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Journal of the Korean Academy of Rehabilitation Medicine 2010;34(2):115-119.
Urinary Difficulty in Brain Lesion: Impact on Quality of Life: Multicenter Prospective Epidemiologic Study.
Cho, Kang Hee , Hwang, Sun Hong , Lee, Hye Jin , Jee, Sung Ju , Choi, Eun Seok , Lee, Ho , Lee, Ki Hoon , Bok, Soo Kyung , Park, Noh Kyung
1Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Korea. h4461@cnuh.co.kr
2Department of Rehabilitation Medicine, The Catholic University of Korea College of Medicine, Korea.
3Bonifacio Hospital, Korea.
4Department of Rehabilitation Medicine, Eulji University College of Medicine, Korea.
5Department of Rehabilitation Medicine, Konyang University College of Medicine, Korea.
6Department of Physical Medicine and Rehabilitation, Sun General Hospital, Korea.
뇌병변 환자에서 배뇨 장애가 삶의 질에 미치는 영향-다기관 전향적 역학적 연구-
조강희, 황선홍, 이혜진, 지성주, 최은석1, 이 호2, 이기훈3, 복수경4, 박노경5
충남대학교 의과대학 재활의학교실, 1가톨릭대학교 의과대학 재활의학교실, 2보니파시오 요양병원, 3을지대학교 의과대학 재활의학교실, 4건양대학교 의과대학 재활의학교실, 5대전선병원 재활의학과
Abstract
Objective
To asses the prevalence of urinary difficulty and the relationship of urinary difficulty and type of brain lesion from multicenter prospective epidemiologic study.
Method
394 patients including outpatients and inpatients who visited from multicenter department of rehabilitation medicine from January 2008 to June 2008 were evaluated. Study based on international prostate symptom score (IPSS) and Quality of life (QoL) score were assessed, and the correlation between the two indexes was analyzed.
Results
140 patients (35.5%) complained urinary difficulty as patient's main symptom, while IPSS score was 13.7 showing above moderate symptom at 77.5%. For patients complained urinary difficulty, the average of quality of life score was 3.1. Among stroke, 37% of infarction and 34% of hemorrhage complained urinary difficulty while 40% of traumatic brain injury did. Patients with ACA infarction reported urinary difficulty most frequently. Nocturia (71%), frequency (53.3%), incomplete emptying (30%) were the most frequent symptoms. Sixty-six patients (46%) complaining urinary difficulty were taking medications and anticholinergics were most widely used (75%). Scores of IPSS and QoL according to type and site of brain lesion didn't show meaningful difference while QoL score correlated significantly with IPSS score (p<0.05).
Conclusion
Among all the brain lesion patients, 35.5% complained urinary difficulty while IPSS and QoL score according to type and site of brain lesion didn't show meaningful difference. Urinary difficulty affects the life quality of brain lesion patients. (J Korean Acad Rehab Med 2010; 34: 115-119)
Key Words: Brain lesion, Urinary symptoms
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