Midnight removal of urinary catheters ? Improved outcome after gynecological surgery

Ind, Thomas; Brown, Richard N; Pyneeandee, V. M.; Swanne, M.; Taylor, G. W.

doi:10.1007/bf00387383

Cited by 14 publications

(36 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 Overall there was a wide variation in the quality of the trials. Five of the seven trials reported on the method of allocation concealment where allocation was by random digit chart, 14,16 sealed envelopes, 7 hospital numbers, 13 and alternation. 4,8 Method of allocation to treatment groups was not reported in three trials.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…The search process identified 11 studies that addressed the objectives of the review protocol. 3,4,[7][8][9][11][12][13][14][15][16] However, only eight trials were eligible for the present review (Table 1). Three trials were excluded as one was a descriptive report, 9 one a comparative trial without randomisation, 12 and results of the third trial 11 were repeated in a comprehensive report subsequently published by the authors, 3 which was included in this review.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…3 The trials included both male and female participants. Three trials were undertaken solely on male patients; 4,7,16 one trial included only female patients 13 and four trials involved patients of both sexes. 3,8,14,15 The ages of the patients included in the trials ranged from 49 to 84 years.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Patients were catheterised following various urological procedures and surgery, 3,8,14,15 gynaecological surgery 13 and TURP alone. 4,7,16 In addition to TURP, the urological procedures and surgery included transurethral resection of a bladder tumour, trial of void, cystoscopy, ureteroscopy, lithotripsy, lithoplaxy, pyeloplasty, bladder neck incision, clot retention, urethrotomy, percutaneous colposuspension and general postoperative surgery.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…In seven trials comparisons were made between 0600 hours and midnight removal of the IUC, 3,7,8,[13][14][15][16] and one trial compared removal between 0600-0700 hours and 2200-2300 hours. 4 Only two trials reported the duration of catheterisation, which was a mean of 41 h 16 and a median of 4 days.…”

Section: Description Of Studiesmentioning

confidence: 99%

See 4 more Smart Citations

Comparison of late night and early morning removal of short-term urethral catheters

Fernandez¹,

Griffiths²,

Murie³

2003

JBI Library of Systematic Reviews

View full text Add to dashboard Cite

Executive summaryBackground Indwelling urethral catheters (IUCs) are inserted in approximately 15-25% of all hospitalised patients mainly to assist clinicians to accurately monitor urine output during acute illness or following surgery, to treat urinary retention and for investigative purposes. However, this procedure is associated with significant morbidity. Although research has focused on the type and maintenance of urinary catheters and techniques for insertion, limited attention has been given to the procedures for their removal, in particular whether the time of day the IUC is removed influences patient outcomes. There is no consensus among clinicians about the optimal time for removal of IUCs, rather practices tend to be based on personal preference and tradition rather than on evidence from research.Objectives The objective of this review was to determine whether the timing of the removal of IUCs influences patient outcomes. The primary outcomes of interest included duration to and volume of first void; length of hospitalisation; number of patients developing urinary retention and number requiring recatheterisation. Secondary outcome measures included patient satisfaction and the percentage of IUCs removed according to the scheduled time for removal. ConclusionsBased on the limited available evidence, this review suggests a benefit in terms of patient outcomes and reduction in the length of hospitalisation following midnight removal of the IUCs. Further trials should be undertaken in wider settings and on specific groups of patients to enhance generalisability. The trials should also examine the efficacy of midnight or early morning IUC removal compared to removal at any time of the day.

show abstract

Section: Methodological Qualitymentioning

confidence: 99%

Section: Description Of Studiesmentioning

confidence: 99%

Section: Description Of Studiesmentioning

confidence: 99%

Section: Description Of Studiesmentioning

confidence: 99%

Section: Description Of Studiesmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of late night and early morning removal of short-term urethral catheters

Fernandez¹,

Griffiths²,

Murie³

2003

JBI Library of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Policies for the removal of short-term indwelling urethral catheters

Griffiths

Fernandez²

2005

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

There is suggestive but inconclusive evidence of a benefit from midnight removal of the indwelling urethral catheter. There are resource implications but the magnitude of these is not clear from the trials. The evidence also suggests shorter hospital stay after early rather than delayed catheter removal but the effects on other outcomes are unclear. There is little evidence on which to judge other aspects of management, such as catheter clamping.

show abstract

Strategies for the removal of short-term indwelling urethral catheters in adults

Griffiths

Fernandez

2007

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Midnight removal of urinary catheters ? Improved outcome after gynecological surgery

Cited by 14 publications

References 4 publications

Comparison of late night and early morning removal of short-term urethral catheters

Comparison of late night and early morning removal of short-term urethral catheters

Policies for the removal of short-term indwelling urethral catheters

Strategies for the removal of short-term indwelling urethral catheters in adults

Contact Info

Product

Resources

About