https://scholars.lib.ntu.edu.tw/handle/123456789/543874
標題: | Traumatic brain injury increases the risk of female urinary incontinence | 作者: | Keller J.J. SHIH-PING LIU Lin H.-C. |
關鍵字: | epidemiology; traumatic brain injury; urinary incontinence | 公開日期: | 2013 | 卷: | 32 | 期: | 4 | 起(迄)頁: | 354-358 | 來源出版物: | Neurourology and Urodynamics | 摘要: | Aims According to our knowledge, no study has attempted to explore the risk of urinary incontinence (UI) after traumatic brain injury (TBI). This study aimed to examine the relationship between TBI in Taiwanese women and their risk of developing UI. Methods The study was based on 2,416 female patients newly diagnosed with TBI together with 12,080 matched enrollees without a history of TBI as a comparison group. All patients were tracked for a 1-year period from their index date to identify those who developed subsequent UI. The stratified Cox proportional hazards models were performed to compute the risk of UI between groups. Results Of 14,496 patients, 104 (4.30%) from the TBI group and 192 (1.59%) from the comparison group had a diagnosis of UI during the follow-up period. The incidence rate of UI was 4.50 (95% CI: 3.69-5.43) per 100 person-years in patients with TBI and 1.62 (95% CI: 1.40-1.86) per 100 person-years in patients without TBI. The stratified Cox proportional analysis showed that after adjusting for socioeconomic status, obesity, hypertension, diabetes, and hysterectomy, the increased UI risk of patients with TBI persisted at about the same level as in the unadjusted analysis (hazard ratio = 2.78; 95% CI = 2.16-3.53). In addition, although patients with severe and moderate TBI had higher incidence rates of UI than patients with mild TBI, the difference did not reach a statistically significant level (P = 0.090). Conclusions Our results suggest that an increased risk of UI exists at the first year follow-up in patients with a TBI diagnosis. ? 2012 Wiley Periodicals, Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84876387416&doi=10.1002%2fnau.22309&partnerID=40&md5=89bca7bc34aa815b226fe7eb30769a33 https://scholars.lib.ntu.edu.tw/handle/123456789/543874 |
ISSN: | 0733-2467 | DOI: | 10.1002/nau.22309 | SDG/關鍵字: | adult; aged; article; consciousness disorder; controlled study; diabetes mellitus; epidural hematoma; female; follow up; human; hypertension; hysterectomy; incidence; injury severity; major clinical study; obesity; skull fracture; social status; subarachnoid hemorrhage; subdural hematoma; traumatic brain injury; urine incontinence; Adult; Age Factors; Aged; Brain Injuries; Databases, Factual; Female; Follow-Up Studies; Geography; Humans; Income; International Classification of Diseases; Middle Aged; National Health Programs; Proportional Hazards Models; Registries; Risk; Risk Factors; Taiwan; Urban Population; Urinary Incontinence; Young Adult |
顯示於: | 醫學系 |
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