This observational study will address urinary disorders in subacute stroke patients. Patients without and with urinary disorders will be compared, and treatment outcome will be assessed among the latter.
This prospective observational study will include 100 patients after first ischaemic or hemorrhagic stroke directly transferred from an acute hospital to our Institute for inpatient rehabilitation. Within admission assessment, patients will be classified according to stroke type, stroke localisation and time since stroke. Comorbidities will be recorded and associated neurological deficits will be assessed. Post mictional residue will be determined in all patients one day after admission. The patients with urinary disorders will be treated according to the published official protocol, either using the immediate urination approach or the bladder diary approach. Continence will be regularly assessed by the nursing staff. Urination-disorder-related complications (pressure ulcers, falls and urinary infections), drug therapy and the use of continence aids will also be followed.
Study Type
OBSERVATIONAL
Enrollment
250
Patients with decreased cognitive ability will be taught to immediately go to the toilet upon feeling the urge to urinate and to be independent in urinating.
Patients with normal cognitive abilities will be instructed to go to the toilet every 2-3 hours regardless of the urge to urinate
University Rehabilitation Institute, Republic of Slovenia
Ljubljana, Slovenia
RECRUITINGDegree of urinary continence
Urinary continence will be assessed daily by the nursing staff as either complete, partial or incontinence
Time frame: Through study completion, for an average of 6 weeks
Presence of urinary-disorders-related complications
Pressure ulcers, falls and urinary infections caused by urinary disorders will be recorded
Time frame: Through study completion, for an average of 6 weeks
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