Prevalence of urinary and faecal incontinence in hospitals and residential and nursing homes for older people

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Abstract
In November 1990 a census of all people aged 65 years and over in long term care was carried out in Leicestershire.4 Data were collected on health, dependency, and the use of continence aids. Residents experiencing at least one incontinent episode weekly were defined as being incontinent of urine or faeces. Physical dependency was determined by a modified dependency measure used previously in Leicestershire.5 An additive score was derived from ratings of mobility (four point scale of 0-3), washing/dressing (three point scale of 0-2), and feeding (three point scale of 0-2), with higher scores indicating greater dependency. Our measure of physical dependency excluded ratings for urinary and faecal incontinence since these were the variables of interest for comparison. A score of 4 and over was taken to indicate high dependency in line with our modification to the measure devised by Clarke et al.5