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https://hdl.handle.net/11499/30516
Title: | The course of post-stroke bladder problems and their relation with functional and mental status and quality of life: A six-month, prospective, multicenter study | Authors: | Akkoç, Y. Yıldız, Necmettin. Bardak, A.N. Ersöz, M. Tunç, H. Köklü, K. Alemdaroğlu, E. Güler, Ayşe Şaşmaz, Ezgi Doğan, Asuman Özişler, Zuhal Koyuncu, Engin |
Keywords: | Danish prostatic symptom score Incontinence Lower urinary tract dysfunction Stroke cholinergic receptor blocking agent adult aged Article bladder dysfunction bladder injury brain hemorrhage brain ischemia controlled study daily life activity Danish Prostatic Symptom Score female follow up functional status human intermittent catheterization International Prostate Symptom Score lower urinary tract symptom major clinical study male mental health middle aged Mini Mental State Examination Modified Barthel Index multicenter study nocturia observational study prospective study quality of life quality of life assessment questionnaire stress incontinence urine incontinence |
Publisher: | Turkish Society of Physical Medicine and Rehabilitation | Abstract: | Objectives: The aim of this study was to evaluate the frequency and course of post-stroke lower urinary tract dysfunction (LUTD) from early term up to a period of six months and to investigate the relation of LUTD with functional and mental status and quality of life (QoL) in stroke patients. Patients and methods: This prospective study included a total of 70 stroke patients (44 males, 26 females; mean age 62.7±7.0 years; range, 46 to 79 years) from five different centers across Turkey between June 2015 and January 2017. The patients were questioned using the Danish Prostatic Symptom Score (DAN-PSS) to evaluate LUTD and evaluated using the Modified Barthel Index (MBI), Incontinence QoL Questionnaire (I-QOL), and Mini-Mental State Examination (MMSE) at one, three, and six months. Results: At least one symptom of LUTD was observed in 64 (91.4%), 58 (82.9%), and 56 (80%) of the patients according to the DAN-PSS at one, three, and six months, respectively. A statistically significant improvement was found in the DAN-PSS, MBI, MMSE, I-QOL total scores, avoidance and psychosocial subgroup scores at six months compared to the first month scores (p<0.05). There was a significant negative correlation between the DAN-PSS symptom score at one month and the MBI, MMSE, and QoL scores at six months. The DAN-PSS bother and total scores were found to be significantly and negatively correlated only with the subscales of the QoL questionnaire. Conclusion: Based on our study results, LUTD was very common and the prevalence of LUTD findings decreased constantly during six-month follow-up, showing an association with a poor cognitive and functional status and QoL in stroke patients with LUTD. © Copyright 2019 by Turkish Society of Physical Medicine and Rehabilitation. | URI: | https://hdl.handle.net/11499/30516 https://doi.org/10.5606/TFTRD.2019.3205 |
ISSN: | 2587-0823 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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