IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v19y2010i3-4p405-413.html
   My bibliography  Save this article

A randomised controlled trial on the effect of clamping the indwelling urinary catheter in patients with hip fracture

Author

Listed:
  • Maria Hälleberg Nyman
  • Jan‐Erik Johansson
  • Margareta Gustafsson

Abstract

Aim. To investigate the effect of clamping the urinary catheter before its removal in patients with hip fracture. Background. Difficulties to return to normal bladder function after removal of the urinary catheter are frequent in patients with hip fracture. Clamping the urinary catheter before removal is proposed to shorten the amount of time required to return to normal bladder function. Design. A randomised controlled trial was conducted at the orthopaedic clinic at a Swedish university hospital. Methods. Patients with hip fracture aged ≥50 without a urinary catheter, without cognitive impairment or additional severe physical problems at the time of admission (n = 113) were included. They were randomly assigned either to have their urinary catheter clamped before removal or to have their catheter removed with free drainage. Blinding was not possible because of the nature of the study. The primary outcome was the amount of time required to return to normal bladder function. Secondary outcomes were need for re‐catheterisation and length of hospital stay. All patients were analysed in accordance with the intention‐to‐treat principle. Results. The median time required to return to normal bladder function was six (Q1 4–Q3 8) hours in the clamped catheter group and four (Q1 3–Q3 7·25) hours in the free drainage group. There were no significant differences between the groups regarding the time required to regain normal bladder function (p = 0·156), the number of patients requiring re‐catheterisation (p = 0·904) and the mean time in hospital (p = 0·777). Conclusion. This randomised trial did not show any advantage or disadvantage with clamping the urinary catheter before removal. Relevance to clinical practice. Clamping is an additional task for the nursing staff in the removal of the indwelling urinary catheter. Therefore, when considering the present results, it seems that clamping the indwelling urinary catheters in patients with hip fracture is not indicated.

Suggested Citation

  • Maria Hälleberg Nyman & Jan‐Erik Johansson & Margareta Gustafsson, 2010. "A randomised controlled trial on the effect of clamping the indwelling urinary catheter in patients with hip fracture," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(3‐4), pages 405-413, February.
    • Handle: RePEc:wly:jocnur:v:19:y:2010:i:3-4:p:405-413
    DOI: 10.1111/j.1365-2702.2009.03050.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1365-2702.2009.03050.x
    Download Restriction: no
    File URL: https://libkey.io/10.1111/j.1365-2702.2009.03050.x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Funda Büyükyilmaz & Yeliz Culha & Hande Zümreler & Murat Özer & Mehmet Gokhan Culha & Alper Ötünçtemur, 2020. "The effects of bladder training on bladder functions after transurethral resection of prostate," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(11-12), pages 1913-1919, June.
    2. Yao Gong & Ling Zhao & Lin Wang & Fulan Wang, 2017. "The effect of clamping the indwelling urinary catheter before removal in cervical cancer patients after radical hysterectomy," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(7-8), pages 1131-1136, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:19:y:2010:i:3-4:p:405-413. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.