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The Archives of Bone and Joint Surgery، جلد ۹، شماره ۵، صفحات ۴۸۰-۴۸۶
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عنوان انگلیسی The Role of Intraoperative Urinary Catheters on Postoperative Urinary Retention after Total Joint Arthroplasty: A Multi-Hospital Retrospective Study on 9,580 Patients
چکیده انگلیسی مقاله Background: Urinary catheters (UC) are used by some surgeons during total joint arthroplasty (TJA). This studyinvestigated the impact of intraoperative urinary catheters on postoperative urinary retention (POUR) following TJAcases.Methods: We conducted a retrospective comparative study across 11 medical centers on 9,580 TJA patients. Visitsto urgent care or the emergency department within 7 and 30 postoperative days were reviewed. Medical recordsover a 12-month period for all patients older than 18 years old were used to gather demographic and surgicaldata as well as the incidence of urinary tract infection (UTI). Chi-squared tests (RStudio) were used to determinestatistical significance against P-Values (P) < 0.05.Results: 13 (0.14%) patients returned within 7 days for POUR. POUR was more common in males [10 (0.3%) vs.3 (0.1%) females, (P = 0.01)]. There was no difference in POUR when comparing total hip and knee arthroplastyprocedures [0.16% vs. 0.12%, (P = 0.60)]. Of all operations, 25% had intraoperative UC use. There was no differencein POUR between the UC and no UC groups [0.21 vs. 0.11%, (P = 0.26)]. However, there was an increase in UTIin UC vs. no UC use within 7 postoperative days [0.92 vs. 0.43%, (P = 0.005)] and 30 postoperative days [2.60 vs.1.50 %, (P < 0.001)].Conclusion: In our study, there was no difference in POUR rates between the intraoperative UC vs. no UC groups.Therefore, the use of intraoperative UC may not decrease the rate of POUR following TJA procedures. Additionally,UTI risk was higher in the UC group which may be attributable to other factors, especially when comparing femalevs. male patients.Level of evidence: II
کلیدواژه‌های انگلیسی مقاله indwelling urinary catheter, postoperative urinary retention, perioperative management, total joint surgery, Urinary tract infection
نویسندگان مقاله | Nikhil A. Crain
Department of Orthopedics, South Bay Medical Center, Kaiser Permanente Southern California Medical Group, Harbor City, CA, USA- 2196 Gaston Street, Winston-Salem, NC, USA


| Reza Z. Goharderakhshan
Department of Urology, South Bay Medical Center, Kaiser Permanente Southern California Medical Group, Harbor City, CA, USA


| Nithin C. Reddy
Department of Orthopedics, San Diego Medical Center, Kaiser Permanente Southern California Medical Group, San Diego, CA, USA


| Allison M. Apfe
Department of Orthopedics, South Bay Medical Center, Kaiser Permanente Southern California Medical Group, Harbor City, CA, USA


| Ronald A. Navarro
Department of Orthopedics, South Bay Medical Center, Kaiser Permanente Southern California Medical Group, Harbor City, CA, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_17332.html
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نوع مقاله منتشر شده RESEARCH PAPER
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