Epidemiological survey of post-void residual urine volume in older adult patients in an acute-care hospital: A cross-sectional observational study

IF 1.7 4区医学 Q2 NURSING Japan Journal of Nursing Science Pub Date : 2023-08-07 DOI:10.1111/jjns.12557

Miho Shogenji, Mikako Yoshida, Yasuhide Kitagawa

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Abstract

Aim

To epidemiologically determine post-void residual urine volume (PVR) and identify the characteristics of “potential” older adult patients with voiding dysfunction in an acute-care hospital.

Methods

A cross-sectional study was conducted on 614 older adult patients in an acute-care hospital between November 2018 and May 2019. Using portable ultrasound devices, nurses measured the patients' PVR three times after admission. Lower urinary tract symptoms were evaluated using the Core Lower Urinary Tract Symptom Score prior to admission.

Results

A total of 107 older adult patients (17.4%) had episodes of abnormal PVR ≥100 mL. An age of over 75 years (adjusted odds ratio [aOR]: 1.899) and feeling of incomplete emptying (aOR: 4.337) were associated with having at least one episode of abnormal PVR, whereas neurological or circulatory diseases (aOR: 3.699) were associated with having two or three episodes.

Conclusions

The results showed a high prevalence of abnormal PVR in older adult patients. Screening for PVR in older adult patients aged over 75 years who experience incomplete emptying or neurological or circulatory diseases may help identify those at risk for voiding dysfunction.

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急诊医院老年患者排尿后残余尿量的流行病学调查：一项横断面观察研究。

目的：从流行病学角度确定排尿后残余尿量（PVR），并识别一家急症护理医院中有排尿功能障碍的 "潜在 "老年患者的特征：2018年11月至2019年5月期间，对一家急症护理医院的614名老年患者进行了横断面研究。护士在患者入院后使用便携式超声设备测量了三次患者的 PVR。入院前使用核心下尿路症状评分对患者的下尿路症状进行了评估：共有 107 名老年患者（17.4%）出现过 PVR≥100 mL 的异常情况。年龄超过 75 岁（调整后比值比 [aOR]：1.899）和排空不完全感（aOR：4.337）与至少一次 PVR 异常发作有关，而神经或循环系统疾病（aOR：3.699）与两次或三次异常发作有关：结论：研究结果表明，PVR 异常在老年患者中的发病率很高。对 75 岁以上、排空不完全或患有神经或循环系统疾病的老年患者进行 PVR 筛查，有助于识别排空功能障碍的高危人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.