Joshua A. Cohn|Avantika Saraf Shah|Kathryn Goggins|Sandra F. Simmons|Sunil Kripalani|Roger Dmochowski|John F. Schnelle|W. Stuart Reynolds
Health literacy, cognition, and urinary incontinence among geriatric inpatients discharged to skilled nursing facilities
aims investigate association health literacy cognition nursing patientreported incontinence geriatric inpatient population transitioning skilled nursing facilities snf methods health literacy depression cognition assessed via brief health literacy screen bhls geriatric depression scale 5item gds brief interview mental status bims respectively multivariable logistic regression assessed association bhls score incontinence 1 nursingreported urinary incontinence hospitalization 2 patient selfreported bladder accidents postenrollment study interview results total 1556 hospitalized patients aged 65 older met inclusion criteria 922 593 women 1480 available bhls scores total 464 298 515 331 patients nursingreported selfreported urinary incontinence respectively nursingreported incontinence significantly associated lower bhls ie poorer health literacy aor 093 95ci 089099 bims ie poorer cognition aor 090 95ci 083097 scores need assistance toileting aor 708 95ci 2162321 patientreported incontinence significantly associated female sex aor 162 95ci 119221 increased gds score ie greater likelihood depression aor 122 95ci 110136 need assistance toileting aor 246 95ci 126479 conclusions poorer health literacy cognition independently associated increased likelihood nursingreported urinary incontinence among geriatric inpatients transitioning snf practitioners consider assessment health literacy cognition frail patients risk urinary incontinence patient nursing assessment may required capture diagnosis