526: Icu-Acquired Delirium in Covid Year of 2021 and Its Outcomes: A Retrospective Study

Abstract

INTRODUCTION:Acute stroke patients are at high risk for morbidity and mortality. Their many comorbidities, including cardiovascular and renal diseases, require the attention of multiple medical and surgical teams in a compressed amount of time. Peri-stroke urinary retention can be avoided with an indwelling catheter. However, placement of a urinary catheter prolongs door-to-revascularization time, can lead to traumatic bleeding, and increases the risk of catheter-associated urinary tract infection. We performed a quality improvement project to quantify the number of interventional thrombectomy stroke patients undergoing bladder drainage and track potential adverse effects. METHODS:We completed a retrospective chart review of acute stroke patients who required emergency endovascular thrombectomy between January 5, 2021, and November 1, 2021, at our institution. Our aim was to analyze our current practice of urinary management for acute stroke patients requiring interventional thrombectomy.