Impact of early urinary catheter removal on successful voiding and physical function in stroke patients
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- Tsuda Megumi
- Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
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- Fukawa Tomoya
- Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
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- Yamamoto Yasuyo
- Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
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- Daizumoto Kei
- Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
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- Sasaki Yutaro
- Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
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- Ueno Yoshiteru
- Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
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- Tomida Ryotaro
- Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
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- Kusuhara Yoshito
- Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
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- Yamaguchi Kunihisa
- Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
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- Takahashi Masayuki
- Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
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- Kanayama Hiro-omi
- Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
説明
<p>Objective:The aim of the present study was to identify factors related to the success of trial without catheter (TWOC) in patients with stroke and to examine the effect of the timing of urinary catheter removal on the course of stroke. Methods:Patients who were admitted to the Stroke Care Unit of our institution between March 2018 and October 2021 were included. To identify factors related to success of TWOC, a multivariate analysis was performed on the patient’s condition at admission and catheter indwelling time. The patients were divided into two groups by the timing of catheter removal, and we assessed the relationship between the timing of catheter removal successful TWOC and recovery of physical function. Results:A total of 118 patients were included. The presence of comorbidities and scores of severity and function at admission were not predictors of successful voiding. The time to achieve voiding sussess was significantly shorter in the early catheter removal group than in the later group (p<0.005). Interestingly, the early group also showed better improvements in physical function. Conclusion:Early removal of catheters may lead to early recovery of bladder function, improvement of physical function, and lower risk of complications in patients with stroke. J. Med. Invest. 70 : 436-442, August, 2023</p>
収録刊行物
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- The Journal of Medical Investigation
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The Journal of Medical Investigation 70 (3.4), 436-442, 2023
国立大学法人 徳島大学医学部