A Trial of Different Methods for Bladder Drainage in Hip Surgery Patients

Region Örebro County

Status: Completed

Conditions: Urinary Tract Infections

Treatments: Procedure: Intermittent urinary catheterisation

Study type: Interventional

Funder types: Other

Identifiers

NCT01333254

2009-075

Details and patient eligibility

About

The aim of the project is to evaluate differences between intermittent and indwelling catheterisation in patients with hip surgery.

Specific objectives are to determine whether:

• frequencies of urinary tract problems in hospital and up to one year after discharge differ between patient groups treated with intermittent and indwelling catheterisation respectively.
• costs and health-effects differ between the patient groups.
• experiences of urinary catheterisation differ between the patient groups

Enrollment: 170 patients

Sex: All

Ages: 50+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients undergoing hip fracture surgery or hip replacement due to arthrosis
• Age 50 years and above

Exclusion criteria

• Patients with an indwelling catheter in situ
• Cognitive impairment

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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170 participants in 2 patient groups

Indwelling urinary catheter

No Intervention group

Description:

Patients in this group with hip fracture will get an indwelling catheter at arrival to the orthopaedic ward. The patients with arthrosis get the indwelling catheter in the morning at the day of surgery. In both cases the indwelling catheter is inserted after shower with skin disinfectant. The catheter system is kept close. The catheter will be removed in the morning on day 2 after surgery. The patients are bladder-scanned every four-hour until normal bladder function is recaptured. If the bladder volume exceeds 400ml and the patient is unable to urinate, the patient will be re-catheterised. The procedure of the patients in this arm is in accordance with common practice in the Orthopaedic clinic.

Intermittent urinary catheterisation

Experimental group

Description:

Patients randomised to this arm will urinate either in a toilet or in a bedpan or a diaper when needed. Bladder scan control will be performed on these patients at least every four hour. If the patient is unable to urinate and bladder scan indicates ≥ 400 ml urine in the bladder, the patient will be intermittent catheterised.

Treatment:

Procedure: Intermittent urinary catheterisation