world clinical setting. We performed cross-sectional analysis enrollees at On Lok (the original Program All-Inclusive Care the Elderly) between October 2004 and December 2010. Enrollees were community-dwelling, nursing home-eligible (N = 447). outcome measures (n 2602) assessed every 6 months as “never incontinent”, “seldom incontinent” (occurring less than once per week), or “often more week). Urinary dichotomized (“never” versus “seldom” “often” incontinent). multivariate mixed effects logistic regression demographic (age, gender ethnicity), geriatric (dependence others ambulation transferring; cognitive impairment), diabetes-related (hemoglobin A1c level; use insulin other glucose-lowering medications; presence renal, ophthalmologic, neurological peripheral vascular complications), depressive symptoms diuretic use. The majority participants 75 years (72%), Asian (65%) female (66%). Demographic independently associated included age (OR >85, 3.13, 95% CI: 2.15-4.56; Reference: Age <75) African American race 2.12, 1.14-3.93; Asian). Geriatric included: dependence 1.48, 1.19-1.84) transferring 2.02, 1.58-2.58) being cognitively impaired 1.41, 1.15-1.73). Diabetes-related 2.62, 1.67-4.13) oral agents 1.81, 1.33-2.45). not gender, hemoglobin level symptoms. such inability ambulate transfer are important predictors mellitus. Clinicians should address mobility impairment much their assessment this population.