Routine Bladder Catheterisation Through Fast-track Hip and Knee Replacement - What Are the Consequences?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 800
- 试验地点
- 1
- 主要终点
- Number of patients needing re-catheterization
研究概览
简要总结
To describe the need for re-catheterization and incidence of urological complications of routine use of perioperative fixed urinary catheter (KAD) for up to 24 hours of fast-track THA and TKA
详细描述
Postoperative urinary retention (POUR) is a well known complication of fast-track total hip (THA) and knee arthroplasty (TKA), and even though medical options have been attempted, bladder catheterisation remains the only well-documented capacity to prevent and / or treat POUR.
It was previously standard to use fixed urinary catheter (KAD), the first 24-48 hours postoperatively to prevent POUR by THA and TKA, while more recent studies now recommend intermittent urinary catheterization in the postoperative period.
However, there are no detailed studies with adequate follow-up, describing the consequences of using either one or the other treatment regimen of POUR by fast-track THA and TKA.
Purpose:
To describe the need for re-catheterization and incidence of urological complications of routine use of perioperative fixed urinary catheter (KAD,catheter a demure) for up to 24 hours of fast-track THA and TKA
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients must meet all the following criteria to be eligible to enroll in the study:
- •Age >50 years.
- •Patients scheduled for primary THA or TKA.
- •Patients who have given verbal consent to participate in the study.
排除标准
- •Patients who meet one or more of the following criteria may not be included in the study:
- •Patients who can not cooperate with the study.
- •Patients who do not understand or speak Danish.
- •Patients who are permanent catheter carriers or use disposable bladder catheterisation.
- •Patients on hemodialysis.
- •Urine Derivative patients.
- •Pregnancy or childbirth within 6 months.
结局指标
主要结局
Number of patients needing re-catheterization
时间窗: From removal of urinary catheter at first postoperative day and untill discharge from hospital
The need for re-catheterization will be asses on a daily basis until discharge from hospital (median 3 days from surgery)
次要结局
- Number of patients who did not get their urinary catheter removed on the first postoperative day(within the first 24 hours after surgery)
- Number of urinary tract infections(within the first 30 days after surgery)
- Number of patients developing postoperative micturition difficulties(From day 1 to day 30 after surgery)
- Number of re-admission due to urological problems, including urosepsis(within the first 30 days after surgery)
研究者
Morten Homilius
MD
Lundbeck Foundation