Ambulation, Foley Catheterization
Conditions
Keywords
lumbar spine, foley catheterization, ambulation
Brief summary
The study aims to compare between early versus delayed urinary catheter removal the impact on time to ambulation (in minutes) after minimally invasive lumbar spine surgery
Detailed description
Early ambulation enables rapid removal of drainage tubes and canisters and decreases length of hospitalization. Previous article showed that a 1-day shorter in hospitalization led to an approximately US$ 2000 reduction in total patient costs. Another study examining patients after total knee arthroplasty found that an early discharge group, a decrease in length of stay in 22h resulted in financial savings of approximately US$ 600 per case. Another author found that early ambulation was associated with 19% lower 90-day readmission rate. Moreover, early ambulation contributed to 50.6% lower probability of developing at least one complication than regular ambulation.
Interventions
OTHERExperimental
Early urethral foley removal after the surgery
OTHERActive comparator
Delayed urethral foley removal after the surgery
Sponsors
University of Kansas Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients aged 18 years and older * Minimally invasive one- or two-level lumbar fusion procedures
Exclusion criteria
* Patients that cannot give consent * Patients with lower extremity amputation(s); * Non-minimally invasive surgeries * Patients with pre-existing bladder/kidney or urinary tract dysfunction * Patients with spinal cord injuries * Patients with known lower extremity weakness and impaired mobility.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ambulation | After the surgery, postoperative day 1 | Time in minutes to ambulation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Home discharge | Average postoperative day 1-3 | Number of subjects discharge to home |
| Hospital length of stay | 1 to 3 days | Total number of days in the hospital |
| Pain medication | Hospitalization period: postoperative day 1, 2, 3 | Total dose of opioid medication in milligrams used by each subject |
| Facility discharge | Average postoperative day 1-3 | Number of subjects discharge to facility |
| Urinary tract infection | From date of the surgery until the date of first documented event, whichever came first, assessed up to 1 month after the surgery | Total number of urinary tract infection after urinary catheter removal |
| Physical therapy progression | Hospitalization period: postoperative day 1, 2, 3 | Maximum walking distance tolerated in meters by each subject |
| Urinary catheter reinsertion | From date of the surgery until the date of first documented event, whichever came first, assessed up to discharge (1 to 3 days) after the surgery | Total number of urinary catheter reinsertion |
Countries
United States
Outcome results
None listed