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  • Title: [Use of devices for urinary incontinence among the elderly of the basic health area of Cabra (Córdoba)].
    Author: Gavira Iglesias FJ, Caridad y Ocerín JM, Pérez del Molino Martín J, Valderrama Gama E, López Pérez M, Romero López M, Pavón Aranguren MV, Guerrero Muñoz JB.
    Journal: Aten Primaria; 2000 May 15; 25(8):556-9. PubMed ID: 10876949.
    Abstract:
    AIMS: To study the proportion and characteristics of elderly people who use aids for urinary incontinence, and the economic cost of pads. DESIGN: Cross-sectional study. INTERVENTIONS: A specific questionnaire on urinary incontinence and Barthel and Lawton indexes; and economic analysis of the number of pads used. LOCATION: Basic Health Zone of Cabra (Córdoba). PATIENTS: 827, among a total of 5139 > or = 65 years-old subjects, by means of a random sampling, classified in age groups. MEASUREMENTS: Two sources of data were used: a home health interview gathering information about the use of aids; the register which controls the prescription of pads in the Basic Health Zone of Cabra. MAIN RESULTS: Urinary incontinence was detected in 36% of elderly people. Sixty-three percent of the incontinent people used some sort of aid, 8.1% used pads and 2.9% used an urethral catheter. The use of aids was related to advanced age, female gender and functional dependence. In 1996, the cost of the pads was 19,416,298 pesetas and 51,659 pesetas per incontinent person. CONCLUSIONS: The overall prevalence of the use of aids was greater than or similar to that of other studies whereas the use of pads was less. During 1996 the average cost of the pads per elderly person amounted to 49% of the theoretical maximum cost permitted by the health authority. OBJETIVOS: Estudiar la proporcion y caracteristicas de los ancianos que utilizan accesorios para incontinencia urinaria y calcular el coste economico de los absorbentes. DISENO: Estudio transversal. EMPLAZAMIENTO: Zona Basica de Salud de Cabra (Cordoba). PACIENTES: Un total de 827, entre 5.139 personas. 65 anos, seleccionados mediante muestreo aleatorio estratificado por grupos de edad. MEDICIONES Y RESULTADOS PRINCIPALES: Cuestionario especifico sobre incontinencia urinaria e indices de Barthel y de Lawton. Analisis economico de los absorbentes consumidos. Se utilizaron dos fuentes de datos: encuesta domiciliaria, con recogida de informacion sobre uso de accesorios y el fichero de visado de absorbentes de la Zona Basica de Salud de Cabra. Se detecto incontinencia urinaria en un 36% de los ancianos. El 63% de los incontinentes utilizaba algun accesorio, un 8,1% usaba absorbentes y el 2,9% cateter uretral. El uso de accesorios se asocio a edad avanzada, genero femenino y dependencia funcional. En 1996 el coste de los absorbentes en la Zona Basica de Salud de Cabra fue de 19.416.298 pts. y de 51.639 por anciano incontinente. CONCLUSIONES: La prevalencia global del uso de accesorios fue superior o similar a la de otros estudios sobre incontinencia y la de absorbentes menor. El coste medio de los absorbentes por anciano durante 1996 represento un 49% del coste maximo permitido por la Inspeccion Sanitaria.
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