The Preoperative Risks and Two-Year Sequelae of Postoperative Urinary Retention: Analysis of the Michigan Spine Surgery Improvement Collaborative (MSSIC)

Although postoperative urinary retention (POUR) is common after spine surgery, the association of this adverse event with other morbidities and patient-reported outcomes is not fully understood. We sought to examine the sequelae of POUR after lumbar spine surgery. The Michigan Spine Surgery Improvem...

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Bibliographic Details
Published in:World neurosurgery 2020-01, Vol.133, p.e619-e626
Main Authors: Zakaria, Hesham Mostafa, Lipphardt, Matthew, Bazydlo, Michael, Xiao, Shujie, Schultz, Lonni, Chedid, Mokbel, Abdulhak, Muwaffak, Schwalb, Jason M., Nerenz, David, Easton, Richard, Chang, Victor
Format: Article
Language:English
Subjects:
Adult
Aged
Cohort Studies
Female
Humans
Lumbar Vertebrae
Male
Michigan
Middle Aged
Patient satisfaction
Patient-reported outcome measures
Postoperative complications
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Prospective studies
Quality improvement
Registries
Risk Factors
Spinal Fusion - adverse effects
Spine
Urinary retention
Urinary Retention - epidemiology
Urinary Retention - etiology
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Summary:Although postoperative urinary retention (POUR) is common after spine surgery, the association of this adverse event with other morbidities and patient-reported outcomes is not fully understood. We sought to examine the sequelae of POUR after lumbar spine surgery. The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a large prospective multicenter registry. MSSIC was queried with multivariate analysis for factors that are associated with POUR, the association of POUR with 90-day adverse events, and the effect of POUR on 2-year patient-reported outcomes and satisfaction. Multivariate analysis identified hardware revision (odds ratio [OR], 0.61), 1 operative level (OR, 0.74), and ambulation on postoperative day zero (OR, 0.65) to be protective for POUR. Factors associated with POUR included age (OR, 1.19), male gender (OR, 1.58), body mass index
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2019.09.107