Urinary Disorders in Subacute Patients After Stroke
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Immediate urination, Bladder diary.
- Who it may be relevant to
- Registry conditions: Stroke, Ischemic, Stroke Hemorrhagic, Urinary Incontinence. Basic parameters: No limits · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Slovenia
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Assessment and Treatment of Urinary Disorders in Patients in the Subacute Phase After Stroke
Overview
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.
Detailed 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.
Interventions
- Behavioral Immediate urination
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. - Behavioral Bladder diary
Patients with normal cognitive abilities will be instructed to go to the toilet every 2-3 hours regardless of the urge to urinate
Primary outcome measures
- Degree of urinary continence [Time frame: Through study completion, for an average of 6 weeks]
Secondary outcome measures (1)
- Presence of urinary-disorders-related complications [Time frame: Through study completion, for an average of 6 weeks]
Eligibility criteria
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Case-control
Study locations
Slovenia · 1 center
- University Rehabilitation Institute, Republic of Slovenia — Ljubljana
Identifiers
NCT: NCT04078373 · URIS201901