Prevalence of Incontinence and Use of Incontinence Devices in Acute Hospital Settings: a Cross-Sectional Study

Authors

  • Anita Jelen
  • Boris Miha Kaučič
  • Robert Rajnar
  • Nevenka Šestan

DOI:

https://doi.org/10.37886/ruo.2024.013

Keywords:

incontinence, urinary incontinence rate, incontinence dermatitis, incontinence devices, quality, management, dignity, prevalence, acute hospital management, nursing documentation

Abstract

Research question (RQ): What is the prevalence of incontinent patients in acute hospital settings? How do staff choose incontinence devices for patient care?

Purpose: The purpose of the study is to find out what proportion of incontinent patients are managed in acute hospital settings and to find out what incontinence devices are used by staff to care for incontinent patients and how. Based on the findings, we want to implement measures to improve the quality of care for patients with incontinence.

Method: We used a descriptive method to review the literature, developed a questionnaire for data collection, trained staff on how to conduct the survey, and measured the point prevalence of incontinence using a cross-sectional survey.

Results: Slightly more men (51.6%) than women (47.3%) were included in the survey, and for 1.1% of the patients, gender information was not available. Of the 1,277 patients included in the study, 750, or a good half (58.7%), were continent and did not use incontinence devices. A further 83, or 6.5%, were continent and used incontinence devices. 31.1% or 397 patients were incontinent and used incontinence devices, while 17 or 1.6% did not, despite being incontinent. For 2.3% of patients, no information was available. The point prevalence was 32.4%.

Organisation: Good organisation is essential for good quality care for incontinent patients, so it is important to improve the quality of care for incontinent patients based on the findings.

Society: Adequate patient awareness of incontinence is of paramount importance for the reduction and management of incontinence in the population.

Originality: This is the first study in Slovenia to report the prevalence of incontinence in acute hospital settings.

Limitations/follow-up research: The survey was conducted in a single tertiary care institution; we recommend that such a survey be conducted in the remaining hospitals in Slovenia.

References

Beeckman, D., et al. (2015). Proceedings of the Global IAD Expert Panel. Incontinence associated dermatitis: moving prevention forward. Wounds International 2015.

Born, K. & Levinson, W. (2019). Do not Place, or Leave in Place, Urinary Catheters for Incontinence, Convenience, or Monitoring in Noncritically Ill Patients. Choosing Wisely recommendation 9.

Brunner, M., Droegemueller, C., Rivers, S., Deuser, E.W. (2012). Prevention of Incontinence Related Skin Breakdown for Acute and Critical Care Patients: Comparison Of Two Products. Urologic nursing 32(3), 2.

Colborne, M. & Dahlke, S. (2017). Nurses' Perceptions and Management of Urinary Incontinence in Hospitalized Older Adults. Journal of Gerontological Nursing, 43(10), 46-55.

Condon, M., Mannion, E., Molloy, D.w., O Caoimh, R., (2019). Urinary and Faecal Incontinence: Point Prevalence and Predictors in a University Hospital. Int. J. Environ. Res. Public Health, 16, 194; doi:10.3390/ijerph16020194.

Cottenden, et al. (2009). Management Using Continence Products. Pridobljeno na http://www.ics.org/Publications/ICI_4/files-book/comite-20.pdf.

Datar, M., Pan, L-C., McKinney, J.L., Goss, T.F., Pulliam, S.J. (2022). Healthcare Resource Use and Cost Burden of Urinary Incontinence to United States Payers. Neurourol Urodyn, 41, 1553- 1562. doi:10.1002/nau.24989.

De Maagd, G.A. & Davenport, T.C. (2012). Management of urinary incontinence. P T., 37(6), 345-361H.

Gray, M. (2014). Incontinence associated dermatitis in the elderly patient: Assessment, prevention and management. Aging Life Care Association. Pridobljeno na http://www.aginglifecarejournal.org/incontinence-associated-dermatitis-in-the-elderly-patient-assessment-prevention-and-management/.

Hall, S. (2019). What Percentage Of The Population Are Affected By Incontinence? Pridobljeno na https://www.incontinence.co.uk/what-percentage-of-the-population-are-affected-by-incontinence.

Independent Living. (2014). Pridobljeno na http://ilcmc.com.au/product-library/continence-aids.

Jelen, A. (2018). Pacient z inkontinenco v bolnišnični obravnavi. In: Batas R., ed., Inkontinenca in rane - od preventive do kurative [Elektronski vir] : zbornik prispevkov z recenzijo, Zreče, 6. in 7. aprila 2018 / Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Sekcija medicinskih sester v enterostomalni terapiji, 68-77.

Kayser, S.A., Koloms, K., Murray, A., Khawar, W., Gray, M. (2021). Incontinence and Incontinence-Associated Dermatitis in Acute Care: A Retrospective Analysis of Total Cost of Care and Patient Outcomes From the Premier Healthcare Database. Journal of Wound, Ostomy and Continence Nursing: November/December 2021, 48(6), 545-552. doi: 10.1097/WON.0000000000000818.

Lee, U.J., Feinstein, L., Ward, J.B., et al. (2021). Prevalence of Urinary Incontinence among a Nationally Representative Sample of Women, 2005-2016: Findings from the Urologic Diseases in America Project. J Urol. 2021 Jun, 205(6),1718-1724. doi: 10.1097/JU.0000000000001634. Epub 2021 Feb 19. PMID: 33605795.

Martin-Losada, L., Huerta, M., Gonzalez, N., Ortega, I.,Cuenca, J.N. (2019). Managing urinary incontinence in older people in hospital: a best practice implementation project. JBI Database System Rev Implement Rep, 17(0), 1-13.

Milsom, I. & Gyhagen, M. (2019). The prevalence of urinary incontinence. Climacteric. 2019 Jun; 22(3), 217-222. doi: 10.1080/13697137.2018.1543263. Epub 2018 Dec 21. PMID: 30572737.

Rajnar, R. (2016). Uporaba inkontinenčnih pripomočkov na Nevrološki kliniki Univerzitetnega kliničnega centra Ljubljana - presečna študija : magistrsko delo [online]. magistrsko delo. Ljubljana : Univerza v Ljubljani. [Dostopano 27. junija 2023]. Pridobljeno iz: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=85632

Sandvik, H., Hunskaar, S., Siem, A., et al. (1993). Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J of Epidemiol Community Health, 47, 497-99.

Skuk, E & Blaganje, M. (2020). Urinska inkontinenca pri ženski: pregled področja. Javno zdravje, številka 12, 1-18. Pridobljeno na https://nijz.si/wp,content/uploads/2022/11/skuk_et_al._jz_2020_12.pdf

Suskind, A.M., Vaittinen, T., et.al. (2022). International Continence Society white paper on ethical considerations in older adults with urinary incontinence. Neurourology and Urodynamics, 41, 14-30.

Published

2026-08-11

Issue

Section

Original Scientific Paper

How to Cite

Prevalence of Incontinence and Use of Incontinence Devices in Acute Hospital Settings: a Cross-Sectional Study. (2026). Journal of Universal Excellence, 13(3). https://doi.org/10.37886/ruo.2024.013

Most read articles by the same author(s)