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.
Am J Surg. 2024 Feb;228:199-205. doi: 10.1016/j.amjsurg.2023.09.027. Epub 2023 Sep 20.
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.
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。
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。
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）。
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。
