Investigating the Course and Predictors of Desire to Void After Stroke with the New Desire to Void Scale: A Prospective Cohort Study

Michiyuki Kawakami, Chiaki Nakayama, Meigen Liu

Research output: Contribution to journalArticle

Abstract

Objective: The aims of the study were to: (1) test the reliability, validity, and responsiveness of our originally developed desire to void scale (DVS); and (2) investigate the time course of the DV after stroke during the post-acute phase. Methods: DVS was tested by having two independent raters assess the scale and calculating the weighted kappa. To evaluate its concurrent validity, Pearson's correlation coefficients between DVS and the bladder management item of the Functional Independence Measure (FIM) were calculated. A prospective analysis of the time course of the DVS and its relationships with age, sex, stroke type, paretic side, and the FIM score in 103 patients hospitalised in a rehabilitation ward was then performed. To quantify its responsiveness, standardised response means during the recovering phase of stroke were obtained. To predict discharge DVS scores from demographic characteristics and admission status, multiple regression analysis was performed. Results: The DVS had satisfactory inter- and intra-rater reliabilities. The standardised response means for DVS from admission to discharge was .58. The discharge DVS improved significantly when compared with the admission DVS. Stroke type, admission DVS, and cognition scores of the FIM were independent predictors of discharge DVS.

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalBrain Impairment
DOIs
Publication statusAccepted/In press - 2016 Jun 9

Fingerprint

Cohort Studies
Stroke
Prospective Studies
Reproducibility of Results
Cognition
Urinary Bladder
Rehabilitation
Regression Analysis
Demography

Keywords

  • instrumentation
  • rehabilitation
  • Stroke
  • urinary bladder

ASJC Scopus subject areas

  • Clinical Neurology
  • Behavioral Neuroscience
  • Cognitive Neuroscience
  • Neurology
  • Neuropsychology and Physiological Psychology
  • Speech and Hearing

Cite this

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abstract = "Objective: The aims of the study were to: (1) test the reliability, validity, and responsiveness of our originally developed desire to void scale (DVS); and (2) investigate the time course of the DV after stroke during the post-acute phase. Methods: DVS was tested by having two independent raters assess the scale and calculating the weighted kappa. To evaluate its concurrent validity, Pearson's correlation coefficients between DVS and the bladder management item of the Functional Independence Measure (FIM) were calculated. A prospective analysis of the time course of the DVS and its relationships with age, sex, stroke type, paretic side, and the FIM score in 103 patients hospitalised in a rehabilitation ward was then performed. To quantify its responsiveness, standardised response means during the recovering phase of stroke were obtained. To predict discharge DVS scores from demographic characteristics and admission status, multiple regression analysis was performed. Results: The DVS had satisfactory inter- and intra-rater reliabilities. The standardised response means for DVS from admission to discharge was .58. The discharge DVS improved significantly when compared with the admission DVS. Stroke type, admission DVS, and cognition scores of the FIM were independent predictors of discharge DVS.",
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