Evidence map›Paper›PMID 33747493›Full record

ArticleAnnals of medicine and surgery (2012)2021

Indwelling catheters increase altered mental status and urinary tract infection risk: A retrospective Cohort Study.

Toko Fukushima, Kazuhiro Shoji, Atsuko Tanaka, Yukari Aoyagi, Shoko Okui, Marie Sekiguchi, Ayako Shiba, Takanori Hiroe, Yasushi Mio

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 37% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Toko FukushimaTokyo Jikei University Katsushika Medical Center, Department of Anesthesiology, Tokyo, Japan.
Kazuhiro ShojiTokyo Jikei University Katsushika Medical Center, Department of Anesthesiology, Tokyo, Japan.
Atsuko TanakaTokyo Jikei University Katsushika Medical Center, Department of Anesthesiology, Tokyo, Japan.
Yukari AoyagiTokyo Jikei University Katsushika Medical Center, Department of Anesthesiology, Tokyo, Japan.
Shoko OkuiTokyo Jikei University Katsushika Medical Center, Department of Anesthesiology, Tokyo, Japan.
Marie SekiguchiTokyo Jikei University Katsushika Medical Center, Department of Anesthesiology, Tokyo, Japan.
Ayako ShibaTokyo Jikei University Katsushika Medical Center, Department of Anesthesiology, Tokyo, Japan.
Takanori HiroeKyoto University Graduate School of Medicine, Department of Biostatistics, Kyoto, Japan.
Yasushi MioTokyo Jikei University Katsushika Medical Center, Department of Anesthesiology, Tokyo, Japan.
Jikei University School of Medicine · JPKatsushika Medical Center · JPKyoto University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough indwelling urinary catheters (IUCs) are used intraoperatively and may cause complications ( MATERIALS AND

methodsIn this retrospective single-center cohort study, we analyzed the data of adult patients undergoing surgery at our facility between January 2013 and December 2018. The primary endpoint was altered mental status and/or incidence of urinary catheter infections. The patients were divided into IUC and control groups. A multivariable logistic regression model was used to identify the predictors of postoperative complications, and a multivariable Cox proportional hazards regression model was used to analyze hospital discharge in unmatched and inverse propensity-weighted patients.

resultsOf the 14,284 patients that were reviewed, we analyzed 5112 patients (control group, 44.0%; IUC group, 56.0%). Almost all procedures comprised less invasive surgeries. The prevalence of postoperative altered mental status and postoperative urinary catheter infection were 3.56% and 0.04%, respectively. After inverse propensity weighting, all baseline characteristics were similar between the two groups. However, patients with IUCs had a higher risk of postoperative complications (adjusted odds ratio, 1.97; 95% confidence interval [CI], 1.50-2.59) and prolonged hospital stays (hazard ratio, 0.84; 95% CI, 0.80-0.89).

conclusionIn patients undergoing less invasive surgery, IUCs may be associated with a relatively high risk of altered mental status or urinary catheter infection. These data may facilitate preoperative discussions regarding the perioperative use of IUCs.

Indexed as

AKI, acute kidney injuryASA-PS, American Society of Anesthesiology physical statusASD, absolute standardized differencesCAM-ICU, Confusion Assessment Method for the ICUCDC, Center for Disease Control and PreventionCI, confidence intervalDeliriumICU, intensive care unitIPW, inverse probability weightingIUCs, indwelling urinary cathetersOR, odds ratioPerioperative complicationSCr, serum creatinine levelsUrinary catheterUrinary tract infection

Identifiers

PMID33747493
PMCPMC7972973
OpenAlexW3134459160

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.