| |
Centre for Policy on Ageing | |
 | |
|
Do continence management strategies reduce falls?
— a systematic review | | Author(s) | Frances A Batchelor, Briony Dow, May-Ann Low |
| Journal title | Australasian Journal on Ageing, vol 32, no 4, December 2013 |
| Publisher | Wiley Blackwell, December 2013 |
| Pages | pp 211-216 |
| Source | wileyonlinelibrary.com/journal/ajag |
| Annotation | Urinary incontinence is associated with increased fall risk, and fall prevention programmes include recommendations to manage continence as one component of fall reduction. However the evidence to support this recommendation is unclear. The aim of this study was to identify continence management interventions that are effective in decreasing falls. A systematic review of the literature was conducted. Studies were included if they evaluated the effect of any type of continence management strategy on falls in older adults. The included studies were assessed for quality, and data relating to participants, interventions and outcomes were extracted by two independent reviewers. Four articles met the inclusion criteria. Two studies were randomised controlled trials, one a retrospective cohort study and one an uncontrolled intervention study. Interventions included pharmacological agents, a toileting regime combined with physical activity and an individualised continence programme. Only the study evaluating the combination of physical activity and prompted voiding found an effect on falls. It is surprising that there has been so little research into continence management interventions that include fall outcomes. A toileting regime combined with physical activity may reduce falls in residential care. There is a need for further studies investigating the impact of continence management on falls. (JL). |
| Accession Number | CPA-150605248 A |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|