학술논문
Postoperative Urinary Retention after Pediatric Orthopedic Surgery.
Document Type
Academic Journal
Author
Belthur MV; Department of Orthopedics, Phoenix Children's Hospital, Phoenix, AZ 94304, USA.; College of Medicine, University of Arizona-Phoenix, Phoenix, AZ 85004, USA.; Department of Surgery, Mayo Clinic College of Medicine, Scottsdale, AZ 85259, USA.; Singleton IM; College of Medicine, University of Arizona-Phoenix, Phoenix, AZ 85004, USA.; Burns JD; Department of Orthopedics, Phoenix Children's Hospital, Phoenix, AZ 94304, USA.; Temkit MH; Department of Clinical Research, Phoenix Children's Hospital, Phoenix, AZ 94304, USA.; Sitzman TJ; Department of Surgery, Mayo Clinic College of Medicine, Scottsdale, AZ 85259, USA.; Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix, AZ 94304, USA.
Source
Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101648936 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9067 (Print) Linking ISSN: 22279067 NLM ISO Abbreviation: Children (Basel) Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2227-9067
Abstract
Purpose: This study aims to describe the incidence of postoperative urinary retention among pediatric patients undergoing orthopedic surgery and identify risk factors. Methods: The Pediatric Health Information System was used to identify children aged 1−18 years who underwent orthopedic surgery. Collected from each patient’s record were demographic information, principal procedure during hospitalization, the presence of neurologic/neuromuscular conditions and other complex chronic medical conditions, the total postoperative length of stay, and the presence of postoperative urinary retention. Results: The overall incidence of postoperative urinary retention was 0.38%. Children with complex chronic neuromuscular conditions (OR 11.54 (95% CI 9.60−13.88), p = < 0.001) and complex chronic non-neuromuscular medical conditions (OR 5.07 (95% CI 4.11−6.25), p ≤ 0.001) had a substantially increased incidence of urinary retention. Surgeries on the spine (OR 3.98 (95% CI 3.28−4.82, p ≤ 0.001) and femur/hip (OR 3.63 (95% CI 3.03−4.36), p ≤ 0.001) were also associated with an increased incidence. Conclusions: Children with complex chronic neuromuscular conditions have a substantially increased risk of experiencing postoperative urinary retention. Complex chronic non-neuromuscular medical conditions and surgeries to the spine, hip, and femur also carry a notably increased risk.