Bladder control increases the incidence of urinary retention after epidural analgesia after paediatric orthopaedic surgery

Carsi, Belen; Gould, A.; Clarke, N.M.P.

doi:10.1093/bja/aes244

Cited by 1 publication

(1 citation statement)

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“…Postoperative urinary retention (POUR) is defined as an inability to void after surgery or the presence of a major residual volume after voiding that requires catheterization [ 1 , 2 , 3 , 4 ]. POUR causes significant patient discomfort and usually requires treatment with bladder catheterization, which is associated with prolonged hospital stay, risk of urinary tract infection, and ultimately increased healthcare costs.…”

Section: Introductionmentioning

confidence: 99%

Postoperative Urinary Retention after Pediatric Orthopedic Surgery

et al. 2022

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Purpose: This study aims to describe the incidence of postoperative urinary retention among pediatric patients undergoing orthopedic surgery and identify risk factors. Methods: The Pediatric Health Information System was used to identify children aged 1–18 years who underwent orthopedic surgery. Collected from each patient’s record were demographic information, principal procedure during hospitalization, the presence of neurologic/neuromuscular conditions and other complex chronic medical conditions, the total postoperative length of stay, and the presence of postoperative urinary retention. Results: The overall incidence of postoperative urinary retention was 0.38%. Children with complex chronic neuromuscular conditions (OR 11.54 (95% CI 9.60–13.88), p = < 0.001) and complex chronic non-neuromuscular medical conditions (OR 5.07 (95% CI 4.11–6.25), p ≤ 0.001) had a substantially increased incidence of urinary retention. Surgeries on the spine (OR 3.98 (95% CI 3.28–4.82, p ≤ 0.001) and femur/hip (OR 3.63 (95% CI 3.03—4.36), p ≤ 0.001) were also associated with an increased incidence. Conclusions: Children with complex chronic neuromuscular conditions have a substantially increased risk of experiencing postoperative urinary retention. Complex chronic non-neuromuscular medical conditions and surgeries to the spine, hip, and femur also carry a notably increased risk.

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Section: Introductionmentioning

confidence: 99%