Trial reportJournal of general internal medicine2008
Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial.
Trial report in Journal of general internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 5 syntheses or guidelines pooled it, 95 citations in OpenAlex.
- Effective interventions to prevent catheter-associated urinary tract infections: a systematic review.Revista do Instituto de Medicina Tropical de Sao Paulo · 2025Pooled it
- Strategies for the removal of short-term indwelling urethral catheters in adults.The Cochrane database of systematic reviews · 2021Pooled it
- Prevention of catheter-associated urinary tract infection: implementation strategies of international guidelines.Revista latino-americana de enfermagem · 2016Pooled it
- Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review.BMJ quality & safety · 2014Pooled it
- epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England.The Journal of hospital infection · 2014Guideline
- Quality improvement initiative to reduce inappropriate urinary catheterisation on a clinical teaching unit.BMJ open quality · 2025Article
- Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update.Infection control and hospital epidemiology · 2023Article
- Review
- Catheter-Associated Urinary Tract Infections in Adult Patients.Deutsches Arzteblatt international · 2020Review
- Improving urinary catheterisation practices in a rural hospital in Ontario.BMJ open quality · 2020Article
- Identifying the risk factors for catheter-associated urinary tract infections: a large cross-sectional study of six hospitals.BMJ open · 2019Article
- Impact of a Multidisciplinary Infection Prevention Initiative on Central Line and Urinary Catheter Utilization in a Long-term Acute Care Hospital.Open forum infectious diseases · 2018Article
- A controlled before-after study to evaluate the effect of a clinician led policy to reduce knee arthroscopy in NSW.BMC musculoskeletal disorders · 2018Article
- Urinary tract infection among fistula patients admitted at Hamlin fistula hospital, Addis Ababa, Ethiopia.BMC infectious diseases · 2017Article
- How to Write Up Your Quality Improvement Initiatives for Publication.Journal of graduate medical education · 2016Article
- A Multidisciplinary Intervention to Prevent Catheter-Associated Urinary Tract Infections Using Education, Continuum of Care, and Systemwide Buy-In.Ochsner journal · 2016Article
- Prevention of urinary tract infections in patients with spinal cord injury.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2015Review
- Readmission to an Acute Care Hospital During Inpatient Rehabilitation for Traumatic Brain Injury.Archives of physical medicine and rehabilitation · 2015Observational
- Usability and impact of a computerized clinical decision support intervention designed to reduce urinary catheter utilization and catheter-associated urinary tract infections.Infection control and hospital epidemiology · 2014Article
- Point prevalence survey of urinary catheterisation in care homes and where they were inserted, 2012.Journal of infection prevention · 2014Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHospitalized patients frequently have urinary catheters inserted for inappropriate reasons. This can lead to urinary tract infections and other complications.
objectiveTo assess whether stop orders for indwelling urinary catheters reduces the duration of inappropriate urinary catheterization and the incidence of urinary tract infections.
designA randomized controlled trial was conducted in three tertiary-care hospitals in Ontario, Canada. Patients with indwelling urinary catheters were randomized to prewritten orders for the removal of urinary catheters if specified criteria were not present or to usual care.
participantsSix hundred ninety-two hospitalized patients admitted to hospital with indwelling urinary catheters inserted for < or = 48 h. MEASUREMENTS: The main outcomes included days of inappropriate indwelling catheter use, total days of catheter use, frequency of urinary tract infection, and catheter reinsertions.
resultsThere were fewer days of inappropriate and total urinary catheter use in the stop-order group than in the usual care group (difference -1.69 [95% CI -1.23 to -2.15], P < 0.001 and -1.34 days, [95% CI, -0.64 to -2.05 days], P < 0.001, respectively). Urinary tract infections occurred in 19.0% of the stop-order group and 20.2% of the usual care group, relative risk 0.94 (95% CI, 0.66 to 1.33), P = 0.71. Catheter reinsertion occurred in 8.6% of the stop-order group and 7.0% in the usual care group, relative risk 1.23 (95% CI, 0.72 to 2.11), P = 0.45.
conclusionsStop orders for urinary catheterization safely reduced duration of inappropriate urinary catheterization in hospitalized patients but did not reduce urinary tract infections.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.