Evidence map›Paper›PMID 34251126›Full record

ArticleThe Israel Medical Association journal : IMAJ2021

Screening for Asymptomatic Urinary Retention in Older Adult Men at Admission to the Internal Medicine Department: A Prospective Study.

Nadav Yehoshua Schacham, Arkady Schwarzman, Adi Brom, Mayan Gilboa, Asnat Groutz, Dan Justo

Abstract read
PubMed
In one paragraph

Article in The Israel Medical Association journal : IMAJ, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 88% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Nadav Yehoshua SchachamDepartment of Geriatrics, Sheba Medical Center, Tel Hashomer, Israel.
Arkady SchwarzmanDepartment of Geriatrics, Sheba Medical Center, Tel Hashomer, Israel.
Adi BromDepartment of Internal Medicine T, Sheba Medical Center, Tel Hashomer, Israel.
Mayan GilboaDepartment of Internal Medicine D, Sheba Medical Center, Tel Hashomer, Israel.
Asnat GroutzDepartment of Urogynecology, Lis Maternity and Women's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Dan JustoDepartment of Geriatrics, Sheba Medical Center, Tel Hashomer, Israel.
Tel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScreening for asymptomatic urinary retention (AUR) in older adult men at hospital admission to the internal medicine department has never been studied.

objectivesTo assess the incidence of AUR in older adult men at hospital admission, its risk factors, and its outcome.

methodsThe study comprised 111 older adult men aged ≥ 75 years who were admitted to three internal medicine departments. All men underwent post-void residual (PVR) urine volume measurement on the morning following admission by using a portable ultrasound bladder scan. AUR was defined as a PVR urine volume of ≥ 200 ml without symptoms. Men with AUR had a follow-up phone call concerning symptoms and urinary catheter status30 days following hospitalization.

resultsSeven (6.3%) men had AUR. Relative to the 104 men without AUR, they had significantly higher prevalence of severe dependency (6/7 vs. 33/104, 85.7% vs. 31.7%, (P = 0.007), cognitive impairment (5/7 vs. 19/104, 71.4% vs. 18.3%, P = 0.005), and use of anticholinergic agents (4/7 vs. 19/104, 57.1% vs. 18.3%, P = 0.033). A urinary catheter was inserted in one man (14.3%), but it was removed later during hospitalization. No symptoms were reported and no urinary catheter was inserted following hospitalization in men with AUR.

conclusionsAUR in older adult men at hospital admission is uncommon and has a favorable outcome. Hence, screening for AUR in all older adult men at admission is not recommended, but it may be considered in severely dependent older adult men with cognitive impairment who use anticholinergic agents.

Indexed as

Asymptomatic DiseasesUrinary RetentionAged, 80 and overCholinergic AntagonistsCognitive DysfunctionFunctional StatusHumansIncidenceMaleMass ScreeningOutcome Assessment, Health CarePatient AdmissionPatients' RoomsPoint-of-Care TestingProstatic HyperplasiaRisk FactorsCholinergic Antagonists

Identifiers

PMID34251126
OpenAlexW3182371316

What OpenQuestion holds

Textmetadata
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.