Authors (including presenting author) :
Lee YM
Affiliation :
Chung YY ( NC)
Introduction :
Acute retention of urine (AROU) is one of the common condition required acute hospital admission. The related associated factors including pain, immobilization, dehydration etc. Foley insertion is one of the strategies to release acute retention of urine. For those patients who failed wean off Foley catheter (TWOC) in wards usually were being referred to continence nurse for inpatients assessment, so that a better planning for optimizing patient condition for successful TWOC could be advised. To evaluate patient's treatment progress and the outcome, Data from 1st July 2019 to 31st December 2019 were evaluated.
Objectives :
To review patients' outcome and identify barriers for failure of TWOC in acute patient care setting.
Methodology :
Retrospective study was done on reviewing patient's data and treatment progress notes during in patient consultation at United Christian Hospital from 1st July 2019 to 31st December 2019.
Result & Outcome :
Total 100 patient's data were obtained. Average age of patient is 72.1. 82% were female patients and 18% were male patients. 75% consultation were from orthopedic department. 1% from pediatric and 24% were from Medical and Geriatric department. 51% of patients developed AROU post-operatively and with 32% of patients were under SA and 14% were under GA whereas the remaining 49% were caused by UTI with prescribed antibiotics. The first three most common bacteria are E coli (30%), Klebsiella species (20%)and enterococcus faeculis (18%) respectively. 25% of patients need twice TWOC for successful self -voiding and 2% of patients need third times TWOC for a successful result. 26% of patients with PVRU or RU over 900ml were detected by Bladder scan. 61% of patients with PVRU or RU over 500ml and 74% of patients over 300ml PVRU or RU. The average bladder scan residual urine volume is 571 (281 -1000)ml. But data can't reflect the direct relationship between higher PVRU or RU will need more times of trial on TWOC in this studies. Conclusions: Multifactorial reasons affected successful rate of TWOC with AROU patients in acute hospital setting, early assessment to identify reversible causes such as prevention of UTI, constipation. Continence nurse not only provide assessment to patients but also vigilante on the potential causes of ROU with treatment plan could be formulated, thus a successful TWOC and early removal of Foley catheter to prevent CAUTI and improve quality of life of patients could be achieved.
