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Impacto De La Incontinencia Urinaria Y Del Síndrome De Vejiga Hiperactiva En La Calidad De Vida Relacionada Con La Salud De Pacientes De Mediana Edad Laboralmente Activos Y Mayores De 65 Años Institucionalizados

E. M. Agulló, J. Cerdá, L. G. Pérez, P. Rebollo, Mildrey Soca Pérez, J. Chaves
Published 2010 · Medicine

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Resumen Introduccion La calidad de vida relacionada con la salud (CVRS) es considerada por los pacientes con sintomas urinarios como el principal indicador de resultados. Se presentan datos descriptivos de la CVRS de sujetos con incontinencia urinaria (IU) y/o vejiga hiperactiva (VH), que serviran de marco de referencia poblacional para comparaciones. Material y metodos Datos extraidos del estudio EPICC, estudio epidemiologico, observacional, multicentrico y de ambito nacional. Se analizaron los datos de muestras representativas de cuatro grupos de la poblacion: mujeres y varones de entre 50 – 64 anos, laboralmente activos, y mujeres y varones mayores de 65 anos, institucionalizados, con nivel cognitivo conservado. Ademas de datos sociodemograficos y clinicos, se analizaron los datos de los cuestionarios de CVRS: cuestionario sobre vejiga hiperactiva OAB-q SF y cuestionario de salud SF-12. Resultados Del total de incluidos en el estudio EPICC, el 26,53% respondio los cuestionarios de CVRS. Los pacientes que presentaban sintomas de VH y de IU, respecto de los que tenian sintomas de VH o de IU, tuvieron peores puntuaciones en la dimension fisica del cuestionario de salud SF-12 (41,34 vs. 47,17 y 45) y en la dimension mental del cuestionario de salud SF-12 (46,01 vs. 49,04 y 47,78) y en sintomas (32,21 vs. 19,19 y 16,65) y calidad de vida (82,32 vs. 86,72 y 89,45) del OAB-q SF. El impacto de la VH y la IU sobre la CVRS fue superior en varones de mas de 65 anos respecto a las mujeres de la misma edad (76,76 vs. 82,79). Conclusiones La presentacion conjunta de sintomas de VH y de IU ocasiona mayor impacto en la CVRS que la presentacion aislada de VH o IU. El impacto sobre la CVRS es similar en varones y mujeres en la mediana edad pero superior en varones de mas de 65 anos.
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