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Published on: November 30, 2022
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Factors Affecting Urinary Retention in Critically Ill Trauma Patients
Susan Fowler1, Stephanie Urban, Holly Taggart
1Orlando Health, Florida (Dr Fowler and Ms Taggart); and formerly at Trauma Intensive Care Unit, Orlando Health Regional Medical Center, Florida (Ms Urban).
Summary
Urinary retention in critically ill trauma patients is often linked to male gender, orthopedic trauma, and anesthesia. Developing evidence-based protocols is crucial for managing this condition in trauma care.
Area of Science:
- Trauma Surgery
- Critical Care Medicine
- Urology
Background:
- Urinary retention is a significant concern in critically ill trauma patients.
- Understanding contributing factors is essential for effective patient management.
Purpose of the Study:
- To investigate patient and care-related factors associated with urinary retention in critically ill trauma patients.
- To identify potential risk factors and inform clinical practice.
Main Methods:
- Retrospective analysis of 50 critically ill trauma patients over one year.
- Inclusion criteria: International Classification of Diseases, Tenth Revision (ICD-10) code for urinary retention.
- Data collected on patient demographics, trauma type, interventions, and management.
Main Results:
- Male gender, orthopedic trauma, and anesthesia were identified as potential contributing factors.
- The use of paralytics and multiple operative interventions showed a significant relationship with bladder medication prescription.
- Most patients required indwelling urinary catheter placement, with frequent reinsertion.
Conclusions:
- Male sex, orthopedic injuries, and anesthetic agents may predispose trauma patients to urinary retention.
- Clinical protocols are needed to guide the management of urinary retention in this vulnerable patient group.
- Further research into specific interventions is warranted.
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