A meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery
Mcphail, M.J.W., Bu-Hilal, M. and Johnson, C.D. (2006) A meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery. British Journal of Surgery, 93, (9), 1038-1044. (doi:10.1002/bjs.5424).
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Description/Abstract
Background:
Although bladder drainage is widely used for general surgical patients undergoing laparotomy, there is little consensus on whether suprapubic or transurethral catheterization is better.
Method:
A systematic database search was undertaken to find all studies of suprapubic catheterization. Randomized controlled trials were identified for inclusion. Endpoints for analysis were bacteriuria, patient satisfaction and recatheterization rates. A meta-analysis was performed using fixed-effect or random-effect models as appropriate, depending on heterogeneity.
Results:
After abdominal surgery, transurethral catheterization is associated with significant bacteriuria (relative risk (RR) = 2·02, P < 0·001, 95 per cent confidence interval (c.i.) 1·34 to 3·04) and pain or discomfort (RR = 2·94, P = 0·004, 95 per cent c.i. 1·41 to 6·14). Recatheterization rates using the transurethral method were not increased significantly (RR = 1·97, P = 0·213, 95 per cent c.i. 0·68 to 5·74) with heterogeneity between studies.
Conclusion:
The suprapubic route for bladder drainage in general surgery is more acceptable to patients and reduces microbiological morbidity.
| Item Type: | Article |
|---|---|
| ISSNs: | 0007-1323 (print) |
| Related URLs: | |
| Keywords: | risk, patient, randomized controlled-trial, time, bacteriuria, general surgical patients, model, urethral catheterization,abdominal-surgery, transurethral catheterization, metaanalysis |
| Subjects: | R Medicine > RD Surgery R Medicine |
| Divisions: | University Structure - Pre August 2011 > School of Medicine > Developmental Origins of Health and Disease University Structure - Pre August 2011 > School of Medicine > Cancer Sciences University Structure - Pre August 2011 > School of Medicine |
| Item ID: | 62835 |
| Date Deposited: | 11 Sep 2008 |
| Last Modified: | 01 Jun 2011 09:44 |
| Contributors: | Mcphail, M.J.W. (Author) Bu-Hilal, M. (Author) Johnson, C.D. (Author) |
| Date: | 27 June 2006 |
| Status: | Published |
| URI: | http://eprints.soton.ac.uk/id/eprint/62835 |
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