Forskning
Udskriv Udskriv
Switch language
Rigshospitalet - en del af Københavns Universitetshospital
Udgivet

Indwelling urinary catheterisation may increase risk of complications in hip and knee arthroplasty

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Temporal trends in length of stay and readmissions after fast-track hip and knee arthroplasty

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Hydrochloric acid prolongs the lifetime of central venous catheters in haematologic patients with bacteraemia

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Successful paediatric renography does not require sedation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. The clinical use of hyperbaric oxygen in the treatment of Danish patients with diabetic foot ulcers

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Re-amputations and mortality after below-knee, through-knee and above-knee amputations

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. A national center for persistent severe pain after groin hernia repair: Five-year prospective data

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Temporal trends in length of stay and readmissions after fast-track hip and knee arthroplasty

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

INTRODUCTION: Routine use of perioperative indwelling urinary catheterisation in fast-track total hip arthroplasty (THA) and total knee arthroplasty (TKA) is still debatable, as urinary catheterisation may cause complications. The aim of this study was to describe the incidence of re-catheterisa-tion and urologic complications during the initial 30 days following THA and TKA fast-track surgery.

METHODS: We conducted a prospective, observational study of 795 patients ≥ 50 years of age who had undergone elective fast-track THA or TKA with perioperative indwelling urinary catheterisation until the first post-operative morning. Primary outcomes were number of patients keeping their catheter the first post-operative morning and the incidence of re-catheterisations before discharge. Follow-up on post-discharge complications was done by phone 30 days after surgery.

RESULTS: A total of 784 of 795 included patients (98.6%) were analysed for the primary outcomes, and follow-up data were available for 760 patients (95.6%). Three patients (0.4%) kept their catheter after the first post-operative morning and 25 patients (3.2%) were re-catheterised before discharge. The median length of stay was two days (interquartile range: 1-2). The incidence of post-operative urinary tract infections (UTI) was 4.2%, and about 30% of the patients experienced pre-to-post-operative aggravation of their lower urinary tract symptoms.

CONCLUSIONS: Routine use of perioperative indwelling urinary catheterisation in fast-track THA and TKA may increase the risk of post-operative UTI and does not eliminate the need for subsequent re-catheterisation. These findings speak against routine use of perioperative indwelling catheterisation.

FUNDING: The study was supported by the Lundbeck Foundation and registered with clinicaltrials.gov.

TRIAL REGISTRATION: clinicaltrials.gov 8 April 2014 (NCT02133768).

OriginalsprogEngelsk
ArtikelnummerA5538
TidsskriftDanish Medical Journal
Vol/bind66
Udgave nummer4
ISSN1603-9629
StatusUdgivet - apr. 2019

Bibliografisk note

Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

ID: 56885413