PT  - JOURNAL ARTICLE
AU  - Hogan, D. B.
TI  - Revisiting the O complex: urinary incontinence, delirium and polypharmacy in elderly patients
DP  - 1997 Oct 15
TA  - Canadian Medical Association Journal
PG  - 1071--1077
VI  - 157
IP  - 8
4099  - http://www.cmaj.ca/content/157/8/1071.short
4100  - http://www.cmaj.ca/content/157/8/1071.full
SO  - CMAJ1997 Oct 15; 157
AB  - Urinary incontinence, delirium and polypharmacy are common, challenging problems encountered in elderly patients. Review of the literature shows that these conditions are interrelated. For example, polypharmacy can lead to delirium, which, in turn, can lead to urinary incontinence. The drugs prescribed for urinary incontinence can precipitate delirium or contribute to polypharmacy. The underlying causes for these problems in elderly patients are frequently complex, and management in turn must often be multifactorial. The occurrence of these problems should lead to careful evaluation followed by thoughtful, responsive treatment. Brief updates are given with recommendations for management directed at primary care physicians.