Here - American Geriatrics Society

P OSTER
A BSTRACTS
Methods: Cross-sectional analysis of a subset of the Canadian
Study of Health and Aging (1996 wave) that completed a diagnostic
cognitive assessment. Non-cancer pain was measured
using the 5-point verbal descriptor scale, dichotomized into
“no/very mild” versus “moderate” or greater pain. Cognitive status
was clinically assessed and categorized as NCI, cognitive impairment
no dementia (CIND), Alzheimer’s Disease (AD), and
vascular dementia (VaD). Multivariable logistic regression was
utilized to analyze the relationship between pain report and cognitive
diagnosis controlling for covariates (demographics, comorbidity,
IADL’s, and depression).
Results: 1,658 (96.7%) of participants that completed a diagnostic
cognitive assessment had their cognitive status designated and a
pain measure completed. Overall, the frequency of pain report varied
with cognitive status among the four groups, (Chi-square 9.16,
p=0.02). 34.7% (263/757) of persons with NCI reported moderate or
greater pain, compared to 39.1% (223/570) CIND (p=0.11), 28.5%
(73/256) AD (p=0.08), and 40% (26/65) VaD (p=0.42). In the fullyadjusted
multivariate model, compared with persons with NCI, the
odds of reporting moderate or higher pain was not significantly different
among persons with CIND OR=0.86 (0.65,1.13; p=0.28), AD
OR=0.68 (0.44,1.04; p=0.08), or VaD OR=0.80 (0.36,1.80; p=0.59).
Conclusion: A noteworthy proportion of older adults with and
without dementia report moderate or greater pain and did not vary
with cognitive status. Given that dementia represents a consistent risk
factor the under identification and undertreatment of pain, efforts to
improve pain management in this vulnerable population remain a
high priority for future research.
D151
Help seeking for incontinence by adults with heart failure.
K. Lindeman, 1 Y. Li, 2 M. H. Palmer. 2 1. University of North Carolina
School of Medicine, Chapel Hill, NC; 2. School of Nursing, University
of North Carolina, Chapel Hill, NC.
Supported By: Detrol Clinical Research Program, 2005-2007;
MSTAR, 2011 American Federation for Aging Research
Background: Urinary incontinence (UI) and heart failure (HF)
are both prevalent conditions that have significant impact on quality
of life, but little information is available about HF patients seeking
help for urinary incontinence. The objective of this study is to identify
patient factors associated with help-seeking for UI in HF patients.
Methods: This study is a secondary analysis of cross-sectional
data collected between 2005 and 2007 in a 22 bed hospital unit and 2
out-patient clinics for HF. Two hundred ninety six men and women
that were 20 years or older with HF diagnosis participated in the original
81-item survey. UI help-seeking was defined as an affirmative response
to a single item on reporting UI to a doctor or nurse. Incontinence
Impact Questionnaire-7 (IIQ-7) and the Urogenital Distress
Inventory-6 (UDI-6) were used to assess level of impact of UI on
quality of life.
Results: 134 (45%) participants (median age 62 years; 45.5%
male) had UI, 60 (44.8%) had at least two other urinary symptoms,
and 45 (34%) sought help for UI. Bivariate analyses revealed that
IIQ-7, UDI-6, presence of other urinary symptoms, and interaction
between sex and age were significantly associated with help-seeking
at p