Portable Bladder Ultrasound Reduces Incidence of Urinary Tract Infection and Shortens Hospital Length of Stay in Patients With Acute Ischemic Stroke

The Journal of Cardiovascular Nursing
Shu-Chuan ChenShinn-Kuang Lin

Abstract

Urinary tract infection (UTI) during acute ischemic stroke is associated with a longer hospital length of stay and unfavorable functional outcomes. We investigated the benefits of portable bladder ultrasound (PBU) scanning during acute ischemic stroke. We retrospectively reviewed patients with acute ischemic stroke from January 2011 to February 2017. Patients were divided into group 1 (PBU not available) and group 2 (PBU available), before or after the split date, April 9, 2014. Portable bladder ultrasound scanning was conducted by nurses to measure postvoid residual urine volume in patients with impaired consciousness and/or dependent ambulation. In total, 1928 patients were enrolled, of whom 109 (5.7%) had UTI and 901 (46.7%) experienced unfavorable outcomes (modified Rankin scale score ≥ 3). Multivariate analysis revealed that factors that influenced UTI were age of 75 years or older, female gender, initial total National Institutes of Health Stroke Scale (NIHSS) score of 5 or higher, initial NIHSS conscious score of 1 or higher, initial NIHSS leg score of 2 or higher, and urinary catheterization. Factors influencing unfavorable outcomes were similar to those influencing UTI but further comprised UTI. C-statistic for UTI det...Continue Reading

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Citations

Jul 17, 2019·International Urogynecology Journal·Juliana Falcão PadilhaPatricia Driusso
Jul 23, 2020·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Carolyn E Smith, Melissa A Schneider
Jul 9, 2020·Journal of Stroke·Maria H H BalchYousef Hannawi
Jul 30, 2021·World Journal of Methodology·Hiroko Naganuma, Hideaki Ishida

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Software Mentioned

SPSS
R
BladderScan
pROC

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