{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:06:01Z","timestamp":1790737561832,"version":"4.1.0"},"reference-count":53,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T00:00:00Z","timestamp":1705881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The incidence of stroke in China ranks first in the world and is the leading cause of death and disability in adults. Urinary incontinence is an independent risk factor leading to poor prognosis of stroke. However, studies on the incidence of urinary incontinence in stroke patients and its influencing factors are different, fluctuate greatly, and there is no unified basis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To quantitatively analyze the incidence of urinary incontinence in stroke patients and its related influencing factors, and further make public health strategic decisions to reduce the occurrence of adverse outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Computer searches were conducted in PubMed, Medline, Web of Science, Cochrane Library, Embase, CLNAHL Complete, China National Knowledge Infrastructure (CNKI), Chinese Biomedical database(CBM), Wan Fang Database, VIP Database, observational studies such as cohort studies, case\u2010control studies or cross\u2010sectional studies on the incidence or influencing factors of urinary incontinence in stroke patients from the establishment of the database to the publication in August 2023. Studies selection, quality evaluation and data extraction were conducted independently by two researchers according to the established search strategy. Stata 14.0 statistical software was used for meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 21 manuscripts were included, with a cumulative sample size of 7327 cases, including 2887 patients with urinary incontinence. Meta\u2010analysis results showed that the incidence of urinary incontinence in stroke patients was 38% [95% confidence interval (34%, 41%)], including married patients and lacunar infarction were the protective factors for urinary incontinence in stroke patients, while age, chaperone, low educational level, chronic cough, lesion sites (parietal lobe, frontal lobe, and temporal lobe), stroke type (cerebral hemorrhage, subarachnoid hemorrhage and cerebral hemorrhage complicated with subarachnoid hemorrhage), dysfunction (aphasia dyslexia, dysphagia, eye movement abnormalities, leg muscle disorders), post\u2010stroke depression, the higher the NIHSS score, the lower the Bachmann index (BI) score, OCSP classification (total anterior circulation infarction) and other 11 items were risk factors for urinary incontinence in stroke patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The incidence of urinary incontinence in stroke patients is 38%. Marriage and lacunar infarction are the protective factors of urinary incontinence. Age, carer, low educational level, chronic cough, lesion site (parietal, frontal and temporal lobes), stroke type (cerebral hemorrhage, subarachnoid hemorrhage, cerebral hemorrhage combined with subarachnoid hemorrhage), dysfunction (aphasia and dysarthria syndrome, dysphagia, eye movement abnormalities, leg muscle disorders), post\u2010stroke depression, and higher NIHSS score, Lower BI score and OCSP classification (total anterior circulation infarction) were risk factors for urinary incontinence in stroke patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25398","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T08:23:19Z","timestamp":1705911799000},"page":"680-693","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Incidence and influencing factors of urinary incontinence in stroke patients: A meta\u2010analysis"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5788-2057","authenticated-orcid":false,"given":"Shuyao","family":"Wang","sequence":"first","affiliation":[{"name":"School of Nursing Chengdu University of Traditional Chinese Medicine Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Kang","sequence":"additional","affiliation":[{"name":"School of Nursing Chengdu University of Traditional Chinese Medicine Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingyuan","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing Chengdu University of Traditional Chinese Medicine Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing Chengdu University of Traditional Chinese Medicine Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lizi","family":"Hu","sequence":"additional","affiliation":[{"name":"School of Nursing Chengdu University of Traditional Chinese Medicine Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaojiao","family":"Kou","sequence":"additional","affiliation":[{"name":"School of Nursing Chengdu University of Traditional Chinese Medicine Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zijiang","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Nursing Chengdu University of Traditional Chinese Medicine Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI135530"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/17474930211065917"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.25071"},{"issue":"2","key":"e_1_2_10_5_1","first-page":"136","article-title":"Brief report on stroke prevention and treatment in China, 2020","volume":"19","author":"Longde W","year":"2022","journal-title":"Chin J Cerebrovasc Dis"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000022865"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2019.12.007"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24795"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2018.1552741"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1756286419873264"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2018.1555389"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2020.104875"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-010-9491-z"},{"issue":"4","key":"e_1_2_10_14_1","first-page":"297","article-title":"Meta\u2010analysis series IV: a quality assessment tool for observational studies","volume":"4","author":"Xiantao Z","year":"2012","journal-title":"Chin J Evid\u2010Based Cardiovasc Med"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22551"},{"issue":"6","key":"e_1_2_10_16_1","first-page":"1","article-title":"Prevalence of inpatients\u2019 post\u2010stroke urinary incontinence and its related factors","volume":"19","author":"Wen\u2010Zhi C","year":"2012","journal-title":"J Nurs"},{"issue":"1","key":"e_1_2_10_17_1","first-page":"79","article-title":"Relationship between urinary incontinence and site and size of the lesion after acute cerebral infarction","volume":"23","author":"Shuiquan Y","year":"2002","journal-title":"Guangdong Med"},{"issue":"2","key":"e_1_2_10_18_1","first-page":"78","article-title":"Clinical analysis of acute stroke associated with urinary incontinence","volume":"19","author":"Shu\u2010Xiang P","year":"2004","journal-title":"Chin J Rehabil"},{"issue":"19","key":"e_1_2_10_19_1","first-page":"3624","article-title":"Risk factors of urinary incontinence after acute ischemic stroke","volume":"43","author":"Juan W","year":"2016","journal-title":"Mod Prev Med"},{"issue":"6","key":"e_1_2_10_20_1","first-page":"518","article-title":"Prevalence, risk factors and outcomes of urinary incontinence in patients with stroke","volume":"21","author":"Yaru S","year":"2004","journal-title":"J Apoplexy Nerv Dis"},{"issue":"1","key":"e_1_2_10_21_1","first-page":"26","article-title":"Study on urinary incontinence after stroke and its related factors","volume":"45","author":"Ganqing D","year":"2005","journal-title":"Shandong Med"},{"key":"e_1_2_10_22_1","first-page":"5789","article-title":"Factors influencing the recent prognosis of urinary incontinence after stroke","volume":"35","author":"Juan W","year":"2015","journal-title":"Chin J Gerontol"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0404.2003.02106.x"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10114"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.28.1.58"},{"issue":"3","key":"e_1_2_10_26_1","first-page":"114","article-title":"Effect of poststroke urinary incontinence on one year survival of stroke survivors","volume":"3","author":"Shijian L","year":"2009","journal-title":"Chin J Cerebrovasc Dis"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afs009"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.32.1.122"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01396.x"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afm196"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0354"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e3181909d5f"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0000000000000424"},{"key":"e_1_2_10_34_1","first-page":"100","article-title":"Urinary incontinence risk factors after acute ischemic stroke","volume":"4","author":"Youqing X","year":"2021","journal-title":"J Urol"},{"key":"e_1_2_10_35_1","unstructured":"JianhongW XiaofeiC. A study of factors associated with urinary incontinence in the acute phase of stroke.Shenzhen J Integr Tradi Chin Med.2018;28(22):128\u2010129."},{"issue":"24","key":"e_1_2_10_36_1","first-page":"4687","article-title":"Survey of urinary incontinence in adult females and analysis of risk factors","volume":"37","author":"Liping H","year":"2022","journal-title":"Maternal Child Health Care China"},{"issue":"4","key":"e_1_2_10_37_1","first-page":"27","article-title":"Assessing accuracy of age reporting in the 7th population census of China","volume":"46","author":"Xianling Z","year":"2022","journal-title":"Popul Res"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-510X(96)00079-2"},{"issue":"05","key":"e_1_2_10_39_1","first-page":"1002","article-title":"Application of family integrated health education in patients with acute ischemic stroke","volume":"37","author":"Xiangjing K","year":"2021","journal-title":"Chin J Health Educ"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/1028415X.2023.2242121"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2023.107264"},{"issue":"3","key":"e_1_2_10_42_1","first-page":"315","article-title":"Influence of accompanying staff's rehabilitation mission on the effect of home rehabilitation of hemiplegic patients after stroke","volume":"24","author":"Huiming Z","year":"2022","journal-title":"Mil Med J Southeast China"},{"issue":"1","key":"e_1_2_10_43_1","first-page":"81","article-title":"Analysis on stroke related knowledge and its influencing factors among patients with stroke in Beijing","volume":"39","author":"Yingqi K","year":"2023","journal-title":"Chin J Health Educ"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25217"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11247344"},{"issue":"7","key":"e_1_2_10_46_1","article-title":"Prevalence and outcomes of depression, obstructive sleep apnea, and concurrent anxiety (DOCA) in stroke survivors: insights from a nationwide study","volume":"15","author":"Patel UK","year":"2023","journal-title":"Cureus"},{"issue":"12","key":"e_1_2_10_47_1","first-page":"197","article-title":"Research progress of depression in post\u2010stroke aphasia patients","volume":"21","author":"Chen C","year":"2023","journal-title":"Chin Med Modn Dist Educ China"},{"issue":"3","key":"e_1_2_10_48_1","first-page":"316","article-title":"Research progress on treatment of post\u2010stroke aphasia","volume":"32","author":"Hezhi\u2010Jun S","year":"2023","journal-title":"Chin J Cardiovasc Rehabil Med"},{"key":"e_1_2_10_49_1","volume-title":"Handbook of Behavioral Medicine Scales","author":"Zuoji Z","year":"2005"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000034152"},{"key":"e_1_2_10_51_1","unstructured":"JingfengY.Correlation Between Cognitive Impairment and Event\u2010Related Potential P300 Latency in Patients With Acute Temporal and Occipital Lobe Infa. Bengbu Medical College;2022."},{"issue":"1","key":"e_1_2_10_52_1","first-page":"84","article-title":"Advances in the study of the association of post\u2010stroke cognitive dysfunction with lesion site and other cognitive function\u2010related encephalopathies","volume":"30","author":"Lu L","year":"2023","journal-title":"Stroke Nervous Dis"},{"key":"e_1_2_10_53_1","volume-title":"Aneurysmal Subarachnoid Hemorrhage: From Diagnosis to Treatment","author":"Savvina IA"},{"issue":"19","key":"e_1_2_10_54_1","first-page":"1700","article-title":"The value of OCSP subtype TACI in determining anterior circulation large artery occlusion and its prognosis in acute ischemic stroke","volume":"39","author":"Jingyi D","year":"2017","journal-title":"Zhejiang Med J"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.25398","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T05:40:17Z","timestamp":1718948417000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.25398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,22]]},"references-count":53,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/nau.25398"],"URL":"https:\/\/doi.org\/10.1002\/nau.25398","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,22]]},"assertion":[{"value":"2023-08-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}