1. Validation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients.
- Author
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Hendren S, Ameling J, Rocker C, Sulich C, Greene MT, and Meddings J
- Subjects
- Humans, Urinary Catheters adverse effects, Urinary Catheterization, Retrospective Studies, Reproducibility of Results, Catheters, Indwelling adverse effects, Postoperative Complications etiology, Urinary Retention etiology, Urinary Retention therapy, Urinary Tract Infections etiology
- Abstract
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: 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: 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: This study suggests a persistent high rate of catheter use, significant rates of urinary retention and trauma, and variation in the management of retention., Competing Interests: 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., (Copyright © 2023 Elsevier Inc. All rights reserved.)
- Published
- 2024
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