Gil-Agudo Ángel, Gutiérrez Henares Francisco, Biscotto Sauro, Rodriguez Sotillo Antonio, Ferreiro Velasco Mª Elena, Méndez Ferrer Bosco, Benito Penalva Jesús, Vidal Samsó Joan, Borau Duran Albert, Del Popolo Giulio, Petrozzino Salvatore, Losavio Ernesto, Onesta Maria Giuseppa, Spinelli Michele
Department of Physical Medicine and Rehabilitation, Biomechanics and Technical Aids Unit, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Department of Rehabilitation, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Spinal Cord. 2025 Sep 17. doi: 10.1038/s41393-025-01108-7.
Prospective, descriptive, analytical, observational study involving 12 multicenter, international centers from Spain and Italy.
Determine the method for bladder voiding in spinal cord injury (SCI) patients concerning different intrinsic and environmental variables.
Neurogenic bladder is common in spinal cord injury (SCI) patients, profoundly impacting their quality of life. While clean intermittent catheterization (CIC) is the preferred method due to fewer complications and infections and improved quality of life, alternative methods like indwelling catheterization or condom catheters are viable options for bladder management.
Data was gathered along the acute (at hospital admission), subacute (expectations at discharge) and hospital discharge phases.
Data from 266 SCI patients was gathered. Main procedure for bladder voiding at the time of admission was indwelling catheterization (n = 242, 91.0%) and CIC was the most used procedure at discharge (n = 122, 45.9%). CIC is the preferred procedure when the evaluation of expectations at discharge is done (n = 181, 68.6%). The probability of achieving reflex voiding at discharge was higher as the American Spinal Injury Association (ASIA) Impairment Scale score improved (p < 0.001). A relationship was established with the level of injury (p < 0.001) and body mass index (p = 0.017), in addition to marital status, age and history of depression. Initial information about CIC was mostly provided by the urologist (n = 137, 73.3%) while training was predominantly done by the nurse (n = 159, 87.8%).
Differences in neurogenic bladder management were identified regarding level and injury severity, SCIM, BMI, marital status, age and depression history.
B Braun Medical S.A.U.
前瞻性、描述性、分析性观察研究，涉及来自西班牙和意大利的12个多中心国际中心。
确定脊髓损伤（SCI）患者膀胱排尿的方法与不同内在和环境变量的关系。
神经源性膀胱在脊髓损伤（SCI）患者中很常见，对他们的生活质量有深远影响。虽然清洁间歇性导尿（CIC）由于并发症和感染较少且生活质量提高而成为首选方法，但留置导尿或避孕套导尿管等替代方法也是膀胱管理的可行选择。
在急性（入院时）、亚急性（出院预期）和出院阶段收集数据。
收集了266例SCI患者的数据。入院时膀胱排尿的主要方法是留置导尿（n = 242，91.0%），出院时最常用的方法是CIC（n = 122，45.9%）。当进行出院预期评估时，CIC是首选方法（n = 181，68.6%）。随着美国脊髓损伤协会（ASIA）损伤量表评分的提高，出院时实现反射性排尿的可能性更高（p < 0.001）。除了婚姻状况、年龄和抑郁病史外，还与损伤水平（p < 0.001）和体重指数（p = 0.017）建立了关系。关于CIC的初始信息大多由泌尿科医生提供（n = 137，73.3%），而培训主要由护士完成（n = 159，87.8%）。
在神经源性膀胱管理方面，在损伤水平和严重程度、脊髓损伤独立性测量量表（SCIM）、体重指数、婚姻状况、年龄和抑郁病史方面存在差异。
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