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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Without urinary disorders | Subacute stroke patients without urinary disorders | ||
| With urinary disorders | Subacute stroke patients with urinary disorders |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Immediate urination | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Degree of urinary continence | Urinary continence will be assessed daily by the nursing staff as either complete, partial or incontinence | Through study completion, for an average of 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Presence of urinary-disorders-related complications | Pressure ulcers, falls and urinary infections caused by urinary disorders will be recorded | Through study completion, for an average of 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Subacute patients after ischaemic or hemorrhagic stroke directly transferred from an acute hospital to complex inpatient rehabilitation
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Helena Burger, MD, PhD | Contact | +386 1 4758440 | helena.burger@ir-rs.si | |
| Nataša Bizovičar, MD, PhD | Contact | +386 1 4758361 | natasa.bizovicar@ir-rs.si |
| Name | Affiliation | Role |
|---|---|---|
| Nataša Bizovičar, MD, PhD | University Rehabilitation Institute, Republic of Slovenia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Rehabilitation Institute, Republic of Slovenia | Recruiting | Ljubljana | 1000 | Slovenia |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| D000083302 | Hemorrhagic Stroke |
| D014549 | Urinary Incontinence |
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Bladder diary | Behavioral | Patients with normal cognitive abilities will be instructed to go to the toilet every 2-3 hours regardless of the urge to urinate |
|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |