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Incidence of urinary retention in post-operative orthopedic and trauma patients
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Pagán, Priscilla. Incidence of urinary retention in post-operative orthopedic and trauma patients. Retrieved from https://doi.org/doi:10.7282/t3-fq10-dw48

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TitleIncidence of urinary retention in post-operative orthopedic and trauma patients
NamePagán, Priscilla (author); DiGiulio, Mary (chair); Rutgers University; School of Nursing - RBHS
Date Created2021
Other Date2021-05 (degree)
SubjectAdult-Gerontology Acute Care Nurse Practitioner, Early removal, Indwelling urinary catheter, Orthopedic surgery, Trauma patient, Urinary retention
Extent1 online resource (74 pages) : illustrations
DescriptionPurpose of Project: For patients in the hospital setting, the early removal of indwelling urinary catheters is an important consideration to prevent catheter-associated urinary tract infections. There is increased cost related to catheter-associated urinary tract infections evidenced in the literature which supports the rationale for early removal. The aim of this project was to assess whether early removal of indwelling urinary catheters was related to decreased or increased incidence of urinary retention in trauma and orthopedic patients using a nurse-driven protocol for catheter-associated urinary tract infection prevention.

Methodology: Through retrospective chart review, bladder scan volume, eight-hour voiding trials, and failed trials to void were used to assess spontaneous voiding versus urinary retention in trauma patients undergoing surgical fixation of femoral fractures in a 6-week period. Other risk factors were collected to assess for correlation between incidence of urinary retention and its potential relationship to age, sex, mobility, cognitive status, and length of stay.

Results: The results of this study suggest that the removal of indwelling urinary catheters 8 hours or at midnight post-operatively causes increased incidence of urinary retention in trauma and orthopedic patients. However, due to small sample size, these findings may not be generalizable and may require further research.

Implications for Practice: Maintenance of indwelling urinary catheters for 12-48 hours post-operatively may be appropriate for this surgical population without increasing risk of urinary retention, catheter-associated urinary tract infections, or hospital length of stay.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-fq10-dw48
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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