Conflict of interest: none.
Original Clinical Article
Is Barthel index a relevant measure for measuring prevalence of urinary incontinence in stroke patients?†
Article first published online: 28 OCT 2011
Copyright © 2011 Wiley Periodicals, Inc.
Neurourology and Urodynamics
Volume 31, Issue 1, pages 44–49, January 2012
How to Cite
Tibaek, S. and Dehlendorff, C. (2012), Is Barthel index a relevant measure for measuring prevalence of urinary incontinence in stroke patients?. Neurourol. Urodyn., 31: 44–49. doi: 10.1002/nau.21203
- Issue published online: 23 JAN 2012
- Article first published online: 28 OCT 2011
- Manuscript Accepted: 6 JUL 2011
- Manuscript Received: 28 MAR 2011
- Barthel Index;
- DAN-PSS-1 questionnaire;
- urinary incontinence
To compare the prevalence of urinary incontinence (UI) measured by Barthel Index and the Danish Prostate Symptom Score (DAN-PSS-1) questionnaire in stroke patients.
A cross-sectional, hospital based survey was initiated whereby 407 stroke patients, average age 67 (SD 12) years with a mean interval of 101 days since onset of last stroke at inclusion. The stroke patients self-reported the prevalence of UI by Barthel Index and the DAN-PSS-1 questionnaire.
The prevalence of UI was 10.5% measured by the Barthel Index and 49% by the DAN-PSS-1 questionnaire. Furthermore, the DAN-PSS-1 questionnaire distinguished between types of UI (38% urge UI, 28% stress UI, and 14% other UI). There were significantly fewer stroke patients who reported UI by the Barthel Index compared to the DAN-PSS questionnaire in term of urge UI (P < 0.001), stress UI (P < 0.001), and other UI (P < 0.001).
The results showed that DAN-PSS-1 questionnaire contains more specific UI information compared to the Barthel Index. Fewer stroke patients reported UI by the Barthel Index compared to the DAN-PSS-1 questionnaire and moreover the DAN-PSS-1 questionnaire enables identification of different UI-types. The Barthel Index is not sensitive to the UI prevalence; instead the authors suggest using a more specific instrument such as the DAN-PSS-1 questionnaire. Neurourol. Urodynam. 31:44–49, 2012. © 2011 Wiley Periodicals, Inc.