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Incontinence is a risk factor for falls.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Aims<\/jats:title>\n                <jats:p>We aimed to investigate the prevalence of urinary (UI) and double incontinence (DI, concurrent UI and faecal incontinence), and to identify factors associated with UI and DI 6\u00a0months post-fracture.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A prospective real-life cohort study was conducted consisting of 910 women aged\u2009\u2265\u200965 who were treated for their first hip fracture in Sein\u00e4joki Central Hospital, Finland, between May 2008 and April 2018. Continence status was elicited at baseline and 6\u00a0months postoperatively at our geriatric outpatient clinic where all participants underwent a multidisciplinary comprehensive geriatric assessment (CGA) consisting of an evaluation of cognition, nutrition, mood, mobility, and functional ability.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>At baseline, 47% of the patients were continent, 45% had UI and 8% had DI, and at follow up, 38%, 52%, and 11%, respectively. The mean age of the patients was 82.7\u2009\u00b1\u20096.8. Both UI and DI were associated with functional disability and other factors related to frailty. The associations were particularly prominent for patients with DI who also had the worst performance in the domains of CGA. We identified several modifiable risk factors: depressive mood (odds ratio [OR] 1.81; 95% confidence interval [CI] 1.16\u20132.84) and constipation (OR 1.48, 95% CI 1.02\u20132.13) associated with UI and, late removal of urinary catheter (OR 2.33, 95% CI 1.31\u20134.14), impaired mobility (OR 2.08, 95% CI 1.05\u20134.15), and poor nutrition (OR 2.31, 95% CI 1.11\u20134.79) associated with DI.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This study demonstrates a high prevalence of UI and DI in older women with hip fracture and modifiable risk factors, which should be targeted in orthogeriatric management and secondary falls prevention. Patients with DI were found to be an especially vulnerable group.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s40520-021-02046-z","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T19:03:37Z","timestamp":1641323017000},"page":"1407-1418","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Factors associated with urinary and double incontinence in a geriatric post-hip fracture assessment in older women"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0438-7866","authenticated-orcid":false,"given":"Aino Tuulikki","family":"Hellman-Bronstein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiina Hannele","family":"Luukkaala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seija Sinikka","family":"Ala-Nissil\u00e4","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minna Anneli","family":"Kujala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Susanna","family":"Nuotio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,4]]},"reference":[{"key":"2046_CR1","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1002\/nau.23897","volume":"38","author":"CD Ancona","year":"2019","unstructured":"Ancona CD, Hamid R, Schizas A et al (2019) The International Continence Society ( ICS ) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction. 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