Fecal impaction is associated with postoperative urinary retention after hip fracture surgery

•Post-operative urinary retention (POUR) is frequent after a hip fracture surgery.•POUR negatively impacts functional recovery in older adults.•To date, the role of fecal impaction in POUR was uncertain.•Fecal impaction was the only independent risk factor of POUR.•These findings are critical and co...

Full description

Saved in:
Bibliographic Details
Published in:Annals of physical and rehabilitation medicine 2021-11, Vol.64 (6), p.101464-101464, Article 101464
Main Authors: Teng, Maëlys, Zerah, Lorène, Rouet, Audrey, Tomeo, Charlotte, Verny, Marc, Cohen-Bittan, Judith, Boddaert, Jacques, Haddad, Rebecca
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Cross-Sectional Studies
Fecal impaction
Fecal Impaction - etiology
Female
Hip fracture
Humans
Length of Stay
Life Sciences
Lower urinary tract symptoms
Male
Older
Post-operative urinary retention
Postoperative Complications - etiology
Rehabilitation
Urinary Retention - etiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:•Post-operative urinary retention (POUR) is frequent after a hip fracture surgery.•POUR negatively impacts functional recovery in older adults.•To date, the role of fecal impaction in POUR was uncertain.•Fecal impaction was the only independent risk factor of POUR.•These findings are critical and could improve the recovery of these patients. Postoperative urinary retention (POUR) is a common hip fracture (HF) complication. Although fecal impaction (FI) is one of the oft-cited causes of POUR in clinical practice, evidence regarding this association is scarce. The aim of this study was to determine whether FI was associated with POUR after HF surgery in older patients. All patients consecutively admitted after a HF surgery in a geriatric perioperative unit were included in this cross-sectional study. FI was systematically assessed by a digital rectal exam at admission and according to clinical suspicion during the hospital stay. The dependent variable was POUR, systematically screened according to the department protocol and defined as a bladder volume>400ml requiring catheterization. The association between FI and POUR was assessed by multivariable analysis. A total of 256 patients were included (mean [SD] age 86 [6] years), (76% women): 108 (42%) presented FI and 63 (25%) POUR. The frequency of FI was higher with than without POUR (73% vs. 32%, P
ISSN:1877-0657
1877-0665
DOI:10.1016/j.rehab.2020.101464