Abstract
BackgroundThe study was undertaken to assess the incidence of lower urinary tract symptoms (LUTS) after short-term indwelling urethral catheter (IUC) in polytrauma patients admitted to a level one trauma unit using core lower urinary tract symptom score (CLSS). Data of patients admitted between January 2013 and December 2015 and meeting the study criteria were retrieved from the hospital informatics system. Chart review was done, and patients were subsequently interviewed telephonically.ResultsNinety-four respondents comprising of 81.9% males and 18.1% females out of the 221 eligible patients were contacted. The most common LUTS reported was urethral pain, and 90% had mild to moderate symptoms. No severe LUTS were identified. There was a positive correlation between the duration of IUC and LUTS, but there was no statistically significant association between age and LUTS in our study population.ConclusionShort-term duration of IUC in the trauma ICU patient is associated with predominantly mild irritative LUTS which are mostly self-limiting and may not need further investigations and management. CLSS was found to be a useful screening tool. Further studies are needed to confirm findings in our study.
Highlights
The study was undertaken to assess the incidence of lower urinary tract symptoms (LUTS) after shortterm indwelling urethral catheter (IUC) in polytrauma patients admitted to a level one trauma unit using core lower urinary tract symptom score (CLSS)
We investigated the incidence of lower urinary tract symptoms (LUTS) in trauma patients admitted to a level one trauma unit intensive care unit (ICU) after IUC using the core lower urinary tract symptom score (CLSS)
One hundred and twenty-seven patients could not be included in the study due to incomplete data entry during the admission process, wrong telephone numbers, persistent voicemail and refusal to participate in the study
Summary
The study was undertaken to assess the incidence of lower urinary tract symptoms (LUTS) after shortterm indwelling urethral catheter (IUC) in polytrauma patients admitted to a level one trauma unit using core lower urinary tract symptom score (CLSS). Catheter-associated urinary tract infection (CAUTI) has received much clinical significance as the commonest complication of urinary catheterisation, as well as the most common cause of infections in hospitals and other health care facilities [3], especially in. Eight-six per cent of trauma admissions in one study were diagnosed with organ dysfunction (systemic inflammatory response syndrome at the time of admission) [8]. This in addition to other procedures, such as intubation
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