The Role of Intraoperative Urinary Catheters on Postoperative Urinary Retention after Total Joint Arthroplasty: A Multi-Hospital Retrospective Study on 9,580 Patients | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 2، دوره 9، شماره 5، آذر و دی 2021، صفحه 480-486 اصل مقاله (449.59 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2020.49205.2441 | ||
| نویسندگان | ||
| Nikhil A. Crain* 1؛ Reza Z. Goharderakhshan2؛ Nithin C. Reddy3؛ Allison M. Apfe4؛ Ronald A. A. Navarro4 | ||
| 1Department of Orthopedics, South Bay Medical Center, Kaiser Permanente Southern California Medical Group, Harbor City, CA, USA- 2196 Gaston Street, Winston-Salem, NC, USA | ||
| 2Department of Urology, South Bay Medical Center, Kaiser Permanente Southern California Medical Group, Harbor City, CA, USA | ||
| 3Department of Orthopedics, San Diego Medical Center, Kaiser Permanente Southern California Medical Group, San Diego, CA, USA | ||
| 4Department of Orthopedics, South Bay Medical Center, Kaiser Permanente Southern California Medical Group, Harbor City, CA, USA | ||
| چکیده | ||
| Background: Urinary catheters (UC) are used by some surgeons during total joint arthroplasty (TJA). This study investigated the impact of intraoperative urinary catheters on postoperative urinary retention (POUR) following TJA cases. Methods: We conducted a retrospective comparative study across 11 medical centers on 9,580 TJA patients. Visits to urgent care or the emergency department within 7 and 30 postoperative days were reviewed. Medical records over a 12-month period for all patients older than 18 years old were used to gather demographic and surgical data as well as the incidence of urinary tract infection (UTI). Chi-squared tests (RStudio) were used to determine statistical significance against P-Values (P) < 0.05. Results: 13 (0.14%) patients returned within 7 days for POUR. POUR was more common in males [10 (0.3%) vs. 3 (0.1%) females, (P = 0.01)]. There was no difference in POUR when comparing total hip and knee arthroplasty procedures [0.16% vs. 0.12%, (P = 0.60)]. Of all operations, 25% had intraoperative UC use. There was no difference in POUR between the UC and no UC groups [0.21 vs. 0.11%, (P = 0.26)]. However, there was an increase in UTI in UC vs. no UC use within 7 postoperative days [0.92 vs. 0.43%, (P = 0.005)] and 30 postoperative days [2.60 vs. 1.50 %, (P < 0.001)]. Conclusion: In our study, there was no difference in POUR rates between the intraoperative UC vs. no UC groups. Therefore, the use of intraoperative UC may not decrease the rate of POUR following TJA procedures. Additionally, UTI risk was higher in the UC group which may be attributable to other factors, especially when comparing female vs. male patients. Level of evidence: II | ||
| کلیدواژهها | ||
| Indwelling urinary catheter؛ Postoperative urinary retention؛ Perioperative management؛ Total joint surgery؛ Urinary tract infection | ||
| مراجع | ||
|
1. Kemp D, Tabaka N. Postoperative urinary retention: Part II. A retrospective study. J Post Anesth Nurs. 1990;5(6):397-400. 2. Oishi CS, Williams VJ, Hanson PB, Schneider JE, Colwell Jr CW, Walker RH. Perioperative bladder management after primary total hip arthroplasty. J Arthroplasty. 1995;10(6):732-736. 3. Lampe HI, Sneller ZW, Rijnberg WJ. Urination problems following total hip arthroplasty: insertion or not of an indwelling catheter [in Dutch]? Ned Tijdschr Geneeskd. 1992;136(17):827-831. 4. Michelson JD, Lotke PA, Steinberg ME. Urinarybladder management after total joint replacement surgery. N Engl J Med. 1988;319(6):321-326 5. Redfern TR, Machin DG, Parsons KF, Owen R. Urinary retention in men after total hip arthroplasty. J Bone Joint Surg Am. 1986;68(9):1435-1438. 6. Griesdale DE, Neufeld J, Dhillon D, Joo J, Sandhu S, Swinton F, et al. Risk factors for urinary retention after hip or knee replacement: a cohort study. Can J Anaesth. 2011;58(12):1097-1104. 7. Wynd CA, Wallace M, Smith KM. Factors influencing postoperative urinary retention following orthopaedic surgical procedures. Orthop Nurs. 1996;15(1):43-50. 8. Waterhouse N, Beaumont AR, Murray K, Staniforth P, Stone MH. Urinary retention after total hip replacement: a prospective study. J Bone Joint Surg Br. 1987;69(1):64-66. 9. Williams A, Price N, Willett K. Epidural anaesthesia and urinary dysfunction: the risks in total hip replacement. J R Soc Med. 1995;88(12):699-701 10. Sarasin SM, Walton MJ, Singh HP, Clark DI. Can a urinary tract symptom score predict the development of postoperative urinary retention in patients undergoing lower limb arthroplasty under spinal anaesthesia? A prospective study. Ann R Coll Surg Engl. 2006;88(4):394-398. 11. Karason S, Olafsson TA. Avoiding bladder catheterisation in total knee arthroplasty: patient selection criteria and low-dose spinal anaesthesia. Acta Anaesthesiol Scand. 2013;57(5):639-645. 12. Huang ZY, Ma J, Shen B, Pei F. General Anesthesia: To catheterize or Not? A Prospective Randomized Controlled Study of Patients Undergoing Total Knee Arthroplasty. J Arthroplasty. 2015;30(3):502–506. 13. Meddings J, Skolarus TA, Fowler KE, Bernstein SJ, Dimick JB, Mann JD. Michigan Appropriate Perioperative (MAP) criteria for urinary catheter use in common general and orthopaedic surgeries: results obtained using the RAND/UCLA Appropriateness Method. BMJ Qual Saf. 2019;28:56–66. 14. Crain N, Tejirian T. Impact of Intraoperative Foley Catheters on Postoperative Urinary Retention after Inguinal Hernia Surgery. Am Surg. 2019;85(10):1099-1103. 15. Peel TN, Cheng AC, Liew D, Buising KL, Lisik J, Carroll KA. Direct hospital cost determinants following hip and knee arthroplasty. Arthritis Care Res (Hoboken). 2015;67(6):782-790. 16. Hollman F, Wolterbeek N, Veen R. Risk Factors for Postoperative Urinary Retention in Men Undergoing Total Hip Arthroplasty. Orthopedics. 2015;38(6):507-511. 17. Aiyer SN, Kumar A, Shetty AP, Kanna RM, Rajasekaran S. Factors Influencing Postoperative Urinary Retention Following Elective Posterior Lumbar Spine Surgery: A Prospective Study. Asian Spine J. 2018;12(6):1100-1105. 18. Bjerregaard LS, Bogø S, Raaschou S, Troldborg C, Hornum U, Poulsen AM. Incidence of and risk factors for postoperative urinary retention in fast-track hip and knee arthroplasty. Acta Orthop. 2015;86(2):183-188. 19. Kieffer WK, Kane TP. Predicting postoperative urinary retention after lower limb arthroplasty. Ann R Coll Surg Engl. 2012;94(5):356-358. 20. Rana S, Woolson ST, Giori NJ. History of Nocturia May Guide Urinary Catheterization for Total Joint Arthroplasty. Orthopedics. 2016;39(4):749-752. 21. Halawi MJ, Caminiti N, Cote MP, Lindsay AD, Williams VJ. The Most Significant Risk Factors for Urinary Retention in Fast-track Total Joint Arthroplasty are Iatrogenic. J Arthroplasty. 2019;34(1):136-139. 22. Scholten R, Kremers K, van de Groes SAW, Somford DM, Koëter S. Incidence and Risk Factors of Postoperative Urinary Retention and Bladder Catheterization in Patients Undergoing Fast-Track Total Joint Arthroplasty: A Prospective Observational Study on 371 Patients. J Arthroplasty. 2018;33(5):1546-1551. 23. Knight RM, Pellegrini Jr VD. Bladder management after total joint arthroplasty. J Arthroplasty. 1996; 11(8):882-888. 24. Fernandez MA, Karthikeyan S, Wyse M, Foguet P. The incidence of postoperative urinary retention in patients undergoing elective hip and knee arthroplasty. Ann R Coll Surg Engl. 2014;96(6):462-465. 25. Izard JP, Sowery RD, Jaeger MT, Siemens DR. Parameters affecting urologic complications after major joint replacement surgery. Can J Urol. 2006;13(3):3158-63. 26. McQueen DA, Kelly HK, Wright TF. A comparison of epidural and non-epidural anesthesia and analgesia in total hip or knee arthroplasty. Orthopedics. 1992;15(2):169-73. 27. Kinmont JC. Penetrating bladder injury caused by a medially placed acetabular screw. J South Orthop Assoc. 1999;8(2):98-100. 28. O’Sullivan AW, O’Malley KJ, Fitzpatrick JM, Smith JS. Migration of prosthetic acetabulum into the bladder. J Urol. 2001;166:617. | ||
|
آمار تعداد مشاهده مقاله: 744 تعداد دریافت فایل اصل مقاله: 2,418 |
||