Premium
Management of urinary catheters following hip fracture
Author(s) -
Street Philip,
Thompson Janie,
Bailey Michael
Publication year - 2015
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12166
Subject(s) - medicine , hip fracture , guideline , audit , emergency medicine , multivariate analysis , catheter , retrospective cohort study , constipation , dementia , rehabilitation , physical therapy , surgery , osteoporosis , management , pathology , economics , disease
Aim To examine current practices and factors associated with outcomes of urinary catheter removal (‘trial of void’ or TOV ) in patients following hip fracture. Method Retrospective file audit of patients discharged over a three‐year period with a diagnosis of recent hip fracture. Results There were 133 TOV s in 310 patients. Of the 78 TOV s occurring in the aged care rehabilitation hospital, 50% were successful. Adherence to the hospital's TOV guideline was documented infrequently. TOV outcome was not related to interval since catheter insertion, constipation or inability to mobilise. Multivariate analysis showed that dementia was independently associated with the presence of an in‐dwelling catheter ( IDC ) on discharge and that patients discharged with an IDC had a higher probability of residential care placement. Conclusions Practices in managing TOV s are inconsistent. No potentially modifiable predictors of TOV success were identified. The presence of an IDC has implications for discharge destination.