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    The prevalence and risk factors for urinary incontinence among inpatients, a multicenter study from Turkey
    (Elsevier, 2020) Savaş, Sumru; Saka, Bülent; Akın, Sibel; Taşçı, İlker; Tosun Tasar, Pınar; Tufan, Aslı; Yavuzer, Hakan; Balcı, Cafer; Kayhan Koçak, Fatma Özge; Öztürk, Zeynel Abidin; Varlı, Murat; Erdinçler, Deniz Suna; Karan, Mehmet Akif; Esme, Murat; Cankurtaran, Mustafa; Fırat Özer, Firuzan; Atlı, Teslime; Akçiçek,Fehmi
    Objective: To determine the prevalence and the factors associated with urinary incontinence (UI) among inpatients in Turkey. Method: The population of this study comprised of patients screened by the "National Prevalence Measurement of Quality of Care (LPZ)" study in 2017 and 2018. Age, gender, comorbidities, length of hospital stay, sedative medications, SARC-F score, anthropometric measurements, and care parameters such as malnutrition, falls, UI-fecal incontinence (FI), restraints, and care dependency score (CDS) were noted. The LPZ questionnaire was performed by trained researchers, and multiple logistic regression analysis was performed to determine the factors associated with UI. Results: The prevalence of UI was 29.4 % among 1176 inpatients, and 41.6 % in patients ?65 years. Urinary incontinence was associated with older age (OR, 1.966, 95 % CI 1.330-2.905), female sex (OR, 2.055, 95 % CI 1.393-3.030), CDS (OR, 3.236, 95 % CI 2.080-5.035), the number of comorbidities (OR, 1.312, 95 % CI 1.106-1.556), end-of life management (OR, 3.156, 95 % CI 1.412-7.052), sedative medications (OR, 1.981, 95 % CI 1.230-3.191), and FI (OR, 12.533, 95 % CI 4.892-32.112) in all adults, where CDS (OR, 2.589, 95% CI 1.458-4.599), end-of life management (OR, 2.851, 95 % CI 1.095-7.424), sedative medications (OR, 2.529, 95 % CI 1.406-4.548), and FI (OR, 13.138, 95 % CI 4.352-39.661) were associated with UI among geriatric patients. Conclusions: The factors associated with UI in geriatric and all adult inpatients are CDS, sedative medications, end-of life management, and FI plus older age, female sex, and comorbidities for the latter. The factors associated with UI vary in different age groups.
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    The prevalence and risk factors for urinary incontinence among inpatients, a multicenter study from Turkey
    (ScienceDirect, 2020) Savas, Sumru; Saka, Bulent; Akin, Sibel; Tasci, Ilker; Tasar, Pinar Tosun; Tufan, Aslı; Yavuzer, Hakan; Balci, Cafer; Sezgin, Gulbuz; Karan, Mehmet Akif; Kocak, Fatma Ozge Kayhan; Ozturk, Zeynel Abidin; Varli, Murat; Erdincler, Deniz Suna; Esme, Mert; Nalbant, Selim; Cankurtaran, Mustafa; Ozer, Firuzan Firat; Atli, Teslime; Akcicek, Fehmi
    Objective: To determine the prevalence and the factors associated with urinary incontinence (UI) among inpatients in Turkey. Method: The population of this study comprised of patients screened by the National Prevalence Measurement of Quality of Care (LPZ) study in 2017 and 2018. Age, gender, comorbidities, length of hospital stay, sedative medications, SARC-F score, anthropometric measurements, and care parameters such as malnutrition, falls, UI-fecal incontinence (FI), restraints, and care dependency score (CDS) were noted. The LPZ questionnaire was performed by trained researchers, and multiple logistic regression analysis was performed to determine the factors associated with UI. Results: The prevalence of UI was 29.4 % among 1176 inpatients, and 41.6 % in patients >= 65 years. Urinary incontinence was associated with older age (OR, 1.966, 95 % CI 1.330-2.905), female sex (OR, 2.055, 95 % CI 1.393-3.030), CDS (OR, 3.236, 95 % CI 2.080-5.035), the number of comorbidities (OR, 1.312, 95 % CI 1.106-1.556), end-of life management (OR, 3.156, 95 % CI 1.412-7.052), sedative medications (OR, 1.981, 95 % CI 1.230-3.191), and FI (OR, 12.533, 95 % CI 4.892-32.112) in all adults, where CDS (OR, 2.589, 95% CI 1.458-4.599), end-of life management (OR, 2.851, 95 % CI 1.095-7.424), sedative medications (OR, 2.529, 95 % CI 1.406-4.548), and FI (OR, 13.138, 95 % CI 4.352-39.661) were associated with UI among geriatric patients. Conclusions: The factors associated with UI in geriatric and all adult inpatients are CDS, sedative medications, end-of life management, and FI plus older age, female sex, and comorbidities for the latter. The factors associated with UI vary in different age groups.
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    Prevalence of care problems in older adults in Turkish hospitals
    (Turkish Academic Geriatrics Society, 2021) Soysal, Tuba; Akın, Sibel; Taşçı, İlker; Tosun Tasar, Pınar; Savaş, Sumru; Tufan Çinçin, Aslı; Yavuzer, Hakan; Erdinçler, Deniz Suna; Balcı, Cafer; Eşme, Mert; Öztürk, Zeynel Abidin; Varlı, Murat; Karan, Mehmet Akif; Saka, Bülent
    Objective: Malnutrition, pressure ulcers, falls, pain, and restraints are important quality of care indicators in healthcare settings. The Landelijke Prevalentiemeting Zorgkwaliteit-National Care Indicators Prevalence Study is an annual international multicenter cross-sectional prevalence measurement of care problems in the institution, department, and patient-level across Europe. This study aimed to measure the prevalence of care problems among older adults in Turkish hospitals. Materials and Methods: A multicenter, cross-sectional study was performed using a standardized and tested questionnaire. Data were collected from older adult patients (65 years and over) in the hospitals. The study was conducted in 12 centers from 6 big cities of the country in November 2017 and 2018. Results: Data from 12 Turkish hospitals were collected in 2017 and 2018. In 2017, pressure ulcer prevalence was 6.4%, malnutrition risk was 30.2%, falls was 9.1%, pain was 53%, and restraint was 22.1%. The prevalence of malnutrition risk, falls, and restraints increased to 32.1%, 10.8%, and 31.1% in 2018, respectively. Completely care-dependent patients’ rate in 2017 and 2018 was 17.4% and 12.8%, respectively. Protocol/guideline usage for pressure ulcers, malnutrition, and falls were 100%, which were 68.6% and 16.9% for pain and restraints, respectively. The main interventions for pressure ulcer prevention or treatment are pressure-relieving support surfaces and hydration or nutrition; for malnutrition are referral to a dietician and oral nutritional supplements; and for falls are patients or relative education, drug lists evaluation, bedside mattress utilization, and pharmacological pain treatments. Conclusion: Annual measurement of risk or prevalence, preventive measures, and treatment interventions of geriatric syndromes will provide better care plans for older adults.
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    Risk of sarcopenia in hospitalized patients and related clinical factors: a multicenter study from Turkey
    (Springer, 2021) Fırat Özer, Firuzan; Akin, Sibel; Tasci, Ilker; Tasar, Pınar Tosun; Savas, Sumru; Cincin, Asli Tufan; Yavuzer, Hakan
    Key summary points Aim To evaluate sarcopenia risk in hospitalized older patients. Findings The percentage of patients at risk of sarcopenia defined by the SARC-F was 48.8%. Sarcopenia risk was associated with unfavorable health care outcomes including dependency, malnutrition, and dysphagia. Message Sarcopenia risk is related with unfavorable outcomes in hospitalized patients and it is important to recognize sarcopenia at an early stage and to prevent its progression, before dependency develops. Purpose To investigate the risk of sarcopenia in hospitalized older patients and to assess the associations between sarcopenia risk and health care outcomes including dependency, malnutrition, and dysphagia. Methods This multicenter cross-sectional study was a part of the annual National Prevalence Measurement of Quality of Care (LPZ) in Turkey. Hospitalized patients age 65 and older were included in the study. The SARC-F was used to assess risk of sarcopenia. Dependency was appraised according to the Care Dependency Scale (CDS). Nutritional status was established with respect to the Malnutrition Universal Screening Tool (MUST). Dysphagia was screened by two structured questions. Results A total of 492 patients were included in the analysis. Two hundred and forty patients (48.8%) were at risk of sarcopenia. Sarcopenia risk was more prevalent among women (p = 0.007) and patients with risk of sarcopenia were older (p < 0.001). Hospital stay was longer and malnutrition and dysphagia were more prevalent in patients with sarcopenia risk than without (all p < 0.001). All nutritional interventions were applied mostly to patients with sarcopenia risk than without. In multivariate analysis, advanced age (OR: 1.068, CI 1.032-1.104, p < 0.001), female gender (OR: 2.414, CI 1.510-3.857, p < 0.001), and dependency (OR: 5.022, CI 2.922-8.632, p < 0.001) were independently associated with sarcopenia risk. Conclusions Sarcopenia risk is related with unfavorable outcomes in hospitalized patients. Primarily older female patients are at risk for sarcopenia. It is important to recognize sarcopenia at an early stage and to prevent its progression, before dependency develops. The SARC-F may be a useful tool for screening sarcopenia risk in hospitalized patients.