National incidence and outcomes of postoperative urinary retention in the Surgical Care Improvement Project - 17/07/12
, Andrew D. Auerbach, M.D. a, David S. Aaronson, M.D. a, b
Corresponding author. Tel.: +1-415-353-2200; fax: +1-415-731-4201Abstract |
Background |
The national incidence of postoperative urinary retention (POUR), its risk factors, and associated outcomes are not well understood.
Methods |
We identified patients undergoing one of the Surgical Care Improvement Project surgeries using the National Inpatient Sample. By using International Classification of Diseases, 9th revision, Clinical Modification codes (ICD-9-CM), we identified POUR and the outcomes urinary tract infection, noninfectious catheter-related complications, length of stay, and posthospitalization care. Multivariable analysis identified predictors of POUR and its associated outcomes.
Results |
A total of 415,409 patients, representing 2,077,045 nationally, underwent one of the Surgical Care Improvement Project procedures with 43,030 (2.1%) developing POUR. Age, sex, type of surgery, and medical comorbidities were predictive of POUR with a .71 area under the curve. Patients with POUR had greater odds of having urinary tract infections (odds ratio [OR], 2.3; 95% confidence interval [CI], 2.2–2.5), suffering catheter-related complications (OR, 5.2; 95% CI, 3.8–7.0), and needing additional posthospitalization care (OR, 1.3; 95% CI, 1.25–1.4), and they had a greater length of stay (.24 extra days).
Conclusions |
Patients at risk for POUR can be identified, and they may benefit from interventions to prevent POUR.
Le texte complet de cet article est disponible en PDF.Keywords : Postoperative urinary retention, Urethral catheter, Surgical care improvement project, Benign prostatic hyperplasia
Plan
Vol 204 - N° 2
P. 167-171 - août 2012 Retour au numéro
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