Base de dados : MEDLINE
Pesquisa : E07.325.068 [Categoria DeCS]
Referências encontradas : 102 [refinar]
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[PMID]:28549048
[Au] Autor:Francis K; Pang SM; Cohen B; Salter H; Homel P
[Ad] Endereço:Kathleen Francis, DNP, FNP-BC, CWOCN, Maimonides Medical Center, Brooklyn, New York. Sau Man Pang, MSN, RN, CWOCN, Maimonides Medical Center, Brooklyn, New York. Brenda Cohen, MS, CNS, CWOCN, Maimonides Medical Center, Brooklyn, New York. Helene Salter, BS, RN, CWON, Maimonides Medical Center, Brooklyn, New York. Peter Homel, PhD, Department of Medicine, Albert Einstein College of Medicine, Bronx, New York.
[Ti] Título:Disposable Versus Reusable Absorbent Underpads for Prevention of Hospital-Acquired Incontinence-Associated Dermatitis and Pressure Injuries.
[So] Source:J Wound Ostomy Continence Nurs;44(4):374-379, 2017 Jul/Aug.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The primary purpose of our study was to determine if there is a difference in the occurrence of hospital-acquired pressure injuries (HAPIs) and incontinence-associated dermatitis (IAD) in incontinent adults using a disposable versus reusable absorptive underpads. We also compared hospital length of stay in the 2 groups. DESIGN: Randomized controlled trial using cluster randomization based on inpatient care unit. SUBJECTS AND SETTING: Four hundred sixty-two patients admitted to 4 medical-surgical study units participated in the study; 252 used reusable underpads (control group) and 210 subjects used disposable underpads (intervention group). The study setting was a 711-bed acute care hospital located in Brooklyn, New York. METHODS: Two units were randomly allocated to use disposable incontinence pads, and the remaining 2 units used standard, reusable incontinence pads. Data for PI and IAD occurrences were collected weekly by specially trained RNs (skin care champions) on the assigned units. A 2-level hierarchical linear model was used to analyze the effects of the intervention on primary and secondary outcomes separately from any effects of the unit of randomization. RESULTS: HAPIs were significantly lower in the disposable underpads group: 5% versus 12% (P = .02). Rates of hospital IAD were not significantly different between the groups (P = .22). Analysis of a secondary outcome, hospital length of stay, was also lower in patients who used disposable underpads (6 days vs 8 days; P = .02). CONCLUSIONS: Findings suggest that use of disposable incontinence pads reduces HAPI but not IAD occurrences. The effect of disposable, absorbent incontinence pads should be considered when initiating a hospital-wide skin and PI prevention and treatment plan.
[Mh] Termos MeSH primário: Absorventes Higiênicos/normas
Dermatite/prevenção & controle
Tampões Absorventes para a Incontinência Urinária/normas
Lesão por Pressão/prevenção & controle
[Mh] Termos MeSH secundário: Absorventes Higiênicos/estatística & dados numéricos
Idoso
Idoso de 80 Anos ou mais
Dermatite/etiologia
Feminino
Seres Humanos
Doença Iatrogênica/prevenção & controle
Tampões Absorventes para a Incontinência Urinária/estatística & dados numéricos
Masculino
Meia-Idade
Cidade de Nova Iorque
Lesão por Pressão/etiologia
Estatísticas não Paramétricas
Incontinência Urinária/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170527
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000337


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[PMID]:28379098
[Au] Autor:Whitehead F; Giampieri S; Graham T; Grocott P
[Ad] Endereço:Postgraduate Student Diploma in Adult Nursing, King's College London, Florence Nightingale Faculty of Nursing and Midwifery, 57 Waterloo Road, London, SE1 8WA, UK.
[Ti] Título:Identifying, managing and preventing skin maceration: a rapid review of the clinical evidence.
[So] Source:J Wound Care;26(4):159-165, 2017 Apr 02.
[Is] ISSN:0969-0700
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To identify the clinical empirical evidence for identifying, managing and preventing skin maceration in human subjects. METHOD: A rapid review of the current literature was undertaken between 5 September and 19 September 2016 using the electronic databases CINAHL, MEDLINE, PUBMED and Cochrane, with the key words: skin macerat*, wound macerat*, moisture associated skin damage, wound exudate and hyper-hydration of skin, Results: Of 526 papers found using an electronic database search, four were identified as fitting the search parameters, and a further two were retrieved from a manual search of reference lists. There were three themes that emerged: how to identify and measure maceration, how to manage and reduce maceration once it has already occurred, and how to prevent skin maceration. Hyper-hydration can reach greater skin depths than previously thought, thus engendering more extensive damage potential, which in turn can impact on treatments and healing time. Realistically, the deeper the hyper-hydration issue, the more extensive the damage and it will take longer to recover-a problem compounded if the hyper-hydration is due to incontinence and skin is also exposed to urine and/or faeces. In relation to wound management, the authors advocate the removal of moisture away from the wound or skin, either through superabsorbent dressings, or by allowing the excess moisture to evaporate through semi-permeable dressings to reduce maceration, enhance patient comfort and encourage healing. However, we found no evidence regarding the limits of hydration of the dermis and epidermis and thereby the optimal conditions for managing exuding wounds and promoting skin health. Each of the six papers in this review calls for further research to help identify, treat and prevent maceration. CONCLUSION: Maceration causes patients' discomfort and pain as well as prolonging healing time and deserves more focused research. This rapid review highlights how limited the clinical empirical research is on identifying and managing skin maceration from an early stage so that health professionals may be better equipped to prevent it. Further clinical research is also needed to determine when levels of hydration in the skin become damaging. The small number of studies within this review show that skin maceration can be avoided, but clearer guidance is needed.
[Mh] Termos MeSH primário: Higiene da Pele
Dermatopatias/prevenção & controle
Ferimentos e Lesões/prevenção & controle
[Mh] Termos MeSH secundário: Absorventes Higiênicos
Bandagens
Prática Clínica Baseada em Evidências
Seres Humanos
Dermatopatias/etiologia
Dermatopatias/terapia
Incontinência Urinária/complicações
Ferimentos e Lesões/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE
[do] DOI:10.12968/jowc.2017.26.4.159


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[PMID]:28328644
[Au] Autor:Hall G; Alenljung S; Forsgren-Brusk U
[Ad] Endereço:Gunnar Hall, PhD, Sensory and Flavor Science, SP Technical Research Institute of Sweden, Food and Bioscience, Gothenburg, Sweden. Susanne Alenljung, MSc, Hygiene and Odor, SCA Hygiene Products AB, Gothenburg, Sweden. Ulla Forsgren-Brusk, MSc, Hygiene and Odor, SCA Hygiene Products AB, Gothenburg, Sweden.
[Ti] Título:Identification of Key Odorants in Used Disposable Absorbent Incontinence Products.
[So] Source:J Wound Ostomy Continence Nurs;44(3):269-276, 2017 May/Jun.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to identify key odorants in used disposable absorbent incontinence products. DESIGN: Descriptive in vitro study SUBJECTS AND SETTING:: Samples of used incontinence products were collected from 8 residents with urinary incontinence living in geriatric nursing homes in the Gothenburg area of Sweden. Products were chosen from a larger set of products that had previously been characterized by descriptive odor analysis. METHODS: Pieces of the used incontinence products were cut from the wet area, placed in glass bottles, and kept frozen until dynamic headspace sampling of volatile compounds was completed. Gas chromatography-olfactometry was used to identify which compounds contributed most to the odors in the samples. Compounds were identified by gas chromatography-mass spectrometry. RESULTS: Twenty-eight volatiles were found to be key odorants in the used incontinence products. Twenty-six were successfully identified. They belonged to the following classes of chemical compounds: aldehydes (6); amines (1); aromatics (3); isothiocyanates (1); heterocyclics (2); ketones (6); sulfur compounds (6); and terpenes (1). CONCLUSION: Nine of the 28 key odorants were considered to be of particular importance to the odor of the used incontinence products: 3-methylbutanal, trimethylamine, cresol, guaiacol, 4,5-dimethylthiazole-S-oxide, diacetyl, dimethyl trisulfide, 5-methylthio-4-penten-2-ol, and an unidentified compound.
[Mh] Termos MeSH primário: Tampões Absorventes para a Incontinência Urinária/normas
Odorantes/análise
Urina/química
[Mh] Termos MeSH secundário: Absorventes Higiênicos/efeitos adversos
Absorventes Higiênicos/normas
Idoso
Idoso de 80 Anos ou mais
Cromatografia Gasosa/métodos
Cromatografia Gasosa/estatística & dados numéricos
Feminino
Seres Humanos
Tampões Absorventes para a Incontinência Urinária/efeitos adversos
Masculino
Meia-Idade
Olfatometria/métodos
Olfatometria/estatística & dados numéricos
Suécia
Incontinência Urinária/enfermagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170323
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000325


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[PMID]:27749743
[Au] Autor:Forsgren-Brusk U; Yhlen B; Blomqvist M; Larsson P
[Ad] Endereço:Ulla Forsgren-Brusk, MSc, SCA Hygiene Products AB, Gothenburg, Sweden. Birgitta Yhlen, BSc, SCA Hygiene Products AB, Gothenburg, Sweden. Marie Blomqvist, BSc, SP Technical Research Institute, Food and Bioscience, Gothenburg, Sweden. Peter Larsson, MD, PhD, Department of Infectious Diseases, Institute of Biomedicine, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.
[Ti] Título:Method for Bacterial Growth and Ammonia Production and Effect of Inhibitory Substances in Disposable Absorbent Hygiene Products.
[So] Source:J Wound Ostomy Continence Nurs;44(1):78-83, 2017 Jan/Feb.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to evaluate a pragmatic laboratory method to provide a technique for developing incontinence products better able to reduce malodor when used in the clinical setting. METHODS: Bacterial growth and bacterially formed ammonia in disposable absorbent incontinence products was measured by adding synthetic urine inoculated with bacteria to test samples cut from the crotch area of the product. The inhibitory effect's of low pH (4.5 and 4.9) and 3 antimicrobial substances-chlorhexidine, polyhexamethylene biguanide (PHMB), and thymol-at 2 concentrations each, were studied. RESULTS: From the initial inocula of 3.3 log colony-forming units per milliliter (cfu/mL) at baseline, the bacterial growth of the references increased to 5.0 to 6.0 log cfu/mL at 6 hours for Escherichia coli, Proteus mirabilis, and Enterococcus faecalis. At 12 hours there was a further increase to 7.0 to 8.9 log cfu/mL. Adjusting the pH of the superabsorbent in the incontinence product from 6.0 to pH 4.5 and pH 4.9 significantly (P < .05) inhibited the bacterial growth rates, in most cases, both at 6 and 12 hours. The effect was most pronounced at pH 4.5. Chlorhexidine had significant (P < .05) inhibitory effect on E. coli and E. faecalis, and at 12 hours also on P. mirabilis. For PHMB and thymol the results varied. At 6 hours, the ammonia concentration in the references (pH 6.0) was 200 to 300 ppm and it was 1500 to 1600 ppm at 8 hours. At pH 4.5, no or little ammonia production was measured at 6 and 8 hours. At pH 4.9, there was a significant reduction (P < .01). Chlorhexidine and PHMB exerted a significant (P < .01 or P < .001) inhibitory effect on ammonia production at both concentrations and at 6 and 8 hours. Thymol 0.003% and 0.03% showed inhibitory effect at both 6 hours (P < .01 or P < .001) and at 8 hours (P < .05 or P < .001). CONCLUSION: The method described in this study can be used to compare the ability of various disposable absorbent products to inhibit bacterial growth and ammonia production. This technique, we describe, provides a pragmatic method for assessing the odor-inhibiting capacity of specific incontinence products.
[Mh] Termos MeSH primário: Absorventes Higiênicos/normas
Amônia/metabolismo
Bactérias/crescimento & desenvolvimento
Odorantes/prevenção & controle
Incontinência Urinária/terapia
[Mh] Termos MeSH secundário: Absorventes Higiênicos/microbiologia
Amônia/análise
Anti-Infecciosos/farmacologia
Anti-Infecciosos/uso terapêutico
Bactérias/efeitos dos fármacos
Clorexidina/farmacologia
Clorexidina/uso terapêutico
Escherichia coli/crescimento & desenvolvimento
Escherichia coli/patogenicidade
Seres Humanos
Higiene/normas
Proteus mirabilis/crescimento & desenvolvimento
Proteus mirabilis/patogenicidade
Timol/farmacologia
Timol/uso terapêutico
Urina/microbiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Infective Agents); 3J50XA376E (Thymol); 7664-41-7 (Ammonia); R4KO0DY52L (Chlorhexidine)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161018
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000275


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[PMID]:28268337
[Au] Autor:Yu W; Seo W; Tan T; Jung B; Ziaie B
[Ti] Título:A diaper-embedded disposable nitrite sensor with integrated on-board urine-activated battery for UTI screening.
[So] Source:Conf Proc IEEE Eng Med Biol Soc;2016:303-306, 2016 08.
[Is] ISSN:1557-170X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This paper reports a low-cost solution to the early detection of urinary nitrite, a common surrogate for urinary tract infection (UTI). We present a facile method to fabricate a disposable and flexible colorimetric [1] nitrite sensor and its urine-activated power source [2] on a hydrophobic (wax) paper through laser-assisted patterning and lamination. Such device, integrated with interface circuitry and a Bluetooth low energy (BLE) module can be embedded onto a diaper, and transmit semi-quantitative UTI monitoring information in a point-of-care and autonomous fashion. The proposed nitrite sensing platform achieves a sensitivity of 1.35 ms/(mg/L) and a detection limit of 4 mg/L.
[Mh] Termos MeSH primário: Absorventes Higiênicos
Técnicas Biossensoriais/métodos
Fontes de Energia Elétrica
Programas de Rastreamento
Nitritos/análise
Urinálise/métodos
Infecções Urinárias/diagnóstico
Infecções Urinárias/urina
[Mh] Termos MeSH secundário: Calibragem
Colorimetria
Eletricidade
Seres Humanos
Sistemas Automatizados de Assistência Junto ao Leito
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Nm] Nome de substância:
0 (Nitrites)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.1109/EMBC.2016.7590700


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[PMID]:27820589
[Au] Autor:McCarthy KD; Donovan RM
[Ad] Endereço:Kimberly D. McCarthy, BSN, RN, CWON, School of Nursing, University of Mississippi, Medical Center, Jackson, Mississippi and Molnlycke Health Care, LLC. Rachel M. Donovan, BSN, RN, CWOCN, St. Tammany Parish Hospital, 1202 S Tyler St, Covington, Louisiana.
[Ti] Título:Management of a Patient With Toxic Epidermal Necrolysis Using Silicone Transfer Foam Dressings and a Secondary Absorbent Dressing.
[So] Source:J Wound Ostomy Continence Nurs;43(6):650-651, 2016 Nov/Dec.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Toxic epidermal necrolysis (TEN) is an exfoliative disorder of the skin usually caused by a drug reaction. The primary goal of wound care for patients with TEN is prevention of further mechanical trauma to the skin, along with management of wound infection. CASE: A 77-year-old woman with TEN was successfully managed with a perforated silver soft contact foam and a superabsorbent outer layer. Topical therapy combined nanoparticle silver for management of wound infection and minimized trauma to the skin as only the outer layer needed to be changed. CONCLUSION: The silicone foam dressing with silver sulfate epithelialization and reduced pain and trauma associated with dressing changes.
[Mh] Termos MeSH primário: Absorventes Higiênicos/normas
Síndrome de Stevens-Johnson/terapia
[Mh] Termos MeSH secundário: Idoso
Bandagens/normas
Feminino
Seres Humanos
Silicones/administração & dosagem
Silicones/uso terapêutico
Compostos de Prata/farmacologia
Compostos de Prata/uso terapêutico
Cicatrização
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Silicones); 0 (Silver Compounds)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161108
[St] Status:MEDLINE


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[PMID]:27523657
[Au] Autor:Browning P; White RJ; Rowell T
[Ad] Endereço:University of Worcester.
[Ti] Título:Comparative evaluation of the functional properties of superabsorbent dressings and their effect on exudate management.
[So] Source:J Wound Care;25(8):452-62, 2016 Aug.
[Is] ISSN:0969-0700
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A range of wound dressings currently available in the UK and elsewhere, each claiming to possess different performance characteristics, can make dressing selection difficult. This report concentrates on the superabsorbent polymer dressings (SAPs) - which are designed to absorb medium to high levels of exudate and to maintain an 'ideal moist wound healing environment'. What do these dressings achieve, what are they suitable/not suitable for, and are all super-absorbent dressings equal in terms of performance and quality? When assessing the key performance characteristics of absorbency, moisture vapour transmission rate (MVTR), strikethrough and structural integrity, results show that SAPs are not all the same-in fact each of them varies considerably and may lend themselves to different wound aetiologies and usage conditions. While performance data is often presented from non-standard tests or modifications, it is proposed that to provide clarity over dressing selection, all SAPs were measured using International Standards for the key performance characteristics. This will aid clinical staff in selecting the most appropriate dressing for each wound.
[Mh] Termos MeSH primário: Bandagens/normas
Exsudatos e Transudatos/fisiologia
Cicatrização/fisiologia
Ferimentos e Lesões/terapia
[Mh] Termos MeSH secundário: Absorventes Higiênicos
Estudos de Avaliação como Assunto
Seres Humanos
Reino Unido
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170107
[Lr] Data última revisão:
170107
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160816
[St] Status:MEDLINE
[do] DOI:10.12968/jowc.2016.25.8.452


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[PMID]:27400003
[Au] Autor:Mor A; Haberman S; Kalgi B; Minkoff H
[Ad] Endereço:Department of Obstetrics and Gynecology and Genesis Fertility and Reproductive Medicine, Maimonides Medical Center, Brooklyn, New York.
[Ti] Título:A Sanitary Pad for Self-Assessment of Rupture of Membranes.
[So] Source:Obstet Gynecol;128(2):331-6, 2016 Aug.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Multistep immunoassay kits for the diagnosis of rupture of membranes are relatively complex and are not designed to be used by pregnant women themselves. These kits require procedural steps of specimen extraction and preparation. We evaluated the ability of a sanitary pad containing a qualitative immunoassay for alpha-fetoprotein (AFP) to serve as a one-step self-test to detect amniotic fluid leakage. TECHNIQUE: Four sets of pads were evaluated. The pads in the study set were worn by 288 pregnant women with confirmed rupture of membranes. Three controls were evaluated: 1) pads worn by 93 pregnant women with intact membranes, 2) additional pads instilled with urine specimens obtained from the 381 women described previously (study set plus control set 1), and 3) pads instilled with semen collected from 40 men. EXPERIENCE: All 288 pads that absorbed amniotic fluid had positive results. Approximately half of the pads absorbed with normal vaginal discharge had a sufficient amount to yield valid results, which were all negative. All 381 pads with instilled urine and all 40 pads with instilled semen had negative results. CONCLUSION: An immunoassay for AFP, embedded in a pad, appears to be a feasible and reproducible self-test for the detection of rupture of membranes.
[Mh] Termos MeSH primário: Absorventes Higiênicos
Autoavaliação Diagnóstica
Membranas Extraembrionárias
Trabalho de Parto
alfa-Fetoproteínas/análise
[Mh] Termos MeSH secundário: Líquido Amniótico/química
Estudos de Viabilidade
Feminino
Seres Humanos
Imunoensaio
Valor Preditivo dos Testes
Gravidez
Reprodutibilidade dos Testes
Ruptura Espontânea/diagnóstico
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (alpha-Fetoproteins)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170608
[Lr] Data última revisão:
170608
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160712
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000001515


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[PMID]:27196686
[Au] Autor:Howlett M; Gibson W; Hunter KF; Chambers T; Wagg A
[Ad] Endereço:Megan Howlett, BSc, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada. William Gibson, MD, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada. Kathleen F. Hunter, PhD, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; and Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada. Thane Chambers, MLIS, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada. Adrian Wagg, MD, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
[Ti] Título:Nocturnal Enuresis in Older People: Where Is the Evidence and What Are the Gaps?
[So] Source:J Wound Ostomy Continence Nurs;43(4):401-6, 2016 Jul-Aug.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:While there is extensive literature regarding nocturnal enuresis in children and young adults, relatively little research explores this problem in older people. This scoping review sought to identify knowledge gaps and provide research direction specifically for older, institutionalized adults with nocturnal enuresis. A comprehensive search of 8 electronic databases and the gray literature was undertaken. Studies focusing on the causes, symptoms, and treatment of nocturnal enuresis in older people were retrieved. A broad search strategy including all adults was employed in order to capture all relevant publications. Articles were then excluded by title and abstract such that only those relevant to the older adult and institutionalized populations remained. Relevant articles were identified by title and language. Further reading of the abstract allowed inclusion and a final full reading of the articles allowed all authors to map research activity and identify knowledge gaps. After duplicates and nonrelevant articles were eliminated, we identified 7 articles on nursing home residents and 2 involving older people living in psychiatric institutions. Published literature focused on causes and treatment with either desmopressin or aversive behavioral therapy. No study included a comprehensive continence assessment or controlled for comorbid conditions. Identified gray literature focused on general continence information for the public and nonspecialist clinicians. We conclude that there is a dearth of evidence relevant to this troublesome condition. Gaps in the evidence base include a lack of standardized terminology and limited research focusing on the epidemiology, pathophysiology, and treatment of nocturnal enuresis, all of which suggest a rich research agenda for future investigation.
[Mh] Termos MeSH primário: Prática Clínica Baseada em Evidências/normas
Enurese Noturna/terapia
[Mh] Termos MeSH secundário: Absorventes Higiênicos
Idoso
Idoso de 80 Anos ou mais
Arginina Vasopressina/farmacologia
Arginina Vasopressina/uso terapêutico
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
113-79-1 (Arginine Vasopressin)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160520
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000234


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[PMID]:26927242
[Au] Autor:Sun MJ; Sun R; Tseng SH
[Ad] Endereço:Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan; Center for Urinary Incontinence and Voiding Dysfunction, Changhua Christian Hospital, Changhua, Taiwan; General Education Center, Chien Kuo Technology University, Changhua, Taiwan. Electronic address: 13212@cch.org.tw.
[Ti] Título:Is single incision midurethral sling effective in patients with low maximal urethral closure pressure?
[So] Source:Taiwan J Obstet Gynecol;55(1):20-5, 2016 Feb.
[Is] ISSN:1875-6263
[Cp] País de publicação:China (Republic : 1949- )
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To ascertain whether low preoperational maximal urethral closure pressure (MUCP) affects the outcomes of single incision sling (SIS) procedures and changes MUCP values postsurgery. MATERIAL AND METHODS: There were 112 (MUCP ≥ 40 cmH2O, n = 88; MUCP < 40 cmH2O, n = 24) consecutive women with urodynamic stress incontinence who had undergone SIS (MiniArc) procedures included in this study. The threshold of 40 cmH2O was used since it has been shown to be a significant risk factor for failed incontinence surgery. Clinical outcomes were assessed by the cough stress test, the 1-hour pad test, the Incontinence Impact Questionnaire-Short Form, the Urogenital Distress Inventory six-item questionnaire, the Sexual Questionnaire-SF, and postoperative changes in the urodynamic parameters. A comparison of the 1-year follow-up data is presented. RESULTS: Three months postsurgery, a significant decrease was observed in the 1-hour pad test, from 20.6 g preoperatively to 0.73 g postoperatively (p < 0.001). The objective cure rate was 82.1% without any significant differences between the two groups (p = 0.202). At 3 months and 1 year after surgery, significantly decreasing Urogenital Distress Inventory six-item questionnaire and Incontinence Impact Questionnaire-Short Form, and increasing Sexual Questionnaire-SF scores were observed in both groups, without any significant differences between the two groups. No statistically significant difference in the subjective cured rate was noted between the two groups at the 3-month and 18.4 month follow-ups. The postoperative MUCP was significantly decreased in the MUCP ≥ 40 group (p < 0.05) while significantly increased in the MUCP < 40 group (p = 0.006). CONCLUSIONS: These results suggest that SIS is a safe and highly effective treatment for urodynamic stress incontinence even in women with low MUCP at a mean follow-up of 18.4 months. Evaluation of the outcomes with more subjects after a longer follow-up period is necessary.
[Mh] Termos MeSH primário: Slings Suburetrais
Uretra/fisiopatologia
Incontinência Urinária por Estresse/fisiopatologia
Incontinência Urinária por Estresse/cirurgia
[Mh] Termos MeSH secundário: Absorventes Higiênicos/utilização
Adulto
Idoso
Feminino
Seguimentos
Seres Humanos
Meia-Idade
Estudos Retrospectivos
Inquéritos e Questionários
Resultado do Tratamento
Urodinâmica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170110
[Lr] Data última revisão:
170110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160302
[St] Status:MEDLINE



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