Surgical Catheter Complications Affect Health Outcomes

Increased length of stay, urinary tract infections in patients with catheter-related complications

MONDAY, May 16 (HealthDay News) -- Catheter-related complications for surgical procedures are relatively uncommon, but they are correlated with an increased length of stay and urinary tract infections, according to a study published in the May issue of The Journal of Urology.

David S. Aaronson, M.D., from the University of California in San Francisco, and colleagues investigated the incidence and health outcome-related impact of 1,420 cases of noninfectious urethral catheter-related complications for the seven surgical procedures monitored by the Joint Commission as part of the Surgical Care Improvement Project. The incidence of catheter-related complications in these surgical procedures was identified from the 2007 National Inpatient Sample. The correlation of catheter-related complications with length of stay, urinary tract infections, and/or death was assessed.

The investigators found that the incidence of complications varied by surgical procedure with an average of one complication per 528 men and one per 5,217 women for all procedures. Based on univariate analysis in the presence of catheter-related complications, there was a significant increase in the mean length of stay and urinary tract infection. Based on multivariate analysis, there was a significant correlation between catheter-related complications and increased length of stay and urinary tract infection, but not mortality rate.

"Noninfectious urethral catheter-related complications are reported infrequently," the authors write. "Catheter-related complications are associated with an increased length of stay and rate of urinary tract infection for most procedure types in multivariable analysis."

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