Who changes indwelling urinary catheters in male nursing home residents and where? Results from a nationwide cross-sectional survey in Germany.

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

Urologia Internationalis Pub Date : 2024-11-18 DOI:10.1159/000542430

Jonas Czwikla, Guido Schmiemann, Tanja Schleef, Stephanie Stiel, Falk Hoffmann

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Abstract

Introduction: We examined the practice and variability of indwelling urinary catheter changes in male nursing home residents.

Methods: Cross-sectional data from a nationwide survey conducted in a representative sample of German nursing homes in 2023 were analyzed. The professions conducting most transurethral/suprapubic catheter changes in men were identified and proportions for whom respective catheters are changed in nursing homes were determined. Associations between these proportions and nursing home characteristics were investigated via multivariable logistic regressions.

Results: Of 1,369 invited facilities, 330 (24.1%) participated. Urologists changed most catheters in 72.8% (transurethral catheters) and 88.3% (suprapubic catheters) of the facilities. The median proportion of men whose catheters were changed in nursing homes was 8.5% (transurethral catheters; interquartile range 0.6%-100.0%) and 1.0% (suprapubic catheters; IQR 0.0%-100.0%). Facilities in which urologists changed most catheters were less likely to have a high proportion (≥90%) of in-home catheter changes compared to the reference group (odds ratio 0.44 [transurethral catheters; 95% confidence interval 0.24-0.82] and 0.30 [suprapubic catheters; 0.12-0.76]).

Conclusion: The proportion of men whose catheters were changed in nursing homes varied considerably between facilities and was lower where urologists were involved.

查看原文本刊更多论文

谁在哪里为养老院男性住户更换留置导尿管？德国一项全国性横断面调查的结果。

导言我们研究了养老院男性住户更换留置导尿管的做法和可变性：分析了 2023 年在德国养老院代表性样本中进行的全国性调查的横断面数据。确定了男性经尿道/耻骨上导尿管更换最多的职业，并确定了在养老院更换导尿管的比例。通过多变量逻辑回归研究了这些比例与疗养院特征之间的关系：在 1,369 家受邀机构中，有 330 家（24.1%）参与其中。泌尿科医生为 72.8%（经尿道导管）和 88.3%（耻骨上导管）的疗养院更换了大部分导管。在疗养院更换导管的男性比例中位数为 8.5%（经尿道导管；四分位数间距为 0.6%-100.0%）和 1.0%（耻骨上导管；四分位数间距为 0.0%-100.0%）。与参照组相比，泌尿科医生更换导尿管最多的机构不太可能有较高比例（≥90%）的居家导尿管更换（几率比 0.44 [经尿道导尿管；95% 置信区间 0.24-0.82] 和 0.30 [耻骨上导尿管；0.12-0.76]）：结论：在疗养院更换导尿管的男性比例在不同机构之间存在很大差异，有泌尿科医生参与的疗养院更换导尿管的比例较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urologia Internationalis 医学-泌尿学与肾脏学

CiteScore

3.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： Concise but fully substantiated international reports of clinically oriented research into science and current management of urogenital disorders form the nucleus of original as well as basic research papers. These are supplemented by up-to-date reviews by international experts on the state-of-the-art of key topics of clinical urological practice. Essential topics receiving regular coverage include the introduction of new techniques and instrumentation as well as the evaluation of new functional tests and diagnostic methods. Special attention is given to advances in surgical techniques and clinical oncology. The regular publication of selected case reports represents the great variation in urological disease and illustrates treatment solutions in singular cases.