Validation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients

doi:10.1016/j.amjsurg.2023.09.027

. 2024 Feb:228:199-205.

doi: 10.1016/j.amjsurg.2023.09.027. Epub 2023 Sep 20.

Validation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients

Samantha Hendren¹, Jessica Ameling², Cheryl Rocker³, Catherine Sulich⁴, M Todd Greene⁵, Jennifer Meddings⁶

Affiliations

¹ Department of Surgery, University of Michigan, Ann Arbor, MI, USA. Electronic address: hendren@med.umich.edu.
² Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA. Electronic address: jameling@med.umich.edu.
³ Michigan Surgical Quality Collaborative, Ann Arbor, MI, USA. Electronic address: ccrocker@med.umich.edu.
⁴ Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA. Electronic address: casulich@med.umich.edu.
⁵ Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA; Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA. Electronic address: mtgreene@med.umich.edu.
⁶ Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA; Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA; Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, MI, USA. Electronic address: meddings@med.umich.edu.

PMID: 37798151
PMCID: PMC10922583 (available on 2025-02-01)
DOI: 10.1016/j.amjsurg.2023.09.027

Validation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients

Samantha Hendren et al. Am J Surg. 2024 Feb.

. 2024 Feb:228:199-205.

doi: 10.1016/j.amjsurg.2023.09.027. Epub 2023 Sep 20.

Authors

Samantha Hendren¹, Jessica Ameling², Cheryl Rocker³, Catherine Sulich⁴, M Todd Greene⁵, Jennifer Meddings⁶

Affiliations

¹ Department of Surgery, University of Michigan, Ann Arbor, MI, USA. Electronic address: hendren@med.umich.edu.
² Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA. Electronic address: jameling@med.umich.edu.
³ Michigan Surgical Quality Collaborative, Ann Arbor, MI, USA. Electronic address: ccrocker@med.umich.edu.
⁴ Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA. Electronic address: casulich@med.umich.edu.
⁵ Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA; Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA. Electronic address: mtgreene@med.umich.edu.
⁶ Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA; Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA; Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, MI, USA. Electronic address: meddings@med.umich.edu.

PMID: 37798151
PMCID: PMC10922583 (available on 2025-02-01)
DOI: 10.1016/j.amjsurg.2023.09.027

Abstract

Background: The effects of non-infectious urinary catheter-related complications such as measurements of indwelling urinary catheter overuse, catheter-related trauma, and urinary retention are not well understood.

Methods: This was a retrospective cohort study of 200 patients undergoing general surgery operations. Variables to measure urinary catheter use, trauma, and retention were developed, then surgical cases were abstracted. Inter- and intra-rater reliability were calculated for measure validation.

Results: 129 of 200 (65%) had an indwelling urinary catheter placed at the time of surgery. 32 patients (16%) had urinary retention, and variation was observed in the treatment of urinary retention. 12 patients (6%) had urinary trauma. Rater reliability was high (>90% agreement for all) for the dichotomous outcomes of urinary catheter use, urinary catheter-related trauma, and urinary retention.

Conclusions: This study suggests a persistent high rate of catheter use, significant rates of urinary retention and trauma, and variation in the management of retention.

Keywords: Health care; Outcome assessment; Postoperative complications; Urethral injury; Urinary catheters; Urinary retention.

PubMed Disclaimer

Conflict of interest statement

Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Co-Author Jennifer Meddings reports a relationship with Agency for Healthcare Research and Quality that includes: funding grants. Jennifer Meddings reports a relationship with Centers for Disease Control and Prevention that includes: funding grants. Jennifer Meddings reports a relationship with Ralph E. Wilson Fundation that includes: funding grants. Jennifer Meddings reports a relationship with VHA Health Services Research & Development that includes: funding grants. Jennifer Meddings has patent US Patent #10279145 and Japanese Patent #6933385 issued to Jennifer Meddings. Jennifer Meddings has received royalties for “Preventing Hospital Infection” book, published by Oxford.

References

1. Meddings J, Skolarus TA, Fowler KE, et al. 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. Jan;28(1):56–66. - PMC - PubMed
1. Chenoweth CE, Gould CV, Saint S. Diagnosis, management, and prevention of catheter-associated urinary tract infections. Infect Dis Clin North Am. 2014. Mar;28(1):105–19. - PMC - PubMed
1. Davis NF, Quinlan MR, Bhatt NR, et al. Incidence, Cost, Complications and Clinical Outcomes of Iatrogenic Urethral Catheterization Injuries: A Prospective Multi-Institutional Study. J Urol. 2016. Nov;196(5):1473–7. - PubMed
1. Saint S, Trautner BW, Fowler KE, et al. A Multicenter Study of Patient-Reported Infectious and Noninfectious Complications Associated With Indwelling Urethral Catheters. JAMA Intern Med. 2018. Aug 1;178(8):1078–85. - PMC - PubMed
1. Kashefi C, Messer K, Barden R, Sexton C, Parsons JK. Incidence and prevention of iatrogenic urethral injuries. J Urol. 2008. Jun;179(6):2254–7; discussion 7–8. - PubMed

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

R01 HS026912/HS/AHRQ HHS/United States

LinkOut - more resources

Full Text Sources
- ClinicalKey
- Elsevier Science
Medical
- MedlinePlus Health Information

[1] Meddings J, Skolarus TA, Fowler KE, et al. 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. Jan;28(1):56–66. - PMC - PubMed

[2] Meddings J, Skolarus TA, Fowler KE, et al. 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. Jan;28(1):56–66. - PMC - PubMed

[3] Chenoweth CE, Gould CV, Saint S. Diagnosis, management, and prevention of catheter-associated urinary tract infections. Infect Dis Clin North Am. 2014. Mar;28(1):105–19. - PMC - PubMed

[4] Chenoweth CE, Gould CV, Saint S. Diagnosis, management, and prevention of catheter-associated urinary tract infections. Infect Dis Clin North Am. 2014. Mar;28(1):105–19. - PMC - PubMed

[5] Davis NF, Quinlan MR, Bhatt NR, et al. Incidence, Cost, Complications and Clinical Outcomes of Iatrogenic Urethral Catheterization Injuries: A Prospective Multi-Institutional Study. J Urol. 2016. Nov;196(5):1473–7. - PubMed

[6] Davis NF, Quinlan MR, Bhatt NR, et al. Incidence, Cost, Complications and Clinical Outcomes of Iatrogenic Urethral Catheterization Injuries: A Prospective Multi-Institutional Study. J Urol. 2016. Nov;196(5):1473–7. - PubMed

[7] Saint S, Trautner BW, Fowler KE, et al. A Multicenter Study of Patient-Reported Infectious and Noninfectious Complications Associated With Indwelling Urethral Catheters. JAMA Intern Med. 2018. Aug 1;178(8):1078–85. - PMC - PubMed

[8] Saint S, Trautner BW, Fowler KE, et al. A Multicenter Study of Patient-Reported Infectious and Noninfectious Complications Associated With Indwelling Urethral Catheters. JAMA Intern Med. 2018. Aug 1;178(8):1078–85. - PMC - PubMed

[9] Kashefi C, Messer K, Barden R, Sexton C, Parsons JK. Incidence and prevention of iatrogenic urethral injuries. J Urol. 2008. Jun;179(6):2254–7; discussion 7–8. - PubMed

[10] Kashefi C, Messer K, Barden R, Sexton C, Parsons JK. Incidence and prevention of iatrogenic urethral injuries. J Urol. 2008. Jun;179(6):2254–7; discussion 7–8. - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Validation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients

Affiliations

Validation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients

Authors

Affiliations

Abstract

Conflict of interest statement

Similar articles

References

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical

Abstract

Conflict of interest statement

Similar articles

References

MeSH terms

Related information

Grants and funding

LinkOut - more resources

Full Text Sources

Medical