Clinical trial NCT03828968: Chronic Urinary Retention in Elderly Living in Homes for the Aged : Benefits of Bladder Scan Screening
Official title: Chronic Urinary Retention in Elderly Living in Homes for the Aged : Benefits of Bladder Scan Screening
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Urinary Retention
Keywords: urinary retention
chronic disease
aged
homes for the aged
Lead sponsor: Rennes University Hospital
Sponsor class: OTHER
First posted: 2019-02-04
Enrollment: 130
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: The goal of this cross-sectional, multicentric and descriptive epidemiological study is to assess the prevalence of chronic urinary retention (CUR) in elderly living in residential care for dependent elderly people in order to determine if there is an interest in offering them a bladder scan screening.

Detailed description: The main goal of this study is to assess the prevalence of CUR in elderly living in homes for the aged, the secondary ones are to evaluate the risk factors and complications of CUR.

We will carry out this prevalence study in 5 centres whit a draw of 40 residents per centre. Following an information and a non-opposition of the patients, we will collect datas in their medical file (age, medical history and comorbidities, current treatments, anticholinergic score according to the ADS (Anticholinergic Drug Scale), GIR score according to the AGGIR scale (Autonomie Gérontologique Groupes Iso Ressources), FAC modified score (Functional Ambulation Classification modified), MMSE score (Mini Mental State Examination), communicative capacity, notion of fall and date of last fall, knowledge of urinary incontinence, knowledge of constipation, knowledge of previous urinary screening by bladder scan and previous urological consulting, last urinalysis and its results, last analysis of creatinemia and creatinine clearance according to CKD-EPI) and we will perform up to 3 measurements of vesical volume by bladder scan.

The expected results are a prevalence of CUR between 10 and 20 % among people living in homes for the aged with more urinary tract infections, renal insufficiency and falls in the CUR group showing the interest of screening for CUR by bladder scan in elderly people living in nursing homes according to risk groups based on the risk factors found.

Eligibility criteria: Inclusion Criteria:

* Adult people
* Residents in a participating nursing home

Exclusion Criteria:

* Resident with indwelling urinary catheter or regular urinary catheterisation
* Resident or legal representative opposing participation

Primary outcomes:
measure: Chronic urinary retention
timeFrame: 4 weeks after inclusion
Secondary outcomes:
Other outcomes:
Locations:
city: Combourg
country: France
facility: EHPAD du Centre Local Hospitalier de Saint-Joseph
city: Fougères
country: France
facility: EHPAD du Centre Hospitalier de Fougères
city: Rennes
country: France
facility: EHPAD Hôtel-Dieu
city: Saint-Brice-en-Coglès
country: France
facility: EHPAD de Saint-Brice-en-Coglès
city: Saint-Georges-de-Reintembault
country: France
facility: EHPAD de Saint-Georges-de-Reintembault
Study officials:
affiliation: Rennes University Hospital
name: Thibaud HONORE, MD
role: PRINCIPAL_INVESTIGATOR
References: