Evidence map›Paper›PMID 38819985›Full record

ArticleThe journal of spinal cord medicine2025

Adherence of spinal cord injury patients in the community to self-clean intermittent catheterization (CIC) within 12 months of discharge following rehabilitation: A telephone survey.

Saumya Susan Zacharia, Raji Thomas, Jacob George

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Article in The journal of spinal cord medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Saumya Susan ZachariaDepartment of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, India.ORCID 0009-0007-7523-0280
Raji ThomasDepartment of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, India.
Jacob GeorgeDepartment of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextSpinal cord injury often results in neurogenic bladder affecting storage or emptying functions of the bladder. Clean intermittent catheterization (CIC) is considered the gold standard for patients with neurogenic bladder dysfunction. Our study aims to assess the adherence of patients to CIC following discharge from rehabilitation.

objective

methodsProspective follow-up of a retrospective cohort in 121 individuals with paraplegia who were trained to do CIC for bladder management. After obtaining telephonic consent, a questionnaire-based interview was conducted.

resultsOut of 121 patients, 97 (80.2%) were males and 24 (19.8%) were females. The mean age was 35.8 ± 11.6 years. About 89 (73.6%) patients were continuing CIC as the primary mode of bladder management after discharge. However, only 18 (15%) patients were fully compliant with the CIC technique, 71 (59%) were partially compliant and 32 (26%) patients discontinued CIC. Reasons for the discontinuation of CIC included medical complications (78%), including leaks, recurrent UTI, hematuria, ulcers, back pain, and spasticity, and other factors like difficulty in following the timing of CIC (12.5%), issues with positioning (3.1%), and difficulty in restricting fluid intake (6.3%).

conclusionThis study highlights the need for regular follow-up as well as education of patients regarding CIC technique, complications, care, and hygiene while doing CIC which can result in improved adherence to CIC.

Indexed as

Intermittent Urethral CatheterizationPatient ComplianceSelf CareSpinal Cord InjuriesUrinary Bladder, NeurogenicAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient DischargeRetrospective StudiesSurveys and QuestionnairesYoung AdultAdherenceClean intermittent catheterizationParaplegiaSpinal cord injuryUTI

Identifiers

PMID38819985
PMCPMC12329841

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