{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:03:47Z","timestamp":1790373827602,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,12,13]],"date-time":"2013-12-13T00:00:00Z","timestamp":1386892800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2014,1]]},"abstract":"\n Objective<\/jats:title>\n \n \n \n \n To evaluate urinary incontinence (\n UI<\/jats:styled-content>\n ) as a predictor of nursing home admission, hospitalization or death in patients receiving home care services.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Subjects and Methods<\/jats:title>\n \n \n \n \n A total of 699 community\u2010dwelling participants receiving home care services in\n G<\/jats:styled-content>\n eneva were evaluated in\n A<\/jats:styled-content>\n utumn 2004 using the\n M<\/jats:styled-content>\n inimal\n D<\/jats:styled-content>\n ata\n S<\/jats:styled-content>\n et\u2010\n H<\/jats:styled-content>\n ome\n C<\/jats:styled-content>\n are, a validated instrument that includes grading of\n UI<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n \n \n Data on death, hospitalization and nursing home admission were collected up until\n J<\/jats:styled-content>\n une 2007.\n <\/jats:p>\n <\/jats:list-item>\n \n \n The impact of\n UI<\/jats:styled-content>\n on time\u2010dependent outcomes was analysed using survival analysis and multivariate regression\n C<\/jats:styled-content>\n ox models to adjust for age, gender, body mass index, cardiac failure, cognitive impairment, delirium, depression, disability, alcohol and tobacco use, self\u2010rated health, faecal incontinence and number of medications.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n \n \n \n We found that\n UI<\/jats:styled-content>\n was present in 193 participants (27.8%). After adjustment for confounding factors,\n UI<\/jats:styled-content>\n was associated with a longer length of hospital stay: +36.7 days, (95% confidence interval [\n CI<\/jats:styled-content>\n ]: 1.2\u201372.3) and a higher mortality rate (hazard ratio [\n HR<\/jats:styled-content>\n ] 1.6; 95%\n CI<\/jats:styled-content>\n : 1.1\u20132.6).\n <\/jats:p>\n <\/jats:list-item>\n \n \n The\n HR<\/jats:styled-content>\n for death was 1.5 (95%\n CI<\/jats:styled-content>\n : 0.9\u20132.5) for participants complaining of one episode of urinary leakage per week at most, 2.0 (95%\n CI<\/jats:styled-content>\n : 1.2\u20133.5) for those presenting with two or more episodes per week and 4.2 (95%\n CI<\/jats:styled-content>\n : 2.3\u20137.7;\n P<\/jats:styled-content>\n for trend: <0.001) for daily\n UI<\/jats:styled-content>\n compared with participants without\n UI<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n \n \n Institutionalization (\n HR<\/jats:styled-content>\n 1.1; 95%\n CI<\/jats:styled-content>\n : 0.6\u20132.2) and hospitalization rates (\n HR<\/jats:styled-content>\n 1.0; 95%\n CI<\/jats:styled-content>\n : 0.7\u20131.3) were not different between patients with or without\n UI<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n \n \n \n In a cohort of patients receiving home care services,\n UI<\/jats:styled-content>\n was a strong predictor of length of hospital stay and mortality, increasing with\n UI<\/jats:styled-content>\n severity.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.12359","type":"journal-article","created":{"date-parts":[[2013,7,9]],"date-time":"2013-07-09T04:44:45Z","timestamp":1373345085000},"page":"113-119","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Urinary incontinence as a marker of higher mortality in patients receiving home care services"],"prefix":"10.1111","volume":"113","author":[{"given":"Gregor","family":"John","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Perineology Unit Geneva University Hospitals (HUG) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Gerstel","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Perineology Unit Geneva University Hospitals (HUG) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Perineology Unit Geneva University Hospitals (HUG) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"D\u00e4llenbach","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Perineology Unit Geneva University Hospitals (HUG) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Faltin","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Perineology Unit Geneva University Hospitals (HUG) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"Petoud","sequence":"additional","affiliation":[{"name":"Institution Genevoise de Maintien \u00e0 Domicile (IMAD) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Zumwald","sequence":"additional","affiliation":[{"name":"Institution Genevoise de Maintien \u00e0 Domicile (IMAD) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier T.","family":"Rutschmann","sequence":"additional","affiliation":[{"name":"Department of Community, Primary Care and Emergency Medicine Geneva School of Medicine Geneva University Hospitals Geneva 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