Assessment and Treatment of Urinary Disorders in Patients in the Subacute Phase After Stroke
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 250
- Locations
- 1
- Primary Endpoint
- Degree of urinary continence
Overview
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 Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Prospective
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
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.
Outcomes
Primary Outcomes
Degree of urinary continence
Time Frame: 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 Outcomes
- Presence of urinary-disorders-related complications(Through study completion, for an average of 6 weeks)