Evidence map›Paper›PMID 40489845›Full record

Observational studyMedicine2025

Incidence and predictive factors of urinary catheter reinsertion in cardiac surgery patients: A cross-sectional study in Nanning, China.

Si-Si Deng, Sheng-Sheng Zhong, Ling Huang, Wang-Qiu Wu, Jiao Luo, Xin-Huan Lu

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Si-Si DengCardiac Surgery Ward, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Sheng-Sheng ZhongCardiothoracic Vascular Surgery, The Guangxi International Zhuang Medicine Hospital, Nanning, Guangxi, China.
Ling HuangCardiac Surgery Ward, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Wang-Qiu WuCardiac Surgery Ward, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Jiao LuoCardiac Surgery Ward, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Xin-Huan LuCardiac Surgery Ward, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.

Funding

the Health Commission of Guangxi Zhuang Autonomous Region Z20210992
6 · The paper itself

Abstract

This study investigates the incidence and risk factors associated with the reinsertion of urinary catheters in post-cardiac surgery patients. Conducted at the Cardiac Surgery Ward of a university-affiliated hospital in Nanning, China, from July to December 2021, this cross-sectional study included patients aged 18 years and older undergoing cardiac surgery. Excluded were individuals with genitourinary issues, prostate surgery history, urostomy, cognitive impairment, mental illness, chronic indwelling catheter requirements, hemodialysis, or undergoing interventional surgery. Data on demographic and clinical characteristics were collected to perform multivariable logistic regression to identify risk factors for urinary catheter reinsertion. In our study of 254 cardiac surgery patients, 21 (8.26%) required urinary catheter reinsertion. Notable differences were not seen in age, gender, or body mass index between the reinsertion and no reinsertion groups. However, diabetes was significantly more prevalent in the reinsertion group (19%) compared to the no reinsertion group (3%) (P = .001), with diabetic patients also experiencing longer operative times and older age. The median urinary catheter duration was significantly shorter in the reinsertion group (35.03 hours) versus 60.65 hours for those without reinsertion (P = .034). Early catheter removal within the first postoperative day notably increased reinsertion rates, with 52.4% of early removals requiring reinsertion compared to 23.2% of later removals (P = .003). Multivariable logistic regression highlighted key risk factors: each additional year of age increased reinsertion risk by 3.6% (OR = 1.036, P = .023), and diabetic patients were approximately 8.8 times more likely to require reinsertion (OR = 8.755, P = .004). Early catheter removal was associated with an 8.6-fold increase in reinsertion likelihood (OR = 8.570, P = .001). Our findings emphasize the need for personalized management strategies to prevent urinary catheter reinsertion in cardiac surgery patients, particularly among older individuals, those with diabetes, or whose catheters are removed early post-surgery. These insights are crucial for enhancing postoperative care and minimizing complications associated with urinary catheterization.

Indexed as

Cardiac Surgical ProceduresUrinary CatheterizationUrinary CathetersAgedAge FactorsChinaCross-Sectional StudiesFemaleHumansIncidenceMaleMiddle AgedPostoperative ComplicationsRisk Factorscardiac surgeryincidencenursingrisk factorurinary catheter reinsertion

Identifiers

PMID40489845
PMCPMC12150957

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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.