Risk factors of indwelling urinary catheter in hospitalized patients receiving thoracoscopic lobectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANG Na ¹ , LI Yushan ¹ , YANG Bo ¹ ,  LIU Yan ²

1. Department of Thoracic surgery, National Cancer Center & National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical Sciences, Beijing, 100021, P.R.China;
2. Department of Nursery, National Cancer Center & National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical Sciences, Beijing, 100021, P.R.China;

Corresponding?author：

LIU Yan, Email: 15201119199@139.com

Keywords：

Thoracoscopy; lobectomy; indwelling urinary catheter; risk factor; treatment

DOI：

10.7507/1007-4848.201912096

Video：

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Objective To investigate the occurrence of indwelling urinary catheter in patients receiving thoracoscopic lobectomy and relevant risk factors.Methods We retrospectively reviewed the clinical data of the 737 patients who received thoracoscopic lobectomy in our hospital and analyzed the risk factors of indwelling urinary catheter during postoperative hospitalization using univariate analysis and multiple-variate logistic regression analysis between December 2018 and May 2019. There were 253 males and 484 females at median age of 57 (50, 64) years.Results A percentage of 14.4% (106/737) of the patients adopted postoperative indwelling urinary catheter. Univariate regression analysis showed that gender and postoperative bedridden time were risk factors for indwelling urinary catheter in the patients after thoracoscopic lobectomy (P<0.05). Multiple-variate logistic regression analysis showed that male gender (OR=2.018, 95% CI 1.316-3.096, P<0.001) and postoperative bedridden time >18 hours (OR=2.298, 95%CI 1.502-3.516, P<0.001) were the independent risk factors for indwelling urinary catheter.Conclusion Male gender and those with longer postoperative bedridden time are high-risk population to indwell urinary catheter. Positive measures should be taken to reduce the chance of indwelling urinary catheter.

Citation： ZHANG Na, LI Yushan, YANG Bo, LIU Yan. Risk factors of indwelling urinary catheter in hospitalized patients receiving thoracoscopic lobectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(7): 789-792. doi: 10.7507/1007-4848.201912096 Copy

1.	邱舫, 楊梅, 王維, 等. 肺葉切除術后患者無尿管留置的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 2015, 22(7): 634-637.
2.	Hollingsworth JM, Rogers MA, Krein SL, et al. Determining the noninfectious complications of indwelling urethral catheters: a systematic review and mete-analysis. Ann Intern Med, 2013, 159(6): 401-410.
3.	Nan DN, Fernandez-Ayala M, Farinas-Alvarez C, et al. Nosocomial infection after lung surgery: incidence and risk factors. Chest, 2005, 128(4): 2647-2652.
4.	曾添洋. 加速康復外科在肺切除術中的應用. 重慶醫學, 2018, 47(17): 91-93.
5.	夏平會, 張潔蘋, 吳益和, 等. 肺部圍手術期導尿管管理策略的前瞻性研究. 中華胸部外科電子雜志, 2017, 4(3): 171-176.
6.	蘇樹偉, 崔海銀, 田輝, 等. 肺癌患者胸腔鏡肺葉切除術后發生尿潴留的危險因素分析. 山東醫藥, 2018, 58(6): 74-76.
7.	車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
8.	李樂之, 路潛, 主編. 外科護理學. 第 5 版. 北京: 人民衛生出版社, 2013. 33.
9.	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.
10.	倪瑞婕, 李志新, 王曉軍. 胸腔鏡肺切除術圍術期不放置導尿管的可行性研究. 中國微創外科雜志, 2019, 19(11): 989-992.
11.	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.
12.	邱舫, 楊梅, 車國衛, 等. 胸腔鏡肺葉切除術患者圍手術期無尿管留置導致尿潴留的危險因素分析. 中國胸心血管外科臨床雜志, 2016, 23(4): 328-333.
13.	Scott AJ, Mason SE, Langdon AJ, et al. Prospective risk factor analysis for the development of postoperative urinary retention following ambulatory general surgery. World J Surg, 2018, 42: 3874-3879.
14.	徐燕, 韓嘯. 胸腔鏡肺葉切除術后患者尿潴留危險因素分析. 浙江醫學教育, 2019, 18(3): 41-43.
15.	Koch CA, Grinberg GG, Farley DR. Incidence and risk factors for urinary retention after endoscopic hernia repair. Am J Surg, 2006, 191(3): 381-385.

1. 邱舫, 楊梅, 王維, 等. 肺葉切除術后患者無尿管留置的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 2015, 22(7): 634-637.
2. Hollingsworth JM, Rogers MA, Krein SL, et al. Determining the noninfectious complications of indwelling urethral catheters: a systematic review and mete-analysis. Ann Intern Med, 2013, 159(6): 401-410.
3. Nan DN, Fernandez-Ayala M, Farinas-Alvarez C, et al. Nosocomial infection after lung surgery: incidence and risk factors. Chest, 2005, 128(4): 2647-2652.
4. 曾添洋. 加速康復外科在肺切除術中的應用. 重慶醫學, 2018, 47(17): 91-93.
5. 夏平會, 張潔蘋, 吳益和, 等. 肺部圍手術期導尿管管理策略的前瞻性研究. 中華胸部外科電子雜志, 2017, 4(3): 171-176.
6. 蘇樹偉, 崔海銀, 田輝, 等. 肺癌患者胸腔鏡肺葉切除術后發生尿潴留的危險因素分析. 山東醫藥, 2018, 58(6): 74-76.
7. 車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
8. 李樂之, 路潛, 主編. 外科護理學. 第 5 版. 北京: 人民衛生出版社, 2013. 33.
9. 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.
10. 倪瑞婕, 李志新, 王曉軍. 胸腔鏡肺切除術圍術期不放置導尿管的可行性研究. 中國微創外科雜志, 2019, 19(11): 989-992.
11. 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.
12. 邱舫, 楊梅, 車國衛, 等. 胸腔鏡肺葉切除術患者圍手術期無尿管留置導致尿潴留的危險因素分析. 中國胸心血管外科臨床雜志, 2016, 23(4): 328-333.
13. Scott AJ, Mason SE, Langdon AJ, et al. Prospective risk factor analysis for the development of postoperative urinary retention following ambulatory general surgery. World J Surg, 2018, 42: 3874-3879.
14. 徐燕, 韓嘯. 胸腔鏡肺葉切除術后患者尿潴留危險因素分析. 浙江醫學教育, 2019, 18(3): 41-43.
15. Koch CA, Grinberg GG, Farley DR. Incidence and risk factors for urinary retention after endoscopic hernia repair. Am J Surg, 2006, 191(3): 381-385.

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