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Postoperative Urinary Retention after Pediatric Orthopedic Surgery
Mohan V Belthur1,2,3, Ian M Singleton2, Jessica D Burns1
1Department of Orthopedics, Phoenix Children's Hospital, Phoenix, AZ 94304, USA.
Children (Basel, Switzerland)
|October 27, 2022
Summary
Pediatric patients with complex chronic conditions, especially neuromuscular ones, face a higher risk of postoperative urinary retention after orthopedic surgery. Spine and hip surgeries also increase this risk.
Area of Science:
- Pediatric Orthopedic Surgery
- Urology
- Healthcare Informatics
Background:
- Postoperative urinary retention (POUR) is a potential complication following surgical procedures.
- Identifying risk factors for POUR in pediatric orthopedic surgery is crucial for patient management.
Purpose of the Study:
- To determine the incidence of POUR in children undergoing orthopedic surgery.
- To identify demographic and clinical risk factors associated with POUR in this population.
Main Methods:
- Retrospective analysis of the Pediatric Health Information System database.
- Inclusion of children aged 1–18 years who underwent orthopedic surgery.
- Data collection included patient demographics, comorbidities, surgical procedures, and POUR occurrence.
Main Results:
- The overall incidence of POUR was 0.38%.
- Increased risk of POUR was associated with complex chronic neuromuscular conditions (OR 11.54) and complex chronic non-neuromuscular conditions (OR 5.07).
- Spine (OR 3.98) and femur/hip (OR 3.63) surgeries were linked to a higher incidence of POUR.
Conclusions:
- Children with complex chronic neuromuscular conditions have a significantly elevated risk of POUR.
- Complex chronic non-neuromuscular conditions and specific orthopedic procedures (spine, hip, femur) are also associated with increased POUR risk.
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