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Indwelling urinary catheters in low-invasive surgery patients

Phase 1
Conditions
Diseases which were needed low-invasive surgery for treatment
Registration Number
JPRN-UMIN000042664
Lead Sponsor
Jikei University of Medicine Katsushika medical center Department of Anesthesiology
Brief Summary

We analyzed 5112 patients (control group, 2249 patients [44.0%]; IUC group, 2,863 patients [56.0%]). The prevalence of postoperative altered mental status and postoperative urinary catheter infection were 3.56% and 0.04%, respectively. After inverse propensity weighting, all baseline characteristics were similar between the two groups. However, patients with IUCs had a higher risk of postoperative complications (adjusted odds ratio, 1.97; 95% confidence interval [CI], 1.50-2.59).

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
14284
Inclusion Criteria

Not provided

Exclusion Criteria

We excluded patients as follows: patients for whom we suppose to need IUC on surgery (to assess the urine output as an indicator for the optimal blood pressure, emergency, mechanical ventilation before surgery, carotid endarterectomy, for urine drainage, urology, traumatic spinal cord injury, epidural catheter use, spinal anesthesia, severe motor, or intellectual disabilities), patients undergoing neurosurgery affecting postoperative consciousness and immobility (craniotomy, trepanation, intracranial endovascular therapy), patients who could not speak and who could not vocalize strange words (tracheostomy), patients with chronic hemodialysis due to reduced urine output, and patients with cardiac arrest before surgery.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
the incidence of altered mental status and/or urinary tract infection.
Secondary Outcome Measures
NameTimeMethod
the length of postoperative hospital stay and AKI incidence after surgery.
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