Urinary Disorders in Subacute Patients After Stroke

Recruiting

• Conditions: Urinary Incontinence; Stroke, Ischemic; Stroke Hemorrhagic
• Interventions: Behavioral: Immediate urination; Behavioral: Bladder diary

• Registration Number: NCT04078373
• Lead Sponsor: University Rehabilitation Institute, Republic of Slovenia

Brief Summary

This observational study will address urinary disorders in subacute stroke patients. Patients without and with urinary disorders will be compared, and treatment outcome will be assessed among the latter.

Detailed Description

This prospective observational study will include 100 patients after first ischaemic or hemorrhagic stroke directly transferred from an acute hospital to our Institute for inpatient rehabilitation. Within admission assessment, patients will be classified according to stroke type, stroke localisation and time since stroke. Comorbidities will be recorded and associated neurological deficits will be assessed. Post mictional residue will be determined in all patients one day after admission. The patients with urinary disorders will be treated according to the published official protocol, either using the immediate urination approach or the bladder diary approach. Continence will be regularly assessed by the nursing staff. Urination-disorder-related complications (pressure ulcers, falls and urinary infections), drug therapy and the use of continence aids will also be followed.

Study Timeline

• Study Start: 2019-06-01
• Study First Submitted: 2019-08-29
• Study First Submitted QC: 2019-08-31
• Study First Posted: 2019-09-06
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-05
• Last Update Posted: 2024-12-06
• Primary Completion: 2026-10
• Study Completion: 2026-10

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 250

Inclusion Criteria

• subacute patients after ischaemic or hemorrhagic stroke;
• direct transfer from acute hospital to complex inpatient rehabilitation at our Institute.

Exclusion Criteria

• incontinence before stroke;
• previous brain injury or other brain disease;
• previous bladder or prostate surgery;
• inability to ambulate before stroke;
• terminal disease with expected survival less than three months.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
With urinary disorders	Bladder diary	Subacute stroke patients with urinary disorders
With urinary disorders	Immediate urination	Subacute stroke patients with urinary disorders

Primary Outcome Measures

Name	Time	Method
Degree of urinary continence	Through study completion, for an average of 6 weeks	Urinary continence will be assessed daily by the nursing staff as either complete, partial or incontinence

Secondary Outcome Measures

Name	Time	Method
Presence of urinary-disorders-related complications	Through study completion, for an average of 6 weeks	Pressure ulcers, falls and urinary infections caused by urinary disorders will be recorded

Trial Locations

Locations (1)

University Rehabilitation Institute, Republic of Slovenia; 🇸🇮 Ljubljana, Slovenia