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ERIC Number: EJ851110
Record Type: Journal
Publication Date: 2009-Sep
Pages: 8
Abstractor: As Provided
Reference Count: 20
ISSN: ISSN-0964-2633
Unnoticed Post-Void Residual Urine Volume in People with Moderate to Severe Intellectual Disabilities: Prevalence and Risk Factors
de Waal, K. H.; Tinselboer, B. M.; Evenhuis, H. M.; Penning, C.
Journal of Intellectual Disability Research, v53 n9 p772-779 Sep 2009
Background: Increased post-void residual urine volume (PVR) is often seen in geriatric populations. People with intellectual disabilities (ID) have risk factors in common with these populations. Aims: To investigate in adults with ID: (1) Feasibility of portable ultrasound bladder scanning; (2) Prevalence of PVR; and (3) Relations with proposed risk factors for PVR. Methods: In a cross-sectional design, PVR was measured using ultrasound scanning in 346 adults with moderate to severe ID aged 18-82 years. Relationship between increased PVR and the following risk factors was assessed: age, level of ID, gender, ambulancy, medication, chronic illnesses, incontinence and profound multiple disabilities (PMD). Acceptation of scanning and manageability were noted. Results: Feasibility: All participants were cooperatively undergoing the ultrasound scan and all outcomes were sufficiently interpretable. Prevalence: PVR [greater than or equal] 150 mL was newly identified in 30/346 persons (8.7%, 95% confidence interval 5.92-12.14). Associations: Higher age (P = 0.001), laxative use (P = 0.001), chronic illnesses other than epilepsy (P = 0.005), profound ID (P = 0.008), incontinence (P = 0.048) and immobility (P = 0.005) are determinants that were associated with urinary retention. Conclusions: The bladder ultrasound scan is a feasible method to identify increased PVR in adults with more severe levels of ID. The prevalence of PVR in adults is similar to prevalences found in the geriatric general population.
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A