Does evening removal of urinary catheters shorten hospital stay among general hospital patients? A randomized controlled trial
Webster, Joan, Osborne, Sonya, Woollett, Kaylene, Shearer, Julie, Courtney, Mary D., & Anderson, Debra J. (2006) Does evening removal of urinary catheters shorten hospital stay among general hospital patients? A randomized controlled trial. Journal of Wound, Ostomy and Continence Nursing, 33(2), pp. 156-163.
Objective: Literature indicates that removing urinary catheters at midnight facilitates earlier discharge amongst urology patients but the effect of evening removal on general patients is unknown. The objective of the present study was to investigate whether removing a urinary catheter at 22.00 hours compared to 06.00 hours amongst a general hospital population would lead to earlier hospital discharge. Design: A randomized controlled trial. Setting and Subjects: The study was conducted in a large tertiary hospital in Brisbane, Australia. Two hundred and ten general surgical and medical patients who had an indwelling catheter as part of their routine care were included. Results: Length of hospital stay following catheter removal was not significantly affected by the timing of its removal among general hospital patients: mean hours morning 186.1; mean evening 209.3, (p = 0.309). In a cohort of surgical patients, the hospital stay was shorter in the evening removal group (mean hours morning 186.1; mean evening 209.3) but this result was not statistical significant (p = 0.127). Patients in the evening group were more likely to have a longer time period between catheter removal and the first post-catheter void, mean hours morning, 3.76 v evening. 4.89 (t = - 2.59, confidence interval –1.99 to –0.27). Timing of removal of the urinary catheter had no effect on the volume of the first void, mean volume morning, 214.7 mls v evening, 221.4 mls. Twenty five (12.1%) patients were re-catheterized but the rate of recatheterisation between groups was simliar. There were no differences in post discharge problems between groups. Conclusion: Amongst general hospital patients, removing an indwelling urinary catheter at 22:00 hours does not shorten the length of stay but is effective in increasing the time to first void.
Impact and interest:
Citation countsare sourced monthly fromand citation databases.
These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.
Citations counts from theindexing service can be viewed at the linked Google Scholar™ search.
Full-text downloadsdisplays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one.
|Item Type:||Journal Article|
|Additional Information:||Author contact details: email@example.com|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Institutes > Institute of Health and Biomedical Innovation
|Copyright Owner:||Copyright 2006 Lippincott, Williams & Wilkins|
|Copyright Statement:||This is the author-version of the work. The final, definitive version of this article has been published in the Journal, <Journal of Wound, Ostomy and Continence Nursing 33(2):pp. 156-163, 2006 © < Lippincott, Williams & Wilkins.|
|Deposited On:||19 Jul 2006|
|Last Modified:||29 Feb 2012 23:27|
Repository Staff Only: item control page