Validation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients.
Health care
Outcome assessment
Postoperative complications
Urethral injury
Urinary catheters
Urinary retention
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
20 Sep 2023
20 Sep 2023
Historique:
received:
14
07
2023
revised:
12
09
2023
accepted:
19
09
2023
medline:
6
10
2023
pubmed:
6
10
2023
entrez:
5
10
2023
Statut:
aheadofprint
Résumé
The effects of non-infectious urinary catheter-related complications such as measurements of indwelling urinary catheter overuse, catheter-related trauma, and urinary retention are not well understood. This was a retrospective cohort study of 200 patients undergoing general surgery operations. Variables to measure urinary catheter use, trauma, and retention were developed, then surgical cases were abstracted. Inter- and intra-rater reliability were calculated for measure validation. 129 of 200 (65%) had an indwelling urinary catheter placed at the time of surgery. 32 patients (16%) had urinary retention, and variation was observed in the treatment of urinary retention. 12 patients (6%) had urinary trauma. Rater reliability was high (>90% agreement for all) for the dichotomous outcomes of urinary catheter use, urinary catheter-related trauma, and urinary retention. This study suggests a persistent high rate of catheter use, significant rates of urinary retention and trauma, and variation in the management of retention.
Sections du résumé
BACKGROUND
BACKGROUND
The effects of non-infectious urinary catheter-related complications such as measurements of indwelling urinary catheter overuse, catheter-related trauma, and urinary retention are not well understood.
METHODS
METHODS
This was a retrospective cohort study of 200 patients undergoing general surgery operations. Variables to measure urinary catheter use, trauma, and retention were developed, then surgical cases were abstracted. Inter- and intra-rater reliability were calculated for measure validation.
RESULTS
RESULTS
129 of 200 (65%) had an indwelling urinary catheter placed at the time of surgery. 32 patients (16%) had urinary retention, and variation was observed in the treatment of urinary retention. 12 patients (6%) had urinary trauma. Rater reliability was high (>90% agreement for all) for the dichotomous outcomes of urinary catheter use, urinary catheter-related trauma, and urinary retention.
CONCLUSIONS
CONCLUSIONS
This study suggests a persistent high rate of catheter use, significant rates of urinary retention and trauma, and variation in the management of retention.
Identifiants
pubmed: 37798151
pii: S0002-9610(23)00483-X
doi: 10.1016/j.amjsurg.2023.09.027
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Co-Author Jennifer Meddings reports a relationship with Agency for Healthcare Research and Quality that includes: funding grants. Jennifer Meddings reports a relationship with Centers for Disease Control and Prevention that includes: funding grants. Jennifer Meddings reports a relationship with Ralph E. Wilson Fundation that includes: funding grants. Jennifer Meddings reports a relationship with VHA Health Services Research & Development that includes: funding grants. Jennifer Meddings has patent US Patent #10279145 and Japanese Patent #6933385 issued to Jennifer Meddings. Jennifer Meddings has received royalties for “Preventing Hospital Infection” book, published by Oxford.