Chronic Urinary Retention in Elderly Living in Homes for the Aged : Benefits of Bladder Scan Screening (RUC EHPAD)

The goal of this cross-sectional, multicentric and descriptive epidemiological study is to assess the prevalence of chronic urinary retention (CUR) in elderly living in residential care for dependent elderly people in order to determine if there is an interest in offering them a bladder scan screening.

Study Overview

• Status: Completed
• Conditions: Urinary Retention
• Intervention / Treatment: Diagnostic test: bladder scan

Detailed Description

The main goal of this study is to assess the prevalence of CUR in elderly living in homes for the aged, the secondary ones are to evaluate the risk factors and complications of CUR.

We will carry out this prevalence study in 5 centres whit a draw of 40 residents per centre. Following an information and a non-opposition of the patients, we will collect datas in their medical file (age, medical history and comorbidities, current treatments, anticholinergic score according to the ADS (Anticholinergic Drug Scale), GIR score according to the AGGIR scale (Autonomie Gérontologique Groupes Iso Ressources), FAC modified score (Functional Ambulation Classification modified), MMSE score (Mini Mental State Examination), communicative capacity, notion of fall and date of last fall, knowledge of urinary incontinence, knowledge of constipation, knowledge of previous urinary screening by bladder scan and previous urological consulting, last urinalysis and its results, last analysis of creatinemia and creatinine clearance according to CKD-EPI) and we will perform up to 3 measurements of vesical volume by bladder scan.

The expected results are a prevalence of CUR between 10 and 20 % among people living in homes for the aged with more urinary tract infections, renal insufficiency and falls in the CUR group showing the interest of screening for CUR by bladder scan in elderly people living in nursing homes according to risk groups based on the risk factors found.

• Study Type: Interventional
• Enrollment (Actual): 130
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: kristell COAT; Phone Number: 33 2 99 28 25 55; Email: kristell.coat@chu-rennes.fr
• Study Contact Backup: Name: Direction de la Recherche; Phone Number: 33 2 99 28 25 55; Email: drc@chu-rennes.fr

Study Locations

• France
  • Combourg, France, 35270
    • EHPAD du Centre Local Hospitalier de Saint-Joseph
    • Contact: Karine BREGAIN, MD; Phone Number: 2 99 73 05 34
    • Principal Investigator: Karine BREGAIN, MD
  • Fougères, France, 35300
    • EHPAD du Centre Hospitalier de Fougères
    • Contact: Didier MARCHAND, MD; Phone Number: 33 2 99 17 70 90
    • Principal Investigator: Didier MARCHAND, MD
  • Rennes, France, 35000
    • EHPAD Hôtel-Dieu
    • Contact: Frederique BRILLANT, MD; Phone Number: 33 2 99 27 30 01; Email: frederique.brillant@chu-rennes.fr
    • Principal Investigator: Frederique BRILLANT, MD
  • Saint-Brice-en-Coglès, France, 35460
    • EHPAD de Saint-Brice-en-Coglès
    • Contact: Mohammed BRAHIMI, MD; Phone Number: 33 2 99 98 68 00
    • Principal Investigator: Mohammed BRAHIMI, MD
  • Saint-Georges-de-Reintembault, France, 35420
    • EHPAD de Saint-Georges-de-Reintembault
    • Principal Investigator: Mohammed BRAHIMI, MD
    • Contact: Mohammed BRAHIMI; Phone Number: 33 2 99 97 03 10

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Adult people
• Residents in a participating nursing home

Exclusion Criteria:

• Resident with indwelling urinary catheter or regular urinary catheterisation
• Resident or legal representative opposing participation

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Bladder scan; Bladder scan performed on resident in homes for aged	Diagnostic test: bladder scan; Measurement of vesical volume by bladder scan

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Chronic urinary retention	Chronic urinary retention definition : post-void residual urine > 250 mL twice without any clinical argument for acute urinary retention.	4 weeks after inclusion

Collaborators and Investigators

• Sponsor: Rennes University Hospital
• Investigators: Principal Investigator: Thibaud HONORE, MD, Rennes University Hospital

Study record dates

Study Major Dates

• Study Start (Actual): February 2, 2019
• Primary Completion (Actual): May 17, 2019
• Study Completion (Actual): May 17, 2019

Study Registration Dates

• First Submitted: January 31, 2019
• First Submitted That Met QC Criteria: February 1, 2019
• First Posted (Actual): February 4, 2019

Study Record Updates

• Last Update Posted (Actual): April 12, 2023
• Last Update Submitted That Met QC Criteria: April 11, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Keywords: urinary retention; chronic disease; aged; homes for the aged
• Additional Relevant MeSH Terms: Urologic Diseases; Urination Disorders; Urinary Retention
• Other Study ID Numbers: 35RC18_3063_RUC EHPAD

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No