Risk factors for postoperative urinary retention in fragility hip fracture patients: a prospective study

• Published in: BMC geriatrics 2024-06, Vol.24 (1), p.483-483
• Main Authors: Tantigate, Direk, Jansatjawan, Nathanan, Adulkasem, Nath, Ramart, Patkawat, Riansuwan, Kongkhet
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Anticholinergics; Calibration; Catheterization; Catheters; Clinical trials; Complications and side effects; Drugs; Female; Fracture fixation; Fractures; Geriatrics; Hip; Hip fracture; Hip Fractures - surgery; Hip joint; Humans; Intubation; Male; Medical screening; Methods; Morphine; Narcotics; Older; Older people; Patient outcomes; Patients; Postoperative Complications - diagnosis; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Postoperative Complications - prevention & control; POUR; Prospective Studies; Regression analysis; Retention; Risk Factors; Screening tool; Surgery; Urinary Catheterization - adverse effects; Urinary Catheterization - methods; Urinary retention; Urinary Retention - epidemiology; Urinary Retention - etiology; Urinary tract; Urinary tract diseases; Urinary tract infections; Urine; Urogenital system; Variables
• ISSN: 1471-2318; 1471-2318
• DOI: 10.1186/s12877-024-05101-2

Postoperative urinary retention (POUR) among older patients with hip fractures is common and may result in delayed ambulation, prolonged hospital stays, and urinary tract infections. Although preoperative urinary catheter indwelling and early postoperative removal can prevent perioperative urinary retention, this condition may occur in some patients after catheter removal, which requires urinary catheter re-indwelling or intermittent catheterization. Therefore, this study aims to identify risk factors and develop a screening tool for postoperative urinary retention in patients who have undergone operative treatment for fragility hip fractures subsequent to urinary catheter removal. A prospective cohort study of 145 fragility hip fracture in older patients who were operatively treated between September 2020 and May 2022 was conducted. All patients were evaluated for urine retention after urinary catheter removal using a bladder scan. In addition, factors related to urinary retention were collected and utilized for screening tool development. Of the included patients, 22 (15.2%) were diagnosed with POUR. A multivariable logistic regression model using a stepwise backward elimination algorithm identified the current use of drugs with anticholinergic effect (OR = 11.9, p = 0.012), international prostate symptom score (IPSS) ≥ 8 (OR = 9.3, p