Risk factors of postoperative urinary retention following total hip and knee arthroplasty.
Journal
Bone & joint open
ISSN: 2633-1462
Titre abrégé: Bone Jt Open
Pays: England
ID NLM: 101770336
Informations de publication
Date de publication:
18 Jul 2024
18 Jul 2024
Historique:
medline:
18
7
2024
pubmed:
18
7
2024
entrez:
18
7
2024
Statut:
epublish
Résumé
The aim of this meta-analysis was to determine the pooled incidence of postoperative urinary retention (POUR) following total hip and knee arthroplasty (total joint replacement (TJR)) and to evaluate the risk factors and complications associated with POUR. Two authors conducted searches in PubMed, Embase, Web of Science, and Scopus on TJR and urinary retention. Eligible studies that reported the rate of POUR and associated risk factors for patients undergoing TJR were included in the analysis. Patient demographic details, medical comorbidities, and postoperative outcomes and complications were separately analyzed. The effect estimates for continuous and categorical data were reported as standardized mean differences (SMDs) and odds ratios (ORs) with 95% CIs, respectively. A total of 31 studies were included in the systematic review. Of these, 29 studies entered our meta-analysis, which included 3,273 patients diagnosed with POUR and 11,583 patients without POUR following TJR. The pooled incidence of POUR was 28.06%. Demographic risk factors included male sex (OR 1.81, 95% CI 1.26 to 2.59), increasing age (SMD 0.16, 95% CI 0.04 to 0.27), and American Society of Anesthesiologists grade 3 to 4 (OR 1.39, 95% CI 1.10 to 1.77). Patients with a history of benign prostatic hyperplasia (OR 1.99, 95% CI 1.41 to 2.83) and retention (OR 3.10, 95% CI 1.58 to 6.06) were more likely to develop POUR. Surgery-related risk factors included spinal anaesthesia (OR 1.44, 95% CI 1.19 to 1.74) and postoperative epidural analgesia (OR 2.82, 95% CI 1.65 to 4.82). Total hip arthroplasty was associated with higher odds of POUR compared to total knee arthroplasty (OR 1.10, 95% CI 1.02 to 1.20). Postoperatively, POUR was associated with a longer length of stay (SMD 0.21, 95% CI 0.02 to 0.39). Our meta-analysis demonstrated key risk variables for POUR following TJR, which may assist in identifying at-risk patients and direct patient-centered pathways to minimize this postoperative complication.
Identifiants
pubmed: 39022904
doi: 10.1302/2633-1462.57.BJO-2024-0003.R1
pii: BJO-2024-0003.R1
doi:
Types de publication
Journal Article
Langues
eng
Pagination
601-611Informations de copyright
© 2024 Azarboo et al.
Déclaration de conflit d'intérêts
M. Citak is Chair of the Research Education and Mentorship Committee at SICOT. A. H. Hoveidaei's employer reports consulting fees from Avitus, Bone Support, Johnson & Johnson, and Orthofix, unrelated to this study. A. H. Hoveidaei is also an unpaid board member on the Research Committee of the Iranian Orthopedic Association, and an unpaid editorial board member of Bone Reports, BMC Research Notes, Plos One, International orthopaedics, Frontiers in rehabilitation sciences, and Guest Editor of Frontiers in sports and active living.
Références
Canovas F , Dagneaux L . Quality of life after total knee arthroplasty . Orthop Traumatol Surg Res . 2018 ; 104 ( 1S ): S41 – S46 . 10.1016/j.otsr.2017.04.017 29183821
Maradit Kremers H , Larson DR , Crowson CS , et al. Prevalence of total hip and knee replacement in the United States . J Bone Joint Surg Am . 2015 ; 97-A ( 17 ): 1386 – 1397 . 10.2106/JBJS.N.01141 26333733
Shichman I , Roof M , Askew N , et al. Projections and epidemiology of primary hip and knee arthroplasty in Medicare patients to 2040-2060 . JB JS Open Access . 2023 ; 8 ( 1 ): e22.00112 . 10.2106/JBJS.OA.22.00112 36864906
Bracey DN , Barry K , Khanuja HS , Hegde V . Postoperative urinary retention in modern rapid recovery total joint arthroplasty . J Am Acad Orthop Surg . 2022 ; 30 ( 10 ): 443 – 447 . 10.5435/JAAOS-D-21-00963 35213416
Balderi T , Mistraletti G , D’Angelo E , Carli F . Incidence of postoperative urinary retention (POUR) after joint arthroplasty and management using ultrasound-guided bladder catheterization . Minerva Anestesiol . 2011 ; 77 ( 11 ): 1050 – 1057 . 21597444
Donovan TL , Gordon RO , Nagel DA . Urinary infections in total hip arthroplasty. Influences of prophylactic cephalosporins and catheterization . J Bone Joint Surg Am . 1976 ; 58-A ( 8 ): 1134 – 1137 . 1002756
Abdul-Muhsin HM , Jakob N , Cha S , et al. Incidence, outcomes, and prediction of postoperative urinary retention after a nonurologic procedure . J Am Acad Orthop Surg Glob Res Rev . 2020 ; 4 ( 5 ): e1900149 . 10.5435/JAAOSGlobal-D-19-00149 33970584
Scully RD , Kappa JE , Melvin JS . “Outpatient”-same-calendar-day discharge hip and knee arthroplasty . J Am Acad Orthop Surg . 2020 ; 28 ( 20 ): e900 – e909 . 10.5435/JAAOS-D-19-00778 32826663
Moher D , Liberati A , Tetzlaff J , Altman DG , PRISMA Group . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement . PLoS Med . 2009 ; 6 ( 7 ): e1000097 . 10.1371/journal.pmed.1000097 19621072
No authors listed . https://www.covidence.org/ ( date last accessed 24 June 2024 ).
Wells GA , Shea B , O’Connell D , et al. The Newcastle–Ottawa Scale (NOS) for Assessing the Quality of Non-Randomized Studies in Meta-Analysis . 2000 . https://www.ohri.ca/programs/clinical_epidemiology/oxford.asp ( date last accessed 9 July 2024 ).
Stang A . Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses . Eur J Epidemiol . 2010 ; 25 ( 9 ): 603 – 605 . 10.1007/s10654-010-9491-z 20652370
Lin L , Aloe AM . Evaluation of various estimators for standardized mean difference in meta-analysis . Stat Med . 2021 ; 40 ( 2 ): 403 – 426 . 10.1002/sim.8781 33180373
Higgins JPT , Thompson SG , Deeks JJ , Altman DG . Measuring inconsistency in meta-analyses . BMJ . 2003 ; 327 ( 7414 ): 557 – 560 . 10.1136/bmj.327.7414.557 12958120
Lin L , Chu H . Quantifying publication bias in meta-analysis . Biometrics . 2018 ; 74 ( 3 ): 785 – 794 . 10.1111/biom.12817 29141096
Bjerregaard LS , Bogø S , Raaschou S , et al. Incidence of and risk factors for postoperative urinary retention in fast-track hip and knee arthroplasty . Acta Orthop . 2015 ; 86 ( 2 ): 183 – 188 . 10.3109/17453674.2014.972262 25301436
Bracey DN , Hegde V , Pollet AK , Johnson RM , Jennings JM , Miner TM . Incidence and predictive risk factors of postoperative urinary retention after primary total knee arthroplasty . J Arthroplasty . 2021 ; 36 ( 7S ): S345 – S350 . 10.1016/j.arth.2021.02.043 33722408
Choo MS , Lee SH , Lee YG , Chang JD , Han JH . Clinical factors influencing postoperative urinary retention after lower limb arthroplasty . Int J Clin Exp Med . 2017 ; 10 : 7105 – 77110 .
Crain NA , Goharderakhshan RZ , Reddy NC , Apfel AM , Navarro RA . The role of intraoperative urinary catheters on postoperative urinary retention after total joint arthroplasty: a multi-hospital retrospective study on 9,580 patients . Arch Bone Jt Surg . 2021 ; 9 ( 5 ): 480 – 486 . 10.22038/abjs.2020.49205.2441 34692929
Cronin JJ , Shannon FJ , Bale E , Quinlan W . Prediction of post-operative urinary retention in hip and knee arthroplasty in a male population . Eur J Orthop Surg Traumatol . 2007 ; 17 ( 1 ): 47 – 50 . 10.1007/s00590-006-0112-1
David M , Arthur E , Dhuck R , Hemmings E , Dunlop D . High rates of postoperative urinary retention following primary total hip replacement performed under combined general and spinal anaesthesia with intrathecal opiate . J Orthop . 2015 ; 12 ( Suppl 2 ): S157 – 60 . 10.1016/j.jor.2015.10.020 27047216
Fernandez MA , Karthikeyan S , Wyse M , Foguet P . The incidence of postoperative urinary retention in patients undergoing elective hip and knee arthroplasty . Ann R Coll Surg Engl . 2014 ; 96 ( 6 ): 462 – 465 . 10.1308/003588414X13946184902523 25198980
Griesdale DEG , Neufeld J , Dhillon D , et al. Risk factors for urinary retention after hip or knee replacement: a cohort study . Can J Anaesth . 2011 ; 58 ( 12 ): 1097 – 1104 . 10.1007/s12630-011-9595-2 21989549
Halawi MJ , Caminiti N , Cote MP , Lindsay AD , Williams VJ . The most significant risk factors for urinary retention in fast-track total joint arthroplasty are iatrogenic . J Arthroplasty . 2019 ; 34 ( 1 ): 136 – 139 . 10.1016/j.arth.2018.08.042 30268444
Hejkal JJ , Ditoro TM , Thompson RE , High RR , Carlson KJ , Shiffermiller JF . A retrospective study of anticholinergic use and later mobilization as risk factors for urinary retention after major lower extremity joint arthroplasty . J Arthroplasty . 2023 ; 38 ( 2 ): 232 – 238 . 10.1016/j.arth.2022.08.027 36007754
Hollman F , Wolterbeek N , Veen R . Risk factors for postoperative urinary retention in men undergoing total hip arthroplasty . Orthopedics . 2015 ; 38 ( 6 ): e507 – 11 . 10.3928/01477447-20150603-59 26091224
Kieffer WKM , Kane TPC . Predicting postoperative urinary retention after lower limb arthroplasty . Ann R Coll Surg Engl . 2012 ; 94 ( 5 ): 356 – 358 . 10.1308/003588412X13171221591691 22943234
Kort NP , Bemelmans Y , Vos R , Schotanus MGM . Low incidence of postoperative urinary retention with the use of a nurse-led bladder scan protocol after hip and knee arthroplasty: a retrospective cohort study . Eur J Orthop Surg Traumatol . 2018 ; 28 ( 2 ): 283 – 289 . 10.1007/s00590-017-2042-5 28900757
Kwak DK , Oh CY , Lim JS , Lee HM , Yoo JH . Would early removal of indwelling catheter effectively prevent urinary retention after hip fracture surgery in elderly patients? J Orthop Surg Res . 2019 ; 14 ( 1 ): 315 . 10.1186/s13018-019-1360-1 31533760
Lawrie CM , Ong AC , Hernandez VH , Rosas S , Post ZD , Orozco FR . Incidence and risk factors for postoperative urinary retention in total hip arthroplasty performed under spinal anesthesia . J Arthroplasty . 2017 ; 32 ( 12 ): 3748 – 3751 . 10.1016/j.arth.2017.07.009 28781015
Lingaraj K , Ruben M , Chan YH , Das SD . Identification of risk factors for urinary retention following total knee arthroplasty: a Singapore hospital experience . Singapore Med J . 2007 ; 48 ( 3 ): 213 – 216 . 17342289
Peng H-M , Tong B , Li Y , Wang W , Li W-L , Gao N . Mitigation of postoperative urinary retention among total joint replacement patients using the ERAS protocol and applying risk-stratified catheterization . ANZ J Surg . 2022 ; 92 ( 9 ): 2235 – 2241 . 10.1111/ans.17847 35716163
Pivec R , Wickes CB , Austin MS . Pre-operative urodynamic assessment has poor predictive value for developing post-operative urinary retention . J Arthroplasty . 2021 ; 36 ( 6 ): 1904 – 1907 . 10.1016/j.arth.2021.01.056 33608180
Santini AJ , Jakaraddi CA , Polydoros F , Metikala S . Validity of the International Prostate Symptoms Score in predicting urinary retention after joint replacement . J Orthop Surg (Hong Kong) . 2019 ; 27 ( 3 ): 2309499019868670 . 10.1177/2309499019868670 31451037
Sarasin SM , Walton MJ , Singh HP , Clark DI . Can A urinary tract symptom score predict the development of postoperative urinary retention in patients undergoing lower limb arthroplasty under spinal anaesthesia? A prospective study . Ann R Coll Surg Engl . 2006 ; 88 ( 4 ): 394 – 398 . 10.1308/003588406X106531 16834862
Scholten R , Kremers K , van de Groes SAW , Somford DM , Koëter S . Incidence and risk factors of postoperative urinary retention and bladder catheterization in patients undergoing fast-track total joint arthroplasty: a prospective observational study on 371 patients . J Arthroplasty . 2018 ; 33 ( 5 ): 1546 – 1551 . 10.1016/j.arth.2017.12.001 29306574
Shapiro JA , Alvarez PM , Paterno AV , Olcott CW , Del Gaizo DJ . Analysis of risks and consequences of postcatheter urinary retention after primary total hip and knee arthroplasty . Arthroplast Today . 2020 ; 6 ( 4 ): 888 – 893 . 10.1016/j.artd.2020.09.003 33195782
Tischler EH , Restrepo C , Oh J , Matthews CN , Chen AF , Parvizi J . Urinary retention is rare after total joint arthroplasty when using opioid-free regional anesthesia . J Arthroplasty . 2016 ; 31 ( 2 ): 480 – 483 . 10.1016/j.arth.2015.09.007 26453530
Ziemba-Davis M , Nielson M , Kraus K , Duncan N , Nayyar N , Meneghini RM . Identifiable risk factors to minimize postoperative urinary retention in modern outpatient rapid recovery total joint arthroplasty . J Arthroplasty . 2019 ; 34 ( 7S ): S343 – S347 . 10.1016/j.arth.2019.03.015 30956046
Hamed Y , Ramesh A , Taylor R , Michaud R . Anticipating urinary retention following total hip and total knee replacements . Malays Orthop J . 2020 ; 14 ( 3 ): 110 – 113 . 10.5704/MOJ.2011.017 33403070
Mathew M , Ragsdale TD , Pharr ZK , Rider CM , Mihalko WM , Toy PC . Risk factors for prolonged time to discharge in total hip patients performed in an ambulatory surgery center due to complaints of the inability to void . J Arthroplasty . 2021 ; 36 ( 11 ): 3681 – 3685 . 10.1016/j.arth.2021.06.010 34215461
Rana S , Woolson ST , Giori NJ . History of nocturia may guide urinary catheterization for total joint arthroplasty . Orthopedics . 2016 ; 39 ( 4 ): e749 – 52 . 10.3928/01477447-20160421-06 27111076
Waterhouse N , Beaumont AR , Murray K , Staniforth P , Stone MH . Urinary retention after total hip replacement. A prospective study . J Bone Joint Surg Br . 1987 ; 69 ( 1 ): 64 – 66 . 10.1302/0301-620X.69B1.2434510 2434510
Williams A , Price N , Willett K . Epidural anaesthesia and urinary dysfunction: the risks in total hip replacement . J R Soc Med . 1995 ; 88 ( 12 ): 699p – 701p . 10.1177/014107689508801218 8786593
Iorio R , Whang W , Healy WL , Patch DA , Najibi S , Appleby D . The utility of bladder catheterization in total hip arthroplasty . Clin Orthop Relat Res . 2005 ; 432 ( 432 ): 148 – 152 . 10.1097/01.blo.0000149823.57513.00 15738815
Geller EJ . Prevention and management of postoperative urinary retention after urogynecologic surgery . Int J Womens Health . 2014 ; 6 : 829 – 838 . 10.2147/IJWH.S55383 25210477
Madersbacher H , Cardozo L , Chapple C , et al. What are the causes and consequences of bladder overdistension? ICI-RS 2011 . Neurourol Urodyn . 2012 ; 31 ( 3 ): 317 – 321 . 10.1002/nau.22224 22419355
Kendall MC , Cohen AD , Principe-Marrero S , Sidhom P , Apruzzese P , De Oliveira G . Spinal versus general anesthesia for patients undergoing outpatient total knee arthroplasty: a national propensity matched analysis of early postoperative outcomes . BMC Anesthesiol . 2021 ; 21 ( 1 ): 226 . 10.1186/s12871-021-01442-2 34525959
Baysden M , Hein D , Castillo S . Tamsulosin for prevention of postoperative urinary retention: a systematic review and meta-analysis . Am J Health Syst Pharm . 2023 ; 80 ( 6 ): 373 – 383 . 10.1093/ajhp/zxac349 36445826