Akademik Veri Yönetim Sistemi
EUROPEAN GERIATRIC MEDICINE, cilt.5, ss.245-246, 2014 (SCI-Expanded, Scopus)
Prevalence of fecal incontinence in the elderly outpatient clinic M. Yuruyen1, N. Demir1, H. Yavuzer2, N. Ozgur Yurttas2, S. Sahin1, Z. Tas1, A. Doventas2, D.S. Erdincler2, T. Beger1 1Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey; 2Department of Geriatrics, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey Introduction: Fecal incontinence (FI) significantly impairs the quality of life in elderly. we aimed to evaluate the prevalence of FI and its associated risk factors in the outpatient clinic. Methods: This study is a cross-sectional study. Patients aged over 60 years who admitted to our geriatric outpatient clinic between October 2013-January 2014 were enrolled. Demographic characteristics, anthropometric measurements, marital and educational status, FI, urinary incontinence (UI), constipation, comorbid diseases, medications and history of abdominal operations, birth status were questioned. Fecal Incontinence Severity Index (FISI) was used for the evaluation of FI. Data were analyzed with Student’s T test, Chi-square tests. Odds Ratio (OR) was used for risk assessment of FI. Results: 183 female (71.8%) and 72 male (28.2%) were enrolled to the study. The mean age was 74.4±8 years. Comorbid diseases and number of medications were detected as 3.09±1.5, 3.63±2 respectively. FI prevalence was 7.1%. UI and constipation were 44.3% and 30.2% respectively. Demographic characteristics of the patients and the evaluation of FI by FISI were shown in Table 1. We observed that the higher mean age, male sex, presence of hypertension and UI were risk factors of FI significantly. Although concomitant diseases such as diabetes mellitus, depression, chronic diarrhea, dementia, Parkinson’s disease and the previous abdominal operations were higher risk factors for FI; it was not statistically significant. Conclusions: Urinary incontinence, male gender, age and hypertension increases the risk of FI in the elderly patients. FI should be evaluated by FISI in the elderly outpatient clinics.