Short-Term Indwelling Foley Catheters Do Not Reduce the Risk of Postoperative Urinary Retention in Uncomplicated Primary THA and TKA: A Randomized Controlled Trial.

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによるハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文の影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することができ、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

Three hundred and eighty-eight patients undergoing primary total knee arthroplasty (TKA) (n=228) or total hip arthroplasty (THA) (n=160) with spinal anesthesia were randomized to receive a short-term Foley catheter (n=194) or no catheter (n=194). The primary outcome of interest was the development of postoperative urinary retention (POUR), defined as requiring at least two straight catheterizations or an indwelling urinary catheter placement due to retention of ≥450 mL on bladder scans. Secondary outcomes included the incidence of urinary tract infections (UTIs) within three weeks and the need for at least one straight catheterization. Outcomes were assessed postoperatively and at three weeks. Overall, the study found no significant difference in the rate of POUR between the Foley catheter and no-catheter groups. Additionally, there was no significant difference in secondary outcomes, including UTI rates and the need for straight catheterization. These findings suggest that short-term Foley catheter use does not provide a benefit in reducing POUR risk and may not be necessary in uncomplicated primary TKA and THA cases.