Independence of Urinary Symptoms and Urinary Dipstick Results in Voiders With Neurogenic Bladder.
Citation: Topics in Spinal Cord Injury Rehabilitation. 28(2):116-128, 2022 Spring.PMID: 35521057Institution: MedStar Health Research Institute | MedStar National Rehabilitation NetworkForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Spinal Cord Injuries | *Urinary Bladder, Neurogenic | *Urinary Tract Infections | Adolescent | Adult | Cohort Studies | Female | Humans | Male | Prospective Studies | Spinal Cord Injuries/co [Complications] | Urinary Bladder, Neurogenic/et [Etiology] | Urinary Tract Infections/di [Diagnosis]Year: 2022Local holdings: Available in print through MWHC library: 1999 - Winter 2007ISSN:- 1082-0744
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 35521057 | Available | 35521057 |
Available in print through MWHC library: 1999 - Winter 2007
Background: Urinary symptoms and urinary tract infection (UTI) are frequent and burdensome problems associated with neurogenic lower urinary tract dysfunction.
Conclusion: Among people with SCI or MS who void, self-administered urine dipstick results and urinary symptom reporting contribute independent information for clinical decision making. Copyright © 2022 American Spinal Injury Association.
Methods: Prospective 12-month cohort study of 76 participants with SCI or MS who manage their bladders by voiding. Eligibility criteria included adults >=18 years old, at least three UTIs since diagnosis, and residence in the United States. Participants completed the Urinary Symptoms Questionnaire for Neurogenic Bladder-Voider version (USQNB-V) biweekly (26 assessments) and tested their urine by dipstick at the same time. Symptom burden was estimated based on endorsements of USQNB-V symptoms classified as clinically actionable (9), bladder function (8), and urine quality (4). Urine dipstick results assessed were leukocyte esterase (LE) and nitrite (NIT).
Objectives: To determine whether an association exists between urinary symptoms and urine dipstick results among individuals with spinal cord injury (SCI) or multiple sclerosis (MS).
Results: Participants were stratified into four groups based on etiology of neurologic dysfunction and whether they ever experienced any urinary symptoms (USx): SCI+USx (n = 14), SCI+NoUSx (n = 5), MS+USx (n = 32), and MS+NoUSx (n = 25). In descending order, symptom burden was greatest for the MS+USx group, followed by both SCI groups; it was lowest for MS+NoUSx. We assessed multiple definitions of "positive" dipstick and found evidence of independence of USQNB-V symptoms and urinary dipstick results with each definition. In each group, the median (and majority) of strong positive dipsticks did not coincide with any symptoms.
English