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, 杨梅, 王维, 等. 肺叶切除术后患者无尿管留置的前瞻性队列研究. 中国胸心血管外科临床杂志, 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. 加速康复外科在肺切除术中的应用. 重庆医学, 2018, 47(17): 91-93.
5.	夏平会, 张洁苹, 吴益和, 等. 肺部围手术期导尿管管理策略的前瞻性研究. 中华胸部外科电子杂志, 2017, 4(3): 171-176.
6.	苏树伟, 崔海银, 田辉, 等. 肺癌患者胸腔镜肺叶切除术后发生尿潴留的危险因素分析. 山东医药, 2018, 58(6): 74-76.
7.	车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
8.	李乐之, 路潜, 主编. 外科护理学. 第 5 版. 北京: 人民卫生出版社, 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, 王晓军. 胸腔镜肺切除术围术期不放置导尿管的可行性研究. 中国微创外科杂志, 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, 杨梅, 车国卫, 等. 胸腔镜肺叶切除术患者围手术期无尿管留置导致尿潴留的危险因素分析. 中国胸心血管外科临床杂志, 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, 韩啸. 胸腔镜肺叶切除术后患者尿潴留危险因素分析. 浙江医学教育, 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, 杨梅, 王维, 等. 肺叶切除术后患者无尿管留置的前瞻性队列研究. 中国胸心血管外科临床杂志, 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. 加速康复外科在肺切除术中的应用. 重庆医学, 2018, 47(17): 91-93.
5. 夏平会, 张洁苹, 吴益和, 等. 肺部围手术期导尿管管理策略的前瞻性研究. 中华胸部外科电子杂志, 2017, 4(3): 171-176.
6. 苏树伟, 崔海银, 田辉, 等. 肺癌患者胸腔镜肺叶切除术后发生尿潴留的危险因素分析. 山东医药, 2018, 58(6): 74-76.
7. 车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
8. 李乐之, 路潜, 主编. 外科护理学. 第 5 版. 北京: 人民卫生出版社, 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, 王晓军. 胸腔镜肺切除术围术期不放置导尿管的可行性研究. 中国微创外科杂志, 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, 杨梅, 车国卫, 等. 胸腔镜肺叶切除术患者围手术期无尿管留置导致尿潴留的危险因素分析. 中国胸心血管外科临床杂志, 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, 韩啸. 胸腔镜肺叶切除术后患者尿潴留危险因素分析. 浙江医学教育, 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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