Aims
Nocturia or waking at night, to urinate is a common cause of awakenings and may lead to sleep disturbance, impaired somatic health, impaired quality of life, and increased mortality.
The aim of this report is to point out and discuss the aspects and issues that need to be addressed to improve the care of nocturia.
Methods
This paper is a report of the presentations and subsequent discussion of a Think Tank session at the annual International Consultation on Incontinence‐Research Society (ICI‐RS) in June 2018 in Bristol.
Results and conclusion
Nocturia is a known risk factor for in‐hospital falls. Unfortunately, its assessment in acutely hospitalized (older) people is not the current practice and ward‐based care plans are not tailored to this symptom. A new care pathway for hospitalized patients who have nocturia should be considered.
More research into the relation of cardiovascular disorders and nocturnal polyuria (NP) is warranted and management of NP patients may be improved by involving a cardiologist in their management. There is definitely a need for phenotyping nocturia in relation to bladder capacity, filling phase, and emptying phase symptoms and how to treat the different phenotypes.
In the near future, smart automated monitoring devices and applications might help us to diagnose and treat nocturia with less efforts.
This paper summaries the presentations and the content of the subsequent discussions during a Think Tank session during the annual International Consultation on Incontinence-Research Society (ICI-RS) hold in Bristol (June 2018). The aim of this report is to point out and the aspects and issues that need to be addressed to improve the care of nocturia. The report focuses specifically on nocturia as a risk factor for in-hospital falls and the authors conclude that nocturia assessment in acutely hospitalized older people is not the current practice. Furthermore they state that ward-based care plans are not tailored to this symptom, and therefore a new care pathway for hospitalized patients with bothering nocturia should be considered. They also stress that more research into the relation of cardiovascular disorders and nocturnal polyuria is warranted and state that the management of patients with nocturnal polyuria may be improved by involving a cardiologist. As predictive factors for further diagnosis and hence treatment they discriminate the phenotyping of nocturia in relation to bladder capacity, filling phase, and emptying phase symptoms. They also express the hope that in the future, smart automated monitoring devices and applications might help to diagnose and treat nocturia with less efforts.