Prevalence of indwelling urinary catheters in nursing home residents: Systematic review

Czwikla, Jonas; Wandscher, Kathrin; Helbach, Jasmin; Fassmer, Alexander M.; Schmiemann, Guido; Hoffmann, Falk

doi:10.1016/j.ijnurstu.2023.104555

Cited by 4 publications

(11 citation statements)

References 83 publications

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Section: Catheter Use By Sex and Agecontrasting

confidence: 59%

“…The overall catheter prevalence of 13.4% is higher than the median prevalence of 7.3% reported in a recent systematic review including 67 studies from 21 countries [14]. It is also higher than the median prevalence of available studies from Germany (10.2%; N = 15), the US (9.3%; N = 9), UK (6.9%; N = 7), and Sweden (7.3%, N = 6), but in the range of 7.3-28.0% expectable based on the existing German studies [14]. Regarding differences in the urinary catheter prevalence by sex, we observed a higher catheter prevalence in male compared to female nursing home residents, which is in line with other German studies [17,20,21] and was also the case in residents from Italy [15] and Sweden [18,19].…”

Section: Catheter Use By Sex and Agecontrasting

confidence: 59%

“…In nursing homes, many residents have indications for indwelling urinary catheters and the catheter prevalence is higher than in the general population [12] or among home care recipients [13]. In a recent systematic review including 67 studies, the catheter prevalence in nursing home residents ranged from 2.2 to 36.4%, with a median of 7.3% [14]. Furthermore, the prevalence varied between countries and was comparatively high in Germany, ranging from 7.3 to 28.0%, with a median of 10.2% [14].…”

Section: Introductionmentioning

confidence: 99%

“…In a recent systematic review including 67 studies, the catheter prevalence in nursing home residents ranged from 2.2 to 36.4%, with a median of 7.3% [14]. Furthermore, the prevalence varied between countries and was comparatively high in Germany, ranging from 7.3 to 28.0%, with a median of 10.2% [14]. However, because the majority of existing studies did not focus exclusively on catheters, they did not report on prevalence differences by individual characteristics of residents.…”

Section: Introductionmentioning

confidence: 99%

“…However, because the majority of existing studies did not focus exclusively on catheters, they did not report on prevalence differences by individual characteristics of residents. Even for differences by sex, only nine studies [15][16][17][18][19][20][21][22][23] could be included in the review and for differences by age, only one study [22] was included [14]. Whether certain groups of residents are more likely to be catheterized than others is therefore still unclear.…”

Section: Introductionmentioning

confidence: 99%

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Use of indwelling urinary catheters in nursing home residents: results from a cross-sectional study in 21 German nursing homes

Czwikla,

Schmiemann,

Hoffmann

2024

BMC Urol

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Background Indwelling urinary catheters often lead to complications such as symptomatic urinary tract infections. In nursing home residents, catheter prevalence is high, but prevalence differences by sociodemographic characteristics, comorbidities, and health services use have rarely been investigated. The purpose of this work was to describe the use of indwelling urinary catheters in nursing home residents and to examine whether catheter use is associated with individual characteristics. Methods Cross-sectional data of the “Inappropriate Medication in patients with REnal insufficiency in Nursing homes” (IMREN) study conducted in 21 German nursing homes between October 2014 and April 2015 were analyzed. For all residents of the involved care units, nurses of the participating institutions completed an anonymous questionnaire including the Modified Rankin Scale to assess physical impairments. The proportion of nursing home residents with indwelling urinary catheter was determined. Associations between catheter use and individual characteristics were investigated via cluster-adjusted multivariable logistic regression. Results Of 852 residents (76.5% female; mean age 83.5 years), 13.4% had an indwelling urinary catheter. The adjusted odds ratios for catheter use for men vs. women was 2.86 (95% confidence interval 1.82–4.50). For residents with “moderate” disability vs. those with “no to slight” disability it was 3.27 (1.36–7.85), for individuals with “moderately severe” disability vs. the reference group it was 9.03 (3.40–23.97), and for those with “severe” disability vs. the reference group it was 26.73 (8.60–83.14). For residents who had been hospitalized within the last 12 months vs. those without a hospitalization it was 1.97 (1.01–3.87). For age, dementia, overweight/obesity, other indwelling devices, and long-term medications no significant associations were found. Conclusions Male nursing home residents, residents with a higher degree of physical impairment, and those who had been hospitalized within the last 12 months were more likely to use an indwelling urinary catheter than their counterparts. Data on circumstances of and indications for catheters, catheter types, and duration of catheterization are needed to evaluate the appropriateness of catheter use in nursing home residents and the need for interventions.

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Section: Catheter Use By Sex and Agecontrasting

confidence: 59%

Section: Catheter Use By Sex and Agecontrasting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Use of indwelling urinary catheters in nursing home residents: results from a cross-sectional study in 21 German nursing homes

Czwikla,

Schmiemann,

Hoffmann

2024

BMC Urol

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Who Changes Indwelling Urinary Catheters in Male Nursing Home Residents and Where? Results from a Nationwide Cross-Sectional Survey in Germany

Czwikla,

Schmiemann,

Schleef

et al. 2024

Urol Int

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Introduction: We examined the practice and variability of indwelling urinary catheter changes in male nursing home residents. Methods: Cross-sectional data from a nationwide survey conducted in a representative sample of German nursing homes in 2023 were analyzed. The professions conducting most transurethral/suprapubic catheter changes in men were identified and proportions for whom respective catheters are changed in nursing homes were determined. Associations between these proportions and nursing home characteristics were investigated via multivariable logistic regressions. Results: Of 1,369 invited facilities, 330 (24.1%) participated. Urologists changed most catheters in 72.8% (transurethral catheters) and 88.3% (suprapubic catheters) of the facilities. The median proportion of men whose catheters were changed in nursing homes was 8.5% (transurethral catheters; interquartile range 0.6%–100.0%) and 1.0% (suprapubic catheters; IQR 0.0%–100.0%). Facilities in which urologists changed most catheters were less likely to have a high proportion (≥90%) of in-home catheter changes compared to the reference group (odds ratio 0.44 [transurethral catheters; 95% confidence interval 0.24–0.82] and 0.30 [suprapubic catheters; 0.12–0.76]). Conclusion: The proportion of men whose catheters were changed in nursing homes varied considerably between facilities and was lower where urologists were involved.

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Uma abordagem qualitativa sobre o uso do cateter urinário de longo prazo no contexto ambulatorial

Silva,

Tsuboi,

Barros

et al. 2024

Ciênc. saúde coletiva

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Resumo O cateter vesical de longa permanência pode ser indicado em situações clínicas, como nas doenças crônicas do sistema genitourinário ou neurológico. Além dos riscos de infecção, traumas e sangramentos, a permanência do cateter pode afetar dimensões psicoemocionais e socioeconômicas. Objetivamos compreender como a necessidade de uso do cateter urinário por um longo prazo afeta a autopercepção, as interrelações e o autocuidado deste paciente. Realizamos um estudo qualitativo, descritivo, a partir da entrevista de 17 pacientes, e aplicamos a análise temática e o pensamento complexo. Os diferentes prognósticos e as expectativas em relação ao cateter influenciaram a autopercepção, a adaptação, sua aceitação ou negação. A presença do cateter, seja como medida curativa ou para conforto, pode afetar a autoimagem e a sexualidade, gerar inseguranças e incertezas, que requerem compreensão da multidimensionalidade das situações, que sofrem interferências do meio pessoal, familiar e social, bem como da capacidade dos sistemas de saúde para o seu enfrentamento. Apesar dos desafios, a maioria dos participantes relatou disposição favorável para o autocuidado, seja para viabilizar retirada do cateter, ou para prevenir agravos em indicações vitalícias.

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Prevalence of indwelling urinary catheters in nursing home residents: Systematic review

Cited by 4 publications

References 83 publications

Use of indwelling urinary catheters in nursing home residents: results from a cross-sectional study in 21 German nursing homes

Use of indwelling urinary catheters in nursing home residents: results from a cross-sectional study in 21 German nursing homes

Who Changes Indwelling Urinary Catheters in Male Nursing Home Residents and Where? Results from a Nationwide Cross-Sectional Survey in Germany

Uma abordagem qualitativa sobre o uso do cateter urinário de longo prazo no contexto ambulatorial

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