Adherence, Documentation Skill, Hip Fracture, Sustainability of Innovations, Urinary Catheters, Urinary Retention, UTI - Urinary Tract Infection
Conditions
Keywords
Sustainability of Innovations, Hip fracture, Urinary Retention, Catheter Associated Urinary Tract Infection
Brief summary
This study focuses on evaluating the long-term sustainability of a urinary catheter care bundle designed to prevent urinary tract infections and bladder distension in patients undergoing surgery for hip fractures. The intervention, which included two key innovations-a urinary catheter certificate and a nurse-driven urinary catheter protocol, was implemented between 2015 and 2020 and successfully reduced urinary tract infections and bladder distension, previously published. However, due to the pandemic, the initiative was paused and had to be reintroduced in 2022. Now, the study aims to assess the effectiveness of these preventive measures 9 years after their initial implementation. The research will analyze changes in the incidence of urinary tract infections, bladder distension, catheterisation methods, and documentation practices in patients aged 65 and older. The findings will help inform healthcare policies and may have broader implications for preventing adverse events in other surgical patient groups
Interventions
BEHAVIORALSafe Hands and Safe Bladder intervention
Evaluating changes in urinary tract infections and bladder distension nine-year after implementing preventive measures
Sponsors
Sahlgrenska University Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
-Hip fracture surgery at the study site, age 65 years and older and cared for in the ortho-geriatric wards.
Exclusion criteria
-No catheterisation during hospital stay
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Describe changes in the incidence of in-hospital urinary catheter-associated infections; Year 9 will be compared with previously published data from Years 1-5 | For one year | Definition: Urinary tract infection with onset on day 3 after admission with prior urinary catheterisation. A physician prescribed antimicrobial agents for a urinary tract infection during the hospital stay. Data will be collected from patients' medical records. Logistic regression analysis will be performed |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in the incidence of in-hospital acquired bladder distension will be compared; Year 9 will be compared to previously published data from Years 1-5. | For one year. | Definition: Bladder distension is defined according to the national marker for point prevalence measurement when assessing adverse events. Bladderscan volume from patients' medical records. |
| Changes in urine volume of 500ml and more during hospital stay. Year nine will be compared yera 1-5, previous published data | For one year | Bladderscan volume from patients' medical records. |
| Changes in catheterization methods during the hospital stay will be compared, with data from Year 9 compared to previously published data from Years 1-5 | For one year | Data will be collected from patients' medical records. |
| Changes in urinary catheter-related documentation in Year 9 will be compared to previously published data from Years 1-5. | For one year | Catheter-related documentation will be collected from patients' medical records. |
Countries
Sweden
Contacts
PRINCIPAL_INVESTIGATORAnnette Erichsen, Associate Professor
Gothenburg University, Sahlgrenska University Hospital
Outcome results
None listed