验证手术患者围手术期导尿管使用、尿潴留和导尿管相关创伤的测量方法。
Validation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients.
机构信息
Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
出版信息
Am J Surg. 2024 Feb;228:199-205. doi: 10.1016/j.amjsurg.2023.09.027. Epub 2023 Sep 20.
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.
背景
非感染性导尿管相关并发症的影响，如留置导尿管过度使用、导管相关性创伤和尿潴留的测量，尚未得到很好的理解。
方法
这是一项对 200 例接受普通外科手术的患者进行的回顾性队列研究。制定了测量导尿管使用、创伤和潴留的变量，然后提取手术病例。测量验证的组内和组间可靠性进行了计算。
结果
200 例患者中有 129 例（65%）在手术时放置了留置导尿管。32 例（16%）患者发生尿潴留，且尿潴留的治疗方法存在差异。12 例（6%）患者发生尿路创伤。对于留置导尿管使用、与导尿管相关的创伤和尿潴留的二项结局，评估者的可靠性很高（>90%的一致性）。
结论
本研究表明，导尿管的使用持续率高，尿潴留和创伤的发生率高，且潴留的治疗方法存在差异。
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