Bladder Management With Chronic Indwelling Catheter is Associated with Elevated Mortality in Patients with Spinal Cord Injury

Baradaran, Nima; Peng, Juan; Palettas, Marilly; Chen, YuYing; DeVivo, Michael J.; Schwab, Jan M.

doi:10.1016/j.urology.2022.01.050

Cited by 6 publications

(2 citation statements)

References 26 publications

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“…The bladder management methods collected in this study were based on literature review and the European Association of Urology Guidelines on Neuro-Urology [4,22]. The following eight bladder management methods were assessed as follows: spontaneous voiding without assistance, condom catheter or incontinence pad, bladder compression, triggered re ex voiding, intermittent catheterization, urinal indwelling catheterization, suprapubic indwelling catheterization, and others (such as ureterocutaneostomy, electro-stimulation, electro-magnetic ball valve, detrusor stimulation, sacral implants, conus implants, vesicostomy, ureteral catheterization, etc.).…”

Section: Bladder Management Methodsmentioning

confidence: 99%

Patterns of bladder management and associated factors among community-dwelling persons with spinal cord injury: a latent class analysis

Zhang

Chen

Liu

et al. 2022

Preprint

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Background People with spinal cord injury are vulnerable to neuropathic lower urinary tract dysfunction. Active bladder management is crucial to manage the neuropathic lower urinary tract dysfunction. Understanding the type of bladder management patterns will assist with targeted intervention for people with spinal cord injury. Thus, this study aimed to identify different patterns of bladder management among community-dwelling persons with spinal cord injury and explore the factors associated with latent classes. Methods The study was conducted in four regions (eastern region, northeast region, central region and western region) in China from August 3, 2020 to August 31, 2020. A convenience sample of 2582 participants was included in the analysis. The data were collected by a questionnaire consisting of socio-demographic factors, disease-related factors, and a list of 8 bladder management methods. Latent class analysis was used to identify different latent classes of bladder management. Then the multinomial logistic regression was applied to analyze the relationship between bladder management patterns and socio-demographic and disease-related factors. Results Bladder management pattern among community-dwelling persons with spinal cord injury was divided into four latent classes: “urinal collecting apparatus dominated pattern” (40.3%), “bladder compression dominated pattern” (30.7%), “intermittent catheterization dominated pattern” (19.3%) and “urethral indwelling catheterization dominated pattern” (9.6%). Multinomial logistic regression analysis found that the employment status, residential region, nursing need, payment method for catheterization products, hand function, time since spinal cord injury, urinary incontinence and concerns about social interaction affected by urination problems were significantly associated with latent classes. Conclusion Only 19.3% of people used the intermittent catheterization as their main bladder management method. More attention needs to be paid to the promotion of the standardization process of intermittent catheterization in community-dwelling persons with spinal cord injury. The associated factors of the four classes can be used for tailored and targeted interventions to increase the use of intermittent catheterization.

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Section: Bladder Management Methodsmentioning

confidence: 99%

Patterns of bladder management and associated factors among community-dwelling persons with spinal cord injury: a latent class analysis

Zhang

Chen

Liu

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…This technique results in fewer complications like UTI, bladder and kidney stones, strictures, fistulae, urethral erosions and bladder cancer compared to indwelling catheter use [10][11][12][13][14][15]. Chronic use of an indwelling catheter is also associated with increased mortality in people with SCI [16]. Both bladder reflex triggering and bladder expression are associated with damage to the upper urinary tract, deterioration of renal function, UTI's, urinary incontinence, and loss of bladder compliance [10].…”

Section: Introductionmentioning

confidence: 99%

Changes in bladder emptying during inpatient rehabilitation after spinal cord injury and predicting factors: data from the Dutch Spinal Cord Injury Database

Poublon,

Scholten,

Wyndaele

et al. 2023

Spinal Cord

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Secondary analysis of multicentre prospective observational data. OBJECTIVES: To describe methods of bladder emptying at admission and discharge in patients with recently acquired spinal cord injury (SCI) and to describe predictors of bladder emptying methods at discharge. SETTING: First inpatient rehabilitation in specialised rehabilitation centres in the Netherlands. METHODS: Data from the Dutch Spinal Cord Injury Database collected between 2015 and 2019 were used. McNemar-Bowker test was used to evaluate if bladder emptying methods differed over time; One-Way ANOVA and Chi-Square tests to see if bladder emptying methods differed by demographic and injury-related characteristics. Binary logistic regression was used to predict the type of bladder emptying at discharge with demographic and injury-related characteristics measured at admission. RESULTS: Of 1403 patients, 44.1% had cervical, 38.4% thoracic and 17.5% lumbosacral lesions at admission. AIS classification was mostly D (63.8%). The method of bladder emptying changed significantly (p < 0.001) from admission to discharge: decrease of clean intermittent assisted catheterisation (17.1% to 4.1%) and indwelling catheter (33.4% to 16.3%) and increase in clean intermittent self-catheterisation (CISC, 7.8% to 22.2%) and normal voiding (40.2% to 56.1%). Age, sex, SCI level, AIS classification and level of independence predicted the method of bladder emptying at discharge (all p < 0.001). CONCLUSIONS: During first inpatient rehabilitation, the method of bladder emptying changed resulting in more patients discharged with normal voiding and CISC. Age, sex, SCI level, AIS classification and level of independence in self-care were all confirmed as factors playing a role in this change.

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Catheter Use in Neurogenic Lower Urinary Tract Dysfunction—Can Shared Decision-Making Help Us Serve Our Patients Better?

Welk

Fenderski

Myers

2022

Curr Bladder Dysfunct Rep

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Bladder Management With Chronic Indwelling Catheter is Associated with Elevated Mortality in Patients with Spinal Cord Injury

Cited by 6 publications

References 26 publications

Patterns of bladder management and associated factors among community-dwelling persons with spinal cord injury: a latent class analysis

Patterns of bladder management and associated factors among community-dwelling persons with spinal cord injury: a latent class analysis

Changes in bladder emptying during inpatient rehabilitation after spinal cord injury and predicting factors: data from the Dutch Spinal Cord Injury Database

Catheter Use in Neurogenic Lower Urinary Tract Dysfunction—Can Shared Decision-Making Help Us Serve Our Patients Better?

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