ArticleCanadian journal of surgery. Journal canadien de chirurgie
Urinary catheter use in patients with hip fracture: Are current guidelines appropriate? A retrospective review.
Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05354921 (Hip Fracture Patient and the Use of IndwElling vs IntermittEnt Catheterization Pilot Study), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Hip Fracture Patient and the Use of IndwElling vs IntermittEnt Catheterization Pilot Study
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Risk factors for urinary tract infection in geriatric hip fracture patients: a systematic review and meta-analysis.Frontiers in medicine · 2024Pooled it
- Enhanced recovery following neck of femur fractures - improving outcomes : a survey of current perioperative practice.Bone & joint open · 2025Article
- Incidence and risk factors for postoperative urinary retention in older patients with hip fracture: a scoping review.BMJ open · 2025Article
- Correlation of Preoperative Inflammation/Immunity Markers With Postoperative Urinary Tract Infections in Elderly Hip Fracture Patients.Orthopaedic surgery · 2025Article
- Identifying risk factors for one-year mortality after surgical treatment of periprosthetic femoral fractures around hip arthroplasty.Journal of clinical orthopaedics and trauma · 2025Article
- Comparison of Urinary Tract Infection and Postoperative Urinary Retention Between Preoperative and Intraoperative Indwelling Urinary Catheterization in Hip Fracture Patients Undergoing Early Surgery: A Randomized Controlled Trial.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Incidence of urinary incontinence after hip fracture surgery and associated risk factors: a prospective study.BMC geriatrics · 2024Article
- A co-created nurse-driven catheterisation protocol can reduce bladder distension in acute hip fracture patients - results from a longitudinal observational study.BMC nursing · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGuidelines for urinary catheterization in patients with hip fracture recommend limiting catheter use and using intermittent catheterization preferentially to avoid complications such as urinary tract infection (UTI) and postoperative urinary retention (POUR). We aimed to compare current practices to clinical guidelines, describe the incidence of POUR and UTI, and determine factors that increase the risk of these complications.
methodsWe retrospectively reviewed the charts of patients with hip fracture who presented to a single large tertiary care centre in southeastern Ontario between November 2015 and October 2017. Data collected included comorbidities, catheter use and length of stay. We compared catheter use to guidelines, and investigated the incidence of and risk factors for POUR and UTI.
resultsWe reviewed the charts of 583 patients, of whom 450 (77.2%) were treated with a catheter, primarily indwelling (416 [92.4%]). Postoperative urinary retention developed in 98 patients (16.8%); however, it did not affect length of stay (
conclusionIndwelling catheters were used frequently, which suggests low compliance with clinical guidelines. Longer duration of catheter use led to higher rates of UTI and POUR. Further investigation of the reasons for the common use of indwelling rather than intermittent catheterization is needed.
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Registered trials
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