National incidence and outcomes of postoperative urinary retention in the Surgical Care Improvement Project

American Journal of Surgery
Alex K WuDavid S Aaronson

Abstract

The national incidence of postoperative urinary retention (POUR), its risk factors, and associated outcomes are not well understood. 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. 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). Patients at risk for POUR can be ide...Continue Reading

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Citations

Nov 28, 2012·Critical Care Clinics·Carol Chenoweth, Sanjay Saint
Nov 26, 2015·Clinical Therapeutics·Paul S GarcíaDavid Fishman
Jan 8, 2015·Interactive Cardiovascular and Thoracic Surgery·Kun Woo KimKuk-Hui Son
Jun 24, 2015·International Journal of Colorectal Disease·Vitaliy PoylinDeborah Nagle
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Jun 5, 2016·The Surgical Clinics of North America·Urszula Kowalik, Mark K Plante
Nov 7, 2016·Infectious Disease Clinics of North America·Carol E Chenoweth, Sanjay Saint
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Mar 16, 2013·Current Opinion in Anaesthesiology·Stephen Choi, Imad Awad
Sep 20, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Yutian LaiGuowei Che
Nov 6, 2018·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Susan FowlerHolly Taggart
Mar 8, 2021·Seminars in Thoracic and Cardiovascular Surgery·Michael BaboudjianPascal Alexandre Thomas
Oct 15, 2021·International Journal of Colorectal Disease·Amandeep GhumanP Terry Phang

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