You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Neurogenic Voiding Dysfunction (PD36)1 Sep 2021PD36-06 BLADDER MANAGEMENT WITH CHRONIC INDWELLING CATHETER IS ASSOCIATED WITH ELEVATED MORTALITY IN PATIENTS WITH SPINAL CORD INJURY Nima Baradaran, Juan Peng, Marilly Palettas, YuYing Chen, Michael DeVivo, and Jan Schwab Nima BaradaranNima Baradaran More articles by this author , Juan PengJuan Peng More articles by this author , Marilly PalettasMarilly Palettas More articles by this author , YuYing ChenYuYing Chen More articles by this author , Michael DeVivoMichael DeVivo More articles by this author , and Jan SchwabJan Schwab More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002040.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To evaluate the impact of bladder management method, specifically chronic indwelling catheter (IndC), on overall survival in patients with spinal cord injury (SCI) in Spinal Cord Injury Model System (SCIMS) database. METHODS: SCIMS is a multicenter longitudinal database since 1970 with >40,000 patients with SCI. Adult patients (>18 at the time of injury) were screened. Patients who died within one year of injury and had two or more changes in method of bladder management were excluded. Left truncation cox regression method using age as the time-scale was used to calculate hazard ratios. RESULTS: Of the 25,094 eligible patients, method of bladder management and survival data were available on 19,548 patients. Comparison was performed between “IndC” group (n=4,872, 24.9%) vs “other” (n=14,676, 75.1%, Table 1). After adjusting for age and change in bladder management method, “IndC” is associated with elevated mortality (HR 2.07, CI 1.96-2.18, p<0.001, Figure 1). Multivariable analysis, adjusting for age at injury, gender, race, education, insurance status, etiology of SCI, injury level, neurologic impairment level, and change in bladder management method, showed IndC was associated with 56% higher risk of death compared to other methods of bladder management. CONCLUSIONS: In a large cohort of SCI patients, bladder management with IndC is associated with significantly propagated mortality compared to other methods of bladder management. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e597-e598 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nima Baradaran More articles by this author Juan Peng More articles by this author Marilly Palettas More articles by this author YuYing Chen More articles by this author Michael DeVivo More articles by this author Jan Schwab More articles by this author Expand All Advertisement Loading ...