Urinary Tract Infections
Conditions
Keywords
urinary tract infections, urinary catheterisation
Brief summary
The aim of the project is to evaluate differences between intermittent and indwelling catheterisation in patients with hip surgery. Specific objectives are to determine whether: * frequencies of urinary tract problems in hospital and up to one year after discharge differ between patient groups treated with intermittent and indwelling catheterisation respectively. * costs and health-effects differ between the patient groups. * experiences of urinary catheterisation differ between the patient groups
Interventions
PROCEDUREIntermittent urinary catheterisation
Patients randomised to the I group will urinate either in a toilet or in a bedpan or a diaper when needed. Bladder scan control will be performed on these patients at least every four hour. If the patient is unable to urinate and bladder scan indicates ≥ 450 ml urine in the bladder, the patient will be intermittent catheterised.
Sponsors
Region Örebro County
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients undergoing hip fracture surgery or hip replacement due to arthrosis * Age 50 years and above
Exclusion criteria
* Patients with an indwelling catheter in situ * Cognitive impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Nosocomial urinary tract infection | Urine culture will be collected at admission and before discharge from the orthopaedic ward (about 5-10 days after admission) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to normal bladder function | Hours after surgery (participants will be followed for the duration of hospital stay, about 5-10 days) | Normal bladder function was in this study defined as a post-micturition residual urine volume of 150ml or less.The patients will be bladder-scanned every fourth hour until normal bladder function is recaptured |
| Costs for material and labour related to urinary catheterisation and nosocomial UTI during the first year after hip surgery | During time in hospital and up to 1 year after discharge | Costs will be considered for material and labour. The material costs include costs for catheters, material used when inserting catheters, material used when using the bladder scan, costs for clothes and bedding changed due to urine and diapers. Also costs for medication due to urinary problems will be registered. The labour costs included are time for urinary catheterisation, bladder scan, change of patients' clothes and bedding or diapers due to urine, consultation at the Urological department or to a general practitioner due to urinary problems and length of hospital stay. |
| Health effects during the first year after hip surgery | Before discharge, 4 weeks, 4 months and 1 year after discharge | The health-effects will be evaluated by EQ5D and SF-36 at discharge, 4 weeks, 4 months and 1 year after discharge. |
Countries
Sweden
Outcome results
None listed