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Predictive Validity of Hospital-Associated Complications of Older People Identified Using Diagnosis Procedure Combination Data From an Acute Care Hospital in Japan: Observational Study

Predictive Validity of Hospital-Associated Complications of Older People Identified Using Diagnosis Procedure Combination Data From an Acute Care Hospital in Japan: Observational Study

Mudge et al [1] proposed a multicomponent measure of “hospital-associated complications of older people” (HAC-OP) comprising common complications (functional decline, hospital-associated incontinence, hospital-associated delirium, pressure injury, or fall) among older adults admitted to acute care hospitals.

Seigo Mitsutake, Tatsuro Ishizaki, Shohei Yano, Takumi Hirata, Kae Ito, Ko Furuta, Yoshitomo Shimazaki, Hideki Ito, Alison Mudge, Kenji Toba

JMIR Aging 2025;8:e68267

Unobtrusive Nighttime Movement Monitoring to Support Nursing Home Continence Care: Algorithm Development and Validation Study

Unobtrusive Nighttime Movement Monitoring to Support Nursing Home Continence Care: Algorithm Development and Validation Study

With the increase in life expectancy, there is a corresponding rise in the prevalence of urinary incontinence (UI), a common health problem among older adults [1]. Studies have indicated that UI affects over 50% of older adults residing in nursing homes (NHs) [2-4]. Current care practices for managing UI in NHs involve incontinence wear (ie, disposable absorbent products), with or without scheduled toilet visits (voiding) [5].

Hannelore Strauven, Chunzhuo Wang, Hans Hallez, Vero Vanden Abeele, Bart Vanrumste

JMIR Nursing 2024;7:e58094

Finite Element Analysis of Pelvic Floor Biomechanical Models to Elucidate the Mechanism for Improving Urination and Defecation Dysfunction in Older Adults: Protocol for a Model Development and Validation Study

Finite Element Analysis of Pelvic Floor Biomechanical Models to Elucidate the Mechanism for Improving Urination and Defecation Dysfunction in Older Adults: Protocol for a Model Development and Validation Study

In China, the prevalence of urinary incontinence was 74.8% among older women [2] and 54.4%-60.0% among hospitalized older patients [3,4], while older men are at a higher risk of severe fecal incontinence than older women [5]. Furthermore, a systematic review and meta-analysis reported that the global prevalence of constipation in older adults was 18.9% (95% CI 14.7%-23.9%) [6]. Urination and defecation dysfunction play a crucial role in determining care dependence among older adults.

Rui Wang, Guangtian Liu, Liwei Jing, Jing Zhang, Chenyang Li, Lichao Gong

JMIR Res Protoc 2024;13:e56333

Ultrasound-Assisted Continence Care Support in an Inpatient Care Setting: Protocol for a Pilot Implementation Study

Ultrasound-Assisted Continence Care Support in an Inpatient Care Setting: Protocol for a Pilot Implementation Study

For example, an increased risk of hip and thigh fractures was associated with urinary incontinence and nocturia [23]. Despite the availability of an increasing number of DAT to support continence care [6,20], the health systems mostly use wearable absorbent products or absorbent pads to report urine leakage and alarms that are evinced with audible, visual, or graphic signals [4-6]. DFree enables incontinence relief by predicting micturition needs and helping people regain control of micturition [25,26].

Sebastian Hofstetter, Madeleine Ritter-Herschbach, Dominik Behr, Patrick Jahn

JMIR Res Protoc 2023;12:e47025

A Smartphone App for Supporting the Self-management of Daytime Urinary Incontinence in Adolescents: Development and Formative Evaluation Study of URApp

A Smartphone App for Supporting the Self-management of Daytime Urinary Incontinence in Adolescents: Development and Formative Evaluation Study of URApp

Daytime urinary incontinence (UI), which is the involuntary leakage of urine during the day, is common in childhood and is generally assumed to resolve with age. However, there is evidence from epidemiological studies that childhood UI often persists into adolescence [1-5]. For example, in a UK-based cohort study, 4.2% of females and 1.3% of males reported experiencing daytime UI at 14 years [6].

Katie Whale, Lucy Beasant, Anne J Wright, Lucy Yardley, Louise M Wallace, Louise Moody, Carol Joinson

JMIR Pediatr Parent 2021;4(4):e26212