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Using appropriateness criteria to identify opportunities to improve perioperative urinary catheter use.

Abstract：

BACKGROUND:The Michigan Appropriate Perioperative (MAP) criteria provide guidance regarding urinary catheter use. For Category A (e.g., laparoscopic cholecystectomy), B (e.g., hemicolectomy), and C (e.g., abdominoperineal resection) procedures, recommendations are to avoid catheter, remove POD 0 or 1, and remove POD 1-4, respectively. We applied MAP criteria to statewide registry data to identify improvement targets. METHODS:Retrospective cohort study of risk-adjusted catheter use and duration for appendectomy, cholecystectomy, and colorectal resections in 2014-2015 from 64 Michigan hospitals. RESULTS:5.5% of 13,032 Category A cases used urinary catheters, including 26.9% of open appendectomies. 94.5% of 1,624 Category B cases used catheters (31.2% remained after POD 1). 98.3% of 700 Category C cases used catheters (4.6% remained POD5+). Variation in duration of use persisted after risk adjustment. CONCLUSIONS:Perioperative urinary catheter use was appropriate for most simple abdominal procedures, but duration of use varied in all categories.

journal_name

Am J Surg

journal_title

American journal of surgery

authors

De Roo AC,Hendren S,Ameling JM,Meddings J

doi

10.1016/j.amjsurg.2020.01.008

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

706-713

issue

3

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(20)30009-X

journal_volume

220

pub_type

杂志文章,多中心研究

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