Pulmonology Unit, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Eur Geriatr Med. 2021 Jun;12(3):637-642. doi: 10.1007/s41999-020-00440-w. Epub 2021 Jan 8.
We have studied, in diabetic older adults with urinary retention (UR), whether a urinary catheter (UC) inserted during hospitalization but not removed is associated with 1-year mortality.
A retrospective study included 327 consecutive older adults (age ≥ 65 years; median age 83 years; 57.8% males) with UR in whom a UC was inserted during hospitalization: 139 (42.5%) diabetics and 188 (57.5%) nondiabetics. UC removal rates during hospitalization and 1-year mortality rates were studied in both groups. Cox regression analysis was used to assess whether a UC inserted during hospitalization but not removed was independently associated with 1-year mortality.
Most diabetic and non-diabetic patients left the hospital with a UC (66.2% vs. 75.5%; p = 0.082). Overall, 54 (38.8%) diabetic patients and 52 (27.7%) nondiabetic patients died one year later (OR 1.66; 95% CI 1.04-2.65; p = 0.042). Diabetic patients with a UC at discharge day had significantly higher 1-year mortality rates relative to diabetic patients without a UC (48.9% vs. 19.1%; OR 4.04; 95% CI 1.75-9.30; p = 0.001), while in nondiabetic patients there was no significant difference in 1-year mortality rates between patients with or without a UC at discharge day (26.8% vs. 30.4%; p = 0.705). Cox regression analysis showed that only in diabetic patients a UC not removed was independently associated with 1-year mortality (HR 2.56; 95% CI 1.16-5.64; p = 0.019).
A UC inserted but not removed in diabetic older adults with UR is associated with 1-year mortality. Removing a UC and its association with mortality should be studied prospectively in this population.
我们研究了患有尿潴留（UR）的老年糖尿病患者，在住院期间插入但未拔出的导尿管（UC）是否与 1 年死亡率相关。
这是一项回顾性研究，纳入了 327 名连续的老年 UR 患者（年龄≥65 岁；中位年龄 83 岁；57.8%为男性），在住院期间插入了 UC：139 名（42.5%）为糖尿病患者，188 名（57.5%）为非糖尿病患者。研究了两组患者住院期间 UC 拔除率和 1 年死亡率。使用 Cox 回归分析评估住院期间插入但未拔出的 UC 是否与 1 年死亡率独立相关。
大多数糖尿病和非糖尿病患者出院时仍带有 UC（66.2% vs. 75.5%；p=0.082）。总体而言，一年后有 54 名（38.8%）糖尿病患者和 52 名（27.7%）非糖尿病患者死亡（OR 1.66；95%CI 1.04-2.65；p=0.042）。与无 UC 的糖尿病患者相比，出院时有 UC 的糖尿病患者 1 年死亡率显著更高（48.9% vs. 19.1%；OR 4.04；95%CI 1.75-9.30；p=0.001），而在非糖尿病患者中，出院时有或无 UC 的患者 1 年死亡率无显著差异（26.8% vs. 30.4%；p=0.705）。Cox 回归分析表明，只有在糖尿病患者中，未拔出的 UC 与 1 年死亡率独立相关（HR 2.56；95%CI 1.16-5.64；p=0.019）。
在患有 UR 的老年糖尿病患者中，插入但未拔出的 UC 与 1 年死亡率相关。应在该人群中前瞻性研究拔出 UC 及其与死亡率的关系。
