{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T17:47:06Z","timestamp":1784224026895,"version":"3.55.0"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T00:00:00Z","timestamp":1695168000000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Queensland Accelerate Partnership Grant"},{"name":"Metro North Clinician Researcher fellowship"},{"name":"Robert and Janelle Bird Postdoctoral Research Fellowship"},{"name":"Queensland Nursing and Midwifery Research Fellowship"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Incontinence is common in hospitalised older adults but few studies report new incidence during or following hospitalisation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To describe prevalence and incidence of incontinence in older inpatients and associations with clinical outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Secondary analysis of prospectively collected data from consecutive consenting inpatients age 65\u00a0years and older on medical and surgical wards in four Australian public hospitals.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Participants self-reported urinary and faecal incontinence 2\u00a0weeks prior to admission, at hospital discharge and 30\u00a0days after discharge as part of comprehensive assessment by a trained research assistant. Outcomes were length of stay, facility discharge, 30-day readmission and 6-month mortality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Analysis included 970 participants (mean age 76.7\u00a0years, 48.9% female). Urinary and\/or faecal incontinence was self-reported in 310\/970 (32.0%, [95% confidence interval (CI) 29.0\u201335.0]) participants 2 weeks before admission, 201\/834 (24.1% [95% CI 21.2\u201327.2]) at discharge and 193\/776 (24.9% [95% CI 21.9\u201328.1]) 30\u00a0days after discharge. Continence patterns were dynamic within the peri-hospital period. Of participants without pre-hospital incontinence, 74\/567 (13.1% [95% CI 10.4\u201316.1) reported incontinence at discharge and 85\/537 (15.8% [95% CI 12.8\u201319.2]) reported incontinence at 30\u00a0days follow-up. Median hospital stay was longer in participants with pre-hospital incontinence (7 vs. 6\u00a0days, P\u2009=\u20090.02) even in adjusted analyses and pre-hospital incontinence was significantly associated with mortality in unadjusted but not adjusted analyses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Pre-hospital, hospital-acquired and new post-hospital incontinence are common in older inpatients. Better understanding of incontinence patterns may help target interventions to reduce this complication.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afad181","type":"journal-article","created":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T16:48:03Z","timestamp":1695401283000},"source":"Crossref","is-referenced-by-count":9,"title":["Incontinence during and following hospitalisation: a prospective study of prevalence, incidence and association with clinical outcomes"],"prefix":"10.1093","volume":"52","author":[{"given":"Jill","family":"Campbell","sequence":"first","affiliation":[{"name":"Griffith University National Health and Medical Research Council Centre of Research Excellence in Wiser Wound Care, Menzies Health Institute Queensland, , Gold Coast Campus, Southport , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Hubbard","sequence":"additional","affiliation":[{"name":"University of Queensland Centre for Health Services Research, Faculty of Medicine, , Brisbane , Australia"},{"name":"Geriatric Medicine Service, Princess Alexandra Hospital , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Ostaszkiewicz","sequence":"additional","affiliation":[{"name":"National Ageing Research Institute Aged Care Division, , Melbourne , Australia"},{"name":"Federation University Health and Innovation Transformation Centre, , Ballarat , Australia"},{"name":"University of Melbourne Faculty of Medicine, Dentistry and Health Sciences, , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Green","sequence":"additional","affiliation":[{"name":"The University of Queensland School of Nursing, Midwifery & Social Work, Faculty of Health and Behavioural Sciences, , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Coyer","sequence":"additional","affiliation":[{"name":"The University of Queensland School of Nursing, Midwifery and Social Work, , Brisbane , Australia"},{"name":"Queensland University of Technology School of Nursing, , Brisbane , Australia"},{"name":"University of Huddersfield Institute for Skin Integrity and Infection Prevention, , Huddersfield , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0242-2165","authenticated-orcid":false,"given":"Alison","family":"Mudge","sequence":"additional","affiliation":[{"name":"Internal Medicine and Aged Care Department , Royal Brisbane and Women's Hospital, Brisbane , Australia"},{"name":"University of Queensland Greater Brisbane Clinical School, Faculty of Medicine, , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,9,16]]},"reference":[{"key":"2023092216375482500_ref1","doi-asserted-by":"crossref","first-page":"afac199","DOI":"10.1093\/ageing\/afac199","article-title":"Promoting continence in older people","volume":"51","author":"Schlogl","year":"2022","journal-title":"Age Ageing"},{"key":"2023092216375482500_ref2","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/WON.0000000000000082","article-title":"Prevalence of fecal and double fecal and urinary incontinence in hospitalized patients","volume":"42","author":"Shahin","year":"2015","journal-title":"J Wound Ostomy Continence Nurs"},{"key":"2023092216375482500_ref3","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1111\/iwj.12322","article-title":"Incontinence-associated dermatitis: a cross-sectional prevalence study in the Australian acute hospital setting","volume":"13","author":"Campbell","year":"2016","journal-title":"Int Wound J"},{"key":"2023092216375482500_ref4","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1097\/WON.0000000000000818","article-title":"Incontinence and incontinence-associated dermatitis in acute care. 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