{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T16:58:52Z","timestamp":1770915532254,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2004,11,30]],"date-time":"2004-11-30T00:00:00Z","timestamp":1101772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2005,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To measure accurately the direct costs of managing urinary and faecal incontinence in the sub\u2010acute care setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Prospective observational study was undertaken in two sub\u2010acute care units in a metropolitan hospital. A consecutive series of 29 consecutive patients with urinary and\/or faecal incontinence, who were in\u2010patients in a geriatric rehabilitation or sub\u2010acute neurologic unit underwent routine timed voiding protocol, as per usual care. Face\u2010to\u2010face bedside recordings of all incontinence care, with detailed cost analysis, were undertaken.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 3,621 occasions of continence care were costed. The median time per 24 hr spent caring for incontinence per patient was 109 min (interquartile range 88\u2013140). Isolated urinary incontinence episodes occurred in 28 patients (96.5%), mixed urinary\/faecal incontinence episodes observed in 79.3%, and episodes of pure faecal incontinence were seen in 62%. The median costs of incontinence care in the sub\u2010acute setting was $49AU per 24 hr, the major share ($41) spent on staff wages. The incontinence tasks of toileting assistance, pad changes, bed changes and catheter care were spread evenly across the three 8 hr shifts of duty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>As our population demographics include an increasingly greater portion of the elderly, for whom long term institutional care is becoming relatively more scarce, provision of care in the sub\u2010acute unit that may allow rehabilitation and return to home warrants scrutiny. This is the first study that delineates the costs of managing urinary and faecal incontinence in the sub\u2010acute care setting. Such costs are substantial and place a heavy burden upon night\u2010time carers. \u00a9 2004 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.20079","type":"journal-article","created":{"date-parts":[[2004,11,30]],"date-time":"2004-11-30T21:16:34Z","timestamp":1101849394000},"page":"56-62","source":"Crossref","is-referenced-by-count":24,"title":["Costs of managing urinary and faecal incontinence in a sub\u2010acute care facility: A \u201cbottom\u2010up\u201d approach"],"prefix":"10.1002","volume":"24","author":[{"given":"Alastair R.","family":"Morris","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Theresa","family":"Ho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Lapsley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Walsh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Gonski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate H.","family":"Moore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,11,30]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"322","article-title":"Incontinence in institutions: Costs and contributing factors","volume":"147","author":"Borrie MJ","year":"1992","journal-title":"Can Med Assoc J"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00152192-199507000-00011"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1999.00993.x"},{"key":"e_1_2_1_5_1","first-page":"673","article-title":"The economic impact of urinary incontinence","volume":"2","author":"Hu TW","year":"1986","journal-title":"Clin Geriat Med"},{"key":"e_1_2_1_6_1","first-page":"207","article-title":"Use and costs of incontinence pads in female study volunteers","volume":"26","author":"McClish DK","year":"1994","journal-title":"J Wound Ostomy Cont Nursing"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1999.tb02994.x"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.46.3.222"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-198401000-00006"},{"key":"e_1_2_1_10_1","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1001\/jama.1982.03330100032026","article-title":"Urinary incontinence in elderly nursing home patients","volume":"248","author":"Ouslander JG","year":"1982","journal-title":"JAMA"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1990.tb03521.x"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1995.tb07010.x"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00623-7"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.20079","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.20079","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T18:52:25Z","timestamp":1700506345000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.20079"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,11,30]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2005,1]]}},"alternative-id":["10.1002\/nau.20079"],"URL":"https:\/\/doi.org\/10.1002\/nau.20079","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,11,30]]}}}