Acute urinary retention and urinary tract infection after short-course urinary drainage in colon or high rectum anastomoses: Post hoc analysis of a multicentre prospective database from the GRACE group.
Venara, Aurélien; Hamel, Jean François; Régimbeau, Jean-Marcet al.
2022 • In Colorectal Disease, 24 (10), p. 1164-1171
[en] ("[en] AIM: The aim was to define the risk factors for acute urinary retention (AUR) and urinary tract infections (UTIs) in colon or high rectum anastomosis patients based on the absence of a urinary catheter (UC) or the early removal of the UC (<24 h).
METHOD: This is a multicentre, international retrospective analysis of a prospective database including all patients undergoing colon or high rectum anastomoses. Patients were part of the enhanced recovery programme audit, developed by the Francophone Group for Enhanced Recovery after Surgery, and were included if no UC was inserted or if a UC was inserted for <24 h.
RESULTS: In all, 9389 patients had colon or high rectum anastomoses using laparoscopy, open surgery or robotic surgery. Among these patients, 4048 were excluded because the UC was left in place >24 h (43.1%) and 97 were excluded because the management of UC was unknown (1%). Among the 5244 colon or high rectum anastomoses patients included, AUR occurred in 5.2% and UTI occurred in 0.7%. UCs were in place for <24 h in 2765 patients (52.7%) and 2479 did not have UCs in place (47.3%). Multivariate analysis showed that management of the UC was not significantly associated with the occurrence of AUR and that risk factors for AUR were male gender, ≥65 years old, having an American Society of Anesthesiologists score ≥3 and receiving epidural analgesia. Conversely, being of male gender was a protective factor of UTI, while being ≥65 years old, having open surgery and receiving epidural analgesia were risk factors for UTIs. The management of the UC was not significantly associated with the occurrence of UTIs but the occurrence of AUR was a more significant risk factor for UTIs.
CONCLUSION: UCs in place for <24 h did not reduce the occurrence of AUR or UTI compared to the absence of UCs.","[en] ","")
Disciplines :
Urology & nephrology General & internal medicine
Author, co-author :
Venara, Aurélien; Department of Visceral and Endocrinal Surgery, University Hospital of Angers, Angers Cedex 9, France ; Faculty of Health, Department of Medicine, Angers, France ; Univ Angers, [CHU Angers], HIFIH, SFR ICAT, F-49000 Angers, France, University of Angers, Angers, France
Hamel, Jean François; Faculty of Health, Department of Medicine, Angers, France ; Univ Angers, [CHU Angers], HIFIH, SFR ICAT, F-49000 Angers, France, University of Angers, Angers, France ; Department of Biostatistics, Maison de la Recherche, University Hospital of Angers, Angers Cedex 9, France
Régimbeau, Jean-Marc; Service de Chirurgie Digestive, CHU Amiens Picardie et Université de Picardie Jules Verne, Amiens, France ; Unité de Recherche Clinique SSPC (Simplifications des Soins des Patients Complexes) UR UPJV 7518, Université de Picardie Jules Verne, Amiens, France
Gillet, Julien; Department of Visceral and Endocrinal Surgery, University Hospital of Angers, Angers Cedex 9, France ; Faculty of Health, Department of Medicine, Angers, France
Cotte, Eddy; Department of Visceral Surgery, Centre Hospitalier Lyon-Sud, CHU Lyon, Pierre-Bénite Cedex, France ; Université de Lyon, Lyon, France
Slim, Karem ; Department of Visceral Surgery, CHU Clermont-Ferrand, Clermont-Ferrand, France
GRACE group
Language :
English
Title :
Acute urinary retention and urinary tract infection after short-course urinary drainage in colon or high rectum anastomoses: Post hoc analysis of a multicentre prospective database from the GRACE group.
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