Construction and Validation of a Risk Prediction Model for Postoperative Urinary Retention in Lung Cancer Patients

Abstract

Indwelling catheter is a routine procedure in surgical patients. Studies have shown that prolonged indwelling urinary catheterization increases the risk of postoperative urinary tract infection. Although early removal of the urinary catheter after operation can reduce the risk of postoperative urinary symptoms and tract infections, it may lead to postoperative anesthetic dysuria. Therefore, this study investigates the urinary retention and related risk factors in patients after thoracoscopic lobectomy under general anesthesia. The clinical data of 214 patients who underwent thoracoscopic lobectomy in the Department of Thoracic Surgery of a tertiary class A cancer hospital in Beijing from July 2020 to April 2021 were collected. A risk prediction model was established by logistic regression analysis, and the prediction effect was determined using the area under the receiver operating characteristic (ROC) curve. The incidence of indwelling catheter after thoracoscopic lobectomy was 44.8% (96/214). Sex (OR = 21.102, 95% CI: 2.906–153.239, P = 0.003 ), perception of shame (OR = 74.256, 95% CI: 6.171–893.475, P = 0.001 ), age (OR = 1.095, 95% CI: 1.014–1.182, P = 0.021 ), and bed rest time (OR = 1.598, 95% CI: 1.263–2.023, P < 0.021 ) were the factors influencing urinary retention after thoracoscopic lobectomy. This model can effectively predict the occurrence of postoperative urinary retention in patients with lung cancer and help medical staff to intervene effectively before the onset of urinary retention, which provides reference for preventive treatment and nursing intervention.

Protocol for Development and Validation of Multivariable Prediction Models for Chronic Postsurgical Pain Following Video-Assisted Thoracic Surgery

“…For patients undergoing thoracic surgery, there have been several prediction models for postoperative outcomes including postoperative air leakage, urinary retention, and cardiopulmonary complications. [38][39][40][41] A recent retrospective study developed a prediction model for CPSP after thoracic surgery in elderly patients. 19 In that study, the incidence of CPSP was 26.9%, and age ≥75 years and longer duration of hospital stay were associated with CPSP.…”

Retracted: Construction and Validation of a Risk Prediction Model for Postoperative Urinary Retention in Lung Cancer Patients

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”

“…Tis article has been retracted by Hindawi following an investigation undertaken by the publisher [1]. Tis investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process:…”