Urinary Disorders in Subacute Patients After Stroke (UIMK)

University Rehabilitation Institute, Republic of Slovenia

Status: Enrolling

Conditions: Stroke Hemorrhagic; Stroke, Ischemic; Urinary Incontinence

Treatments: Behavioral: Immediate urination; Behavioral: Bladder diary

Study type: Observational

Funder types: Other

Identifiers

NCT04078373

URIS201901

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 250 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• subacute patients after ischaemic or hemorrhagic stroke;
• direct transfer from acute hospital to complex inpatient rehabilitation at our Institute.

Exclusion criteria

• incontinence before stroke;
• previous brain injury or other brain disease;
• previous bladder or prostate surgery;
• inability to ambulate before stroke;
• terminal disease with expected survival less than three months.

Trial design

250 participants in 2 patient groups

Without urinary disorders

Description:

Subacute stroke patients without urinary disorders

With urinary disorders

Description:

Subacute stroke patients with urinary disorders

Treatment:

Behavioral: Bladder diary

Behavioral: Immediate urination