Incidence, Contributing Factors, and Morbidity Associated with Catheter Related Urethral Injuries

2.50
Hdl Handle:
http://hdl.handle.net/10755/151896
Type:
Presentation
Title:
Incidence, Contributing Factors, and Morbidity Associated with Catheter Related Urethral Injuries
Abstract:
Incidence, Contributing Factors, and Morbidity Associated with Catheter Related Urethral Injuries
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Tocco, Susan Blackmer, MSN, RN, CNS, CNRN, CCNS
P.I. Institution Name:Orlando Regional Medical Center
Title:Clinical Nurse Specialist
Co-Authors:Sarah Frewin, MSN, RN, CNS, PCCN, CCNS; Mary Lou Sole, PhD, RN, CCNS, FAAN, FCCM
21st INRC [Research Presentation] Purpose: Catheter related urethral injury (CRUI) is an iatrogenic hazard associated with the use of urinary catheters, yet there is scant evidence regarding this phenomenon to guide nursing practice. The purpose of the study was to examine the incidence, contributing factors, and morbidity associated with CRUI. Methods: A retrospective study of consecutive adult inpatients assigned a diagnosis code of urethral injury between 2005 and 2008 was conducted through review of medical records. Cases with urethral injury resulting from non-catheter causes were excluded. Demographics (age and gender), etiology of injury (insertion vs. non-insertion causes), clinical manifestations of injury, and associated treatments were examined. Results: CRUI occurred in 125 of 177,583 consecutive adult admissions over this three year period. The majority (n=111; 88.8%) of cases occurred in men (p=.006) and the average patient age was 68 years. Patient self-removal of the catheter was the most common cause of CRUI in men (n=54, 48.6%). Catheter-related hematuria of underdetermined cause was the leading cause of injury in women (n=9, 64.3%). Insertion-related CRUI occurred exclusively in men, and accounted for 36 (32.4%) of male injuries (p < .001). CRUI requiring blood transfusion occurred in 17 (13.6%) of the total cases (14.4% men vs. 7.1% women, p > .05). Four men required the placement of a suprapubic catheter and eight men were taken to the operating room for replacement of the urinary catheter. CRUI requiring a urologist to replace the catheter was more prevalent in insertion-related cases (61.1% insertion vs. 29.4% non-insertion, p < .001). Conclusion: CRUI is significantly more prevalent in men and is associated with considerable morbidity. Minimizing catheter utilization and improving the practice of catheter insertion are needed to reduce the incidence of this preventable injury. Further investigation is needed to determine the role of catheter stabilization in CRUI's of undetermined cause.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleIncidence, Contributing Factors, and Morbidity Associated with Catheter Related Urethral Injuriesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151896-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Incidence, Contributing Factors, and Morbidity Associated with Catheter Related Urethral Injuries</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tocco, Susan Blackmer, MSN, RN, CNS, CNRN, CCNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Orlando Regional Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">susan.tocco@orlandohealth.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sarah Frewin, MSN, RN, CNS, PCCN, CCNS; Mary Lou Sole, PhD, RN, CCNS, FAAN, FCCM</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: Catheter related urethral injury (CRUI) is an iatrogenic hazard associated with the use of urinary catheters, yet there is scant evidence regarding this phenomenon to guide nursing practice. The purpose of the study was to examine the incidence, contributing factors, and morbidity associated with CRUI. Methods: A retrospective study of consecutive adult inpatients assigned a diagnosis code of urethral injury between 2005 and 2008 was conducted through review of medical records. Cases with urethral injury resulting from non-catheter causes were excluded. Demographics (age and gender), etiology of injury (insertion vs. non-insertion causes), clinical manifestations of injury, and associated treatments were examined. Results: CRUI occurred in 125 of 177,583 consecutive adult admissions over this three year period. The majority (n=111; 88.8%) of cases occurred in men (p=.006) and the average patient age was 68 years. Patient self-removal of the catheter was the most common cause of CRUI in men (n=54, 48.6%). Catheter-related hematuria of underdetermined cause was the leading cause of injury in women (n=9, 64.3%). Insertion-related CRUI occurred exclusively in men, and accounted for 36 (32.4%) of male injuries (p &lt; .001). CRUI requiring blood transfusion occurred in 17 (13.6%) of the total cases (14.4% men vs. 7.1% women, p &gt; .05). Four men required the placement of a suprapubic catheter and eight men were taken to the operating room for replacement of the urinary catheter. CRUI requiring a urologist to replace the catheter was more prevalent in insertion-related cases (61.1% insertion vs. 29.4% non-insertion, p &lt; .001). Conclusion: CRUI is significantly more prevalent in men and is associated with considerable morbidity. Minimizing catheter utilization and improving the practice of catheter insertion are needed to reduce the incidence of this preventable injury. Further investigation is needed to determine the role of catheter stabilization in CRUI's of undetermined cause.</td></tr></table>en_GB
dc.date.available2011-10-26T11:17:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:17:18Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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