The prevalence of faecal incontinence in older people living at home.

Abstract:

BACKGROUND:faecal incontinence affects quality of life and causes caregiver strain. Patients are often reluctant to seek help because of embarrassment and perceived lack of effective treatment. Persisting faecal soiling may lead to unwanted and premature institutionalization. OBJECTIVE:to ascertain the prevalence of faecal incontinence and to identify health and socio-demographic characteristics of patients with this problem. DESIGN:a sample of 3000 older people, living at home in the UK, randomly selected from three Family Health Service Authorities. PARTICIPANTS:we interviewed 2818 men and women aged > or =65 years in their own homes: a response rate of 94%. RESULTS:78 respondents (3%) reported faecal incontinence. There was a small but non-significant association with increasing age: 38 (2%) of those reporting incontinence were aged 65-74 years; 40 (3%) were aged > or =75 years. Faecal incontinence was significantly associated with sex, with reports from 15 men (1%) versus 63 women (4%; P<0.0005). It was also significantly associated with anxiety and with depression (P<0.00001) and very significantly associated with increasing disability (P<0.00001). Forty-six (59%) of those who had faecal incontinence had severe disability, compared with 426 (16%) of those who did not (P<0.00001). The association with urinary incontinence was also strong: 54 (69%) of those with faecal incontinence (2% of the total sample) had coexistent urinary incontinence. Over 50% had not discussed their problems with a healthcare professional. CONCLUSIONS:a reluctance to report symptoms and a significant association between faecal incontinence and symptoms of anxiety, depression and disability suggest that older people should be asked about faecal incontinence. Increasing the awareness of the scale of the problem among health- and social-care professionals, older people and their carers may lead to more appropriate management and effective provision of care.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Edwards NI,Jones D

doi

10.1093/ageing/30.6.503

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

503-7

issue

6

eissn

0002-0729

issn

1468-2834

journal_volume

30

pub_type

杂志文章
  • Estimating total Barthel scores from just three items: the European Stroke Database 'minimum dataset' for assessing functional status at discharge from hospital.

    abstract:BACKGROUND:The European Stroke Database (ESDB) Project aims to develop a 'common clinical language' for stroke care by agreeing on terminology, definitions and clinical assessments. Each area of stroke assessment has a 'minimum dataset', which can be collected routinely and more detailed information can be added for pa...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.2.115

    authors: Ellul J,Watkins C,Barer D

    更新日期:1998-03-01 00:00:00

  • Effects of a physiotherapist-led stroke training programme for nurses.

    abstract:AIM:to assess the effects of a physiotherapist-led stroke training programme for nurses working in a rehabilitation ward on clinical practice and patient outcome. METHOD:before and after group comparison with outcome assessment by observational and quantitative methods. Non-participant observation before and after the...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/28.6.567

    authors: Forster A,Dowswell G,Young J,Sheard J,Wright P,Bagley P

    更新日期:1999-10-01 00:00:00

  • Xamoterol improves the control of chronic atrial fibrillation in elderly patients.

    abstract::Twenty digitalized elderly patients with chronic atrial fibrillation were randomized into a double-blind cross-over study. None was in overt heart failure and all were taking < 80 mg frusemide daily. They received xamoterol 200 mg b.d. for 2 months with their usual dose of digoxin for 1 month and placebo digoxin for t...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/24.4.321

    authors: Lawson-Matthew PJ,McLean KA,Dent M,Austin CA,Channer KS

    更新日期:1995-07-01 00:00:00

  • Polypharmacy including falls risk-increasing medications and subsequent falls in community-dwelling middle-aged and older adults.

    abstract:BACKGROUND:polypharmacy is an important risk factor for falls, but recent studies suggest only when including medications associated with increasing the risk of falls. DESIGN:a prospective, population-based cohort study. SUBJECTS:6,666 adults aged ≥50 years from The Irish Longitudinal study on Ageing. METHODS:partic...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afu141

    authors: Richardson K,Bennett K,Kenny RA

    更新日期:2015-01-01 00:00:00

  • Cognitive decline with chronic meningitis secondary to a COX-2 inhibitor.

    abstract::Non-steroidal anti-inflammatory drugs are currently being investigated as agents to reduce the incidence and progression of Alzheimer's disease. Paradoxically they have also been reported to induce deleterious effects on the central nervous system, including aseptic meningitis and cognitive decline in the elderly. We ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afh112

    authors: Ashton D,Kim P,Griffiths N,Beran R

    更新日期:2004-07-01 00:00:00

  • Patterns of mortality in homes for the elderly.

    abstract::High rates of mortality are an abiding feature of homes for the elderly. Almost a fifth (19.2%) of a cohort of 6947 residents died in the 12 months following initial assessment. Survival rates vary widely, however, for different groups within the residential population. Using data from a longitudinal study of 175 home...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/12.3.240

    authors: Booth T,Phillips D,Barritt A,Berry S,Martin DN,Melotte C

    更新日期:1983-08-01 00:00:00

  • Is physical activity protective against hip fracture in frail older people?

    abstract:BACKGROUND:there is limited evidence of a protective effect of physical activity in preventing hip fractures among older people living in institutions and in those aged 80 or over. OBJECTIVE:to examine the relationship between physical activity and risk of hip fracture in frail older people. DESIGN:a case-control stu...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/30.3.262

    authors: Norton R,Galgali G,Campbell AJ,Reid IR,Robinson E,Butler M,Gray H

    更新日期:2001-05-01 00:00:00

  • The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling.

    abstract:BACKGROUND:the 16-item Falls Efficacy Scale-International (FES-I) has been shown to have excellent reliability and construct validity. However, for practical and clinical purposes, a shortened version of the FES-I would be useful. OBJECTIVE:to develop and validate a shortened version of FES-I while preserving good psy...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afm157

    authors: Kempen GI,Yardley L,van Haastregt JC,Zijlstra GA,Beyer N,Hauer K,Todd C

    更新日期:2008-01-01 00:00:00

  • Carotid disease in acute stroke.

    abstract:BACKGROUND:the Oxfordshire Community Stroke Project (OCSP) devised a simple clinical classification for acute stroke which predicted mortality, functional recovery and patterns of recurrent stroke. We aimed to determine whether this could predict the presence of carotid disease and be used to select which patients with...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.6.677

    authors: Mead GE,Shingler H,Farrell A,O'Neill PA,McCollum CN

    更新日期:1998-11-01 00:00:00

  • Economic evaluation of the differential benefits of home visits with telephone calls and telephone calls only in transitional discharge support.

    abstract:BACKGROUND:home visits and telephone calls are two often used approaches in transitional care, but their differential economic effects are unknown. OBJECTIVE:to examine the differential economic benefits of home visits with telephone calls and telephone calls only in transitional discharge support. DESIGN:cost-effect...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ageing/afu166

    authors: Wong FK,So C,Chau J,Law AK,Tam SK,McGhee S

    更新日期:2015-01-01 00:00:00

  • Gloucester hospital-at-home: a randomized controlled trial.

    abstract::Hospital-at-Home schemes have been claimed to hasten the discharge of elderly orthopaedic patients, and are becoming increasingly popular with health service managers. In an attempt to measure the benefits of such a scheme when applied to elderly medical patients, we prospectively randomized 60 consecutive referrals o...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/24.5.434

    authors: Donald IP,Baldwin RN,Bannerjee M

    更新日期:1995-09-01 00:00:00

  • Bilateral facial palsy in an older person.

    abstract::Lyme disease is an infectious disease caused by the Borrelia burgdorferi spirochetes and other related species that are transmitted through an infected tick bite. We report the case of an older patient presenting with bilateral facial palsy due to Lyme disease. Multiple non-specific clinical signs preceded facial pals...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa082

    authors: Méreaux JL,Hébant B,Magne N,Quesney G,Lefaucheur R

    更新日期:2020-08-24 00:00:00

  • Myasthenia gravis and elderly people.

    abstract::Myasthenia gravis is probably commoner than previously suspected, the annual incidence being nearer 9-10/million than earlier figures of 2-4/million. The current study found an annual incidence in Croyden of 9.1 per million (95% confidence limits 5.7-13.8 per million). Of the 22 patients (59%) seen in Croyden with new...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/25.1.56

    authors: Schon F,Drayson M,Thompson RA

    更新日期:1996-01-01 00:00:00

  • A multifactorial intervention for the prevention of falls in psychogeriatric nursing home patients, a randomised controlled trial (RCT).

    abstract:OBJECTIVE:to evaluate the effectiveness of a multifactorial intervention on incidence of falls in psychogeriatric nursing home patients. DESIGN:cluster-randomised controlled 12-month trial. SETTING:psychogeriatric wards in 12 nursing homes in The Netherlands. PARTICIPANTS:psychogeriatric nursing home patients (n = 5...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ageing/afn297

    authors: Neyens JC,Dijcks BP,Twisk J,Schols JM,van Haastregt JC,van den Heuvel WJ,de Witte LP

    更新日期:2009-03-01 00:00:00

  • Personal growth and development in old age-a clinician's perspective.

    abstract::This invited article is drawn from the content of the Marjory Warren Lecture given by John Gladman at the British Geriatrics Society Spring Meeting in 2018, entitled 'The Meaning of Life Expectancy'. ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy130

    authors: Gladman JRF

    更新日期:2019-01-01 00:00:00

  • Effect of music-based multitask training on cognition and mood in older adults.

    abstract:BACKGROUND:in a secondary analysis of a randomised controlled trial, we investigated whether 6 months of music-based multitask training had beneficial effects on cognitive functioning and mood in older adults. METHODS:134 community-dwellers aged ≥65 years at increased risk for falling were randomly assigned to either ...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ageing/aft163

    authors: Hars M,Herrmann FR,Gold G,Rizzoli R,Trombetti A

    更新日期:2014-03-01 00:00:00

  • Delay in diagnosis of colorectal cancer in elderly patients.

    abstract::The medical histories of 178 colorectal cancer patients were studied retrospectively from hospital records. The average age at the time of diagnosis was 71 years. Visible loss of blood or anaemia were the commonest features. The mean time from first symptom to first medical consultation was 82.8 days. Men under 65 yea...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/22.4.260

    authors: Kemppainen M,Räihä I,Rajala T,Sourander L

    更新日期:1993-07-01 00:00:00

  • Chronic conditions and use of health care service among German centenarians.

    abstract:Background:there is limited data comparing conditions and health service use across care settings in centenarians. To improve health service delivery in centenarians, the aim of this study was to compare the proportion of centenarians who have chronic conditions, take medication and use health care services across diff...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx008

    authors: von Berenberg P,Dräger D,Zahn T,Neuwirth J,Kuhlmey A,Gellert P

    更新日期:2017-11-01 00:00:00

  • Outcomes of Mobilisation of Vulnerable Elders in Ontario (MOVE ON): a multisite interrupted time series evaluation of an implementation intervention to increase patient mobilisation.

    abstract:Background:older patients admitted to hospitals are at risk for hospital-acquired morbidity related to immobility. The aim of this study was to implement and evaluate an evidence-based intervention targeting staff to promote early mobilisation in older patients admitted to general medical inpatient units. Methods:the ...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afx128

    authors: Liu B,Moore JE,Almaawiy U,Chan WH,Khan S,Ewusie J,Hamid JS,Straus SE,MOVE ON Collaboration.

    更新日期:2018-01-01 00:00:00

  • Attitudes towards the care of the aged and to a career with elderly patients among students attached to a geriatric and general medical firm.

    abstract::Studies in the United States have suggested that medical students' bias against older patients is not influenced by ad hoc courses in geriatrics. If the suggestion is correct then there should be no difference between the attitudes towards the care of the aged and to a career with elderly patients among students attac...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/11.3.196

    authors: Peach H,Pathy MS

    更新日期:1982-08-01 00:00:00

  • Human immunodeficiency virus (HIV) in older people.

    abstract::The number of older people living with human immunodeficiency virus (HIV) in the UK is rising. Older people are at risk of acquiring HIV infection for a multitude of reasons. This, combined with effective HIV treatment which has significantly prolonged life expectancy, means that health care professionals working in t...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/afq009

    authors: Pratt G,Gascoyne K,Cunningham K,Tunbridge A

    更新日期:2010-05-01 00:00:00

  • Rectus sheath haematoma in elderly patients: a diagnostic challenge.

    abstract:CASE REPORTS:We report three cases of rectus sheath haematoma in elderly women. This condition is commonly misdiagnosed at any age but is an even more elusive diagnosis in elderly patients. CONCLUSION:It is important to consider rectus sheath haematoma in older patients with an abdominal or pelvic mass or spontaneous ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.4.512

    authors: Bene J,Lassman D,Solomon SA

    更新日期:1998-07-01 00:00:00

  • An evaluation of the efficacy and safety of tetrahydroaminoacridine (THA) without lecithin in the treatment of Alzheimer's disease.

    abstract::Seventy-nine patients with probable Alzheimer's disease were enrolled into a double-blind, placebo-controlled cross-over study to assess the therapeutic effect and safety of THA (tetrahydroaminoacridine; tacrine) without concomitant lecithin administration. Forty-one patients completed the trial which consisted of two...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/22.5.316

    authors: Wilcock GK,Surmon DJ,Scott M,Boyle M,Mulligan K,Neubauer KA,O'Neill D,Royston VH

    更新日期:1993-09-01 00:00:00

  • A population-based study of sensorimotor factors affecting gait in older people.

    abstract:BACKGROUND:the study of factors associated with age-related gait decline may assist in developing methods to preserve mobility in older people. OBJECTIVE:to examine the associations between sensorimotor factors relevant to ageing and gait in the general older population. DESIGN:cross-sectional population-based study....

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afp017

    authors: Callisaya ML,Blizzard L,Schmidt MD,McGinley JL,Lord SR,Srikanth VK

    更新日期:2009-05-01 00:00:00

  • Orthostatic hypotension in an octogenarian--an unusual presentation.

    abstract::Orthostatic hypotension is a common problem in older adults and can be associated with falls, dizziness and syncope and their associated consequences. Therefore, it is important to recognise the condition and institute appropriate management. We report an elderly woman who presented with orthostatic hypotension and wa...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afi061

    authors: Bragg F,Kumar NP

    更新日期:2005-05-01 00:00:00

  • Peritonitis in geriatric inpatients.

    abstract::Of 212 cases of peritonitis found in a retrospective study of geriatric inpatients, the most common causes were mesenteric infarction, malignancy, intestinal obstruction, perforated peptic ulcer, cholecystitis, diverticulitis and perforation of the urinary bladder. The diagnostic accuracy was 47%. Abdominal pain had b...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/20.2.90

    authors: Wroblewski M,Mikulowski P

    更新日期:1991-03-01 00:00:00

  • New horizons in care home medicine.

    abstract::Care home medicine has been an under-researched area, but over the last decade there has been a substantial growth in publications. Most of these have focused on the 'geriatric giants' of falls, incontinence and mental health issues (especially dementia, behavioural disturbance and depression) as well as other key top...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/aft186

    authors: Burns E,Nair S

    更新日期:2014-01-01 00:00:00

  • Epidemiology and outcome of older patients presenting with dyspnoea to emergency departments.

    abstract:OBJECTIVES:To describe the epidemiology and outcomes of non-traumatic dyspnoea in patients aged 75 years or older presenting to emergency departments (EDs) in the Asia-Pacific region. METHODS:A substudy of a prospective interrupted time series cohort study conducted at three time points in EDs in Australia, New Zealan...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa121

    authors: Kelly AM,Keijzers G,Klim S,Craig S,Kuan WS,Holdgate A,Graham CA,Jones P,Laribi S

    更新日期:2021-01-08 00:00:00

  • Aluminium in antacids and cooking pots and the risk of hip fractures in elderly people.

    abstract::The relationship between hip fractures and aluminium in antacids and cooking pots was examined in an epidemiological study in Sydney, Australia. A population-based case-control study was conducted and 416 men and women aged 65 years and over were recruited (209 cases and 207 controls). There was a significantly (p < 0...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/23.6.468

    authors: Cumming RG,Klineberg RJ

    更新日期:1994-11-01 00:00:00

  • Social isolation and loneliness as related to progression and reversion of frailty in the Survey of Health Aging Retirement in Europe (SHARE).

    abstract:BACKGROUND:Frailty was shown to be associated with psychosocial risk factors, but there are few longitudinal data. METHODS:We used data from waves 5 and 6 of the Survey of Health Aging Retirement in Europe (SHARE) to study the contribution of loneliness and social isolation to transitions towards frailty defined accor...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa168

    authors: Jarach CM,Tettamanti M,Nobili A,D'avanzo B

    更新日期:2021-01-08 00:00:00