Assessment and Treatment of Urinary Disorders in Patients in the Subacute Phase After Stroke
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 250
- 试验地点
- 1
- 主要终点
- Degree of urinary continence
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •subacute patients after ischaemic or hemorrhagic stroke;
- •direct transfer from acute hospital to complex inpatient rehabilitation at our Institute.
排除标准
- •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.
结局指标
主要结局
Degree of urinary continence
时间窗: 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
次要结局
- Presence of urinary-disorders-related complications(Through study completion, for an average of 6 weeks)