Risk factors for re-catheterization after failure of no urinary catheter in 1 618 patients with lung cancer surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Wei ^1,2 , LAI Yutian ² , QIU Fang ^1,2 , YANG Mei ^1,2 ,  CHE Guowei ²

1. West China School of Nursing, Sichuan University, Chengdu, 610041, P.R.China;
2. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

CHE Guowei, Email: chebenben2005@163.com

Keywords：

Re-catheterization; risk factors; perioperation; lung cancer; surgery

DOI：

10.7507/1007-4848.202009021

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the causes and potential risk factors of re-catheterization after failure of no urinary catheter in patients undergoing lung cancer surgery.Methods The clinical data of 1 618 patients without urinary catheter indwelling during the perioperative period of thoracic surgery in our hospital from 2013 to 2019 were retrospectively analyzed, including 791 males and 827 females, with a median age of 58 years, ranging from 27 to 85 years. And the risk factors for re-insertion after failure of urinary catheter were investgated.Results The rate of catheter re-insertion was 1.5% (24/1 618). Compared with patients without re-insertion, patients with re-insertion had longer operation time [120.0 (95.0, 130.0) min vs. 120.0 (115.0, 180.0) min, P=0.015] and more intraoperative fluid infusion [800.0 (600.0, 1 100.0) mL vs. 1 150.0 (725.0, 1 350.0) mL, P=0.008]. Further multivariate analysis found that the operation time (OR=1.014, P=0.004, 95%CI 1.005-1.024) and intraoperative fluid infusion (OR=1.001, P=0.022, 95%CI 1.001–1.002) were independent risk factors for re-insertion.Conclusion The rate of catheter re-insertion in lung cancer patients is relatively low, and conventional no placement of catheter is safe and feasible after lung cancer surgery. Increasing operation time or intraoperative infusion volume may increase the risk of catheter re-insertion after lung cancer surgery.

Citation： WANG Wei, LAI Yutian, QIU Fang, YANG Mei, CHE Guowei. Risk factors for re-catheterization after failure of no urinary catheter in 1 618 patients with lung cancer surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(7): 815-820. doi: 10.7507/1007-4848.202009021 Copy

1.	车国卫, 刘伦旭, 石应康. 加速康复外科临床应用现状与思考. 中国胸心血管外科临床杂志, 2016, 23(3): 211-215.
2.	Feneley RC, Hopley IB, Wells PN. Urinary catheters: History, current status, adverse events and research agenda. J Med Eng Technol, 2015, 39(8): 459-470.
3.	Lim N, Yoon H. Factors predicting catheter-related bladder discomfort in surgical patients. J Perianesth Nurs, 2017, 32(5): 400-408.
4.	Liu L, Che G, Pu Q, et al. A new concept of endoscopic lung cancer resection: Single-direction thoracoscopic lobectomy. Surg Oncol, 2010, 19(2): e71-77.
5.	Egal M, de Geus HR, van Bommel J, et al. Targeting oliguria reversal in perioperative restrictive fluid management does not influence the occurrence of renal dysfunction: A systematic review and meta-analysis. Eur J Anaesthesiol, 2016, 33(6): 425-435.
6.	Matot I, Dery E, Bulgov Y, et al. Fluid management during video-assisted thoracoscopic surgery for lung resection: A randomized, controlled trial of effects on urinary output and postoperative renal function. J Thorac Cardiovasc Surg, 2013, 146(2): 461-466.
7.	Puckett JR, Pickering JW, Palmer SC, et al. Low versus standard urine output targets in patients undergoing major abdominal surgery: A randomized noninferiority trial. Ann Surg, 2017, 265(5): 874-881.
8.	Johnson JR, Kuskowski MA, Wilt TJ. Systematic review: Antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. Ann Intern Med, 2006, 144(2): 116-126.
9.	邱舫, 杨梅, 车国卫, 等. 胸腔镜肺叶切除术患者围手术期无尿管留置导致尿潴留的危险因素分析. 中国胸心血管外科临床杂志, 2016, 23(4): 328-333.
10.	Kim KW, Lee JI, Kim JS, et al. Risk factors for urinary retention following minor thoracic surgery. Interact Cardiovasc Thorac Surg, 2015, 20(4): 486-492.
11.	Baldini G, Bagry H, Aprikian A, et al. Postoperative urinary retention: anesthetic and perioperative considerations. Anesthesiology, 2009, 110(5): 1139-1157.
12.	Kwaan MR, Lee JT, Rothenberger DA, et al. Early removal of urinary catheters after rectal surgery is associated with increased urinary retention. Dis Colon Rectum, 2015, 58(4): 401-405.
13.	Bunyavejchevin S. Reliability of thai-version Overactive Bladder Symptom Scores (OABSS) questionnaire and the correlations of OABSS with voiding diary, International Prostate Symptom Score (IPSS), and Patient Perception of Bladder Condition (PPBC) questionnaires. J Med Assoc Thai, 2015, 98(11): 1064-1074.
14.	Yoo BE, Kye BH, Kim HJ, et al. Early removal of the urinary catheter after total or tumor-specific mesorectal excision for rectal cancer is safe. Dis Colon Rectum, 2015, 58(7): 686-691.
15.	Tobu S, Noguchi M, Hashikawa T, et al. Risk factors of postoperative urinary retention after hip surgery for femoral neck fracture in elderly women. Geriatr Gerontol Int, 2014, 14(3): 636-639.
16.	Stallard S, Prescott S. Postoperative urinary retention in general surgical patients. Br J Surg, 1988, 75(11): 1141-1143.

1. 车国卫, 刘伦旭, 石应康. 加速康复外科临床应用现状与思考. 中国胸心血管外科临床杂志, 2016, 23(3): 211-215.
2. Feneley RC, Hopley IB, Wells PN. Urinary catheters: History, current status, adverse events and research agenda. J Med Eng Technol, 2015, 39(8): 459-470.
3. Lim N, Yoon H. Factors predicting catheter-related bladder discomfort in surgical patients. J Perianesth Nurs, 2017, 32(5): 400-408.
4. Liu L, Che G, Pu Q, et al. A new concept of endoscopic lung cancer resection: Single-direction thoracoscopic lobectomy. Surg Oncol, 2010, 19(2): e71-77.
5. Egal M, de Geus HR, van Bommel J, et al. Targeting oliguria reversal in perioperative restrictive fluid management does not influence the occurrence of renal dysfunction: A systematic review and meta-analysis. Eur J Anaesthesiol, 2016, 33(6): 425-435.
6. Matot I, Dery E, Bulgov Y, et al. Fluid management during video-assisted thoracoscopic surgery for lung resection: A randomized, controlled trial of effects on urinary output and postoperative renal function. J Thorac Cardiovasc Surg, 2013, 146(2): 461-466.
7. Puckett JR, Pickering JW, Palmer SC, et al. Low versus standard urine output targets in patients undergoing major abdominal surgery: A randomized noninferiority trial. Ann Surg, 2017, 265(5): 874-881.
8. Johnson JR, Kuskowski MA, Wilt TJ. Systematic review: Antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. Ann Intern Med, 2006, 144(2): 116-126.
9. 邱舫, 杨梅, 车国卫, 等. 胸腔镜肺叶切除术患者围手术期无尿管留置导致尿潴留的危险因素分析. 中国胸心血管外科临床杂志, 2016, 23(4): 328-333.
10. Kim KW, Lee JI, Kim JS, et al. Risk factors for urinary retention following minor thoracic surgery. Interact Cardiovasc Thorac Surg, 2015, 20(4): 486-492.
11. Baldini G, Bagry H, Aprikian A, et al. Postoperative urinary retention: anesthetic and perioperative considerations. Anesthesiology, 2009, 110(5): 1139-1157.
12. Kwaan MR, Lee JT, Rothenberger DA, et al. Early removal of urinary catheters after rectal surgery is associated with increased urinary retention. Dis Colon Rectum, 2015, 58(4): 401-405.
13. Bunyavejchevin S. Reliability of thai-version Overactive Bladder Symptom Scores (OABSS) questionnaire and the correlations of OABSS with voiding diary, International Prostate Symptom Score (IPSS), and Patient Perception of Bladder Condition (PPBC) questionnaires. J Med Assoc Thai, 2015, 98(11): 1064-1074.
14. Yoo BE, Kye BH, Kim HJ, et al. Early removal of the urinary catheter after total or tumor-specific mesorectal excision for rectal cancer is safe. Dis Colon Rectum, 2015, 58(7): 686-691.
15. Tobu S, Noguchi M, Hashikawa T, et al. Risk factors of postoperative urinary retention after hip surgery for femoral neck fracture in elderly women. Geriatr Gerontol Int, 2014, 14(3): 636-639.
16. Stallard S, Prescott S. Postoperative urinary retention in general surgical patients. Br J Surg, 1988, 75(11): 1141-1143.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Risk factors for re-catheterization after failure of no urinary catheter in 1 618 patients with lung cancer surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content