尿导管放置和不良的尿路结局,重点是患有福利导管的男性的风险增加
Kai-Ting Chang1, Po-Husan Lai2, I-Cheng Lu2,3,4
1Department of Family Medicine, E-Da Dachang hospital, I-Shou University, Kaohsiung City, Taiwan.
Journal of the American Geriatrics Society
|February 24, 2024
概括
尿导管的使用显著提高了各种尿道并发症的风险,特别是在男性中. 医疗保健提供者应尽量减少导管的持续时间,并遵守协议以减少不良事件.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 以前的研究表明,尿导管使用与并发症之间存在联系.
- 关于长期尿道并发症风险的性别特定数据有限.
- 这项研究解决了对综合性,性别分层调查的需求.
研究的目的:
- 调查福利导管和长期尿道并发症之间的关联.
- 分析导管使用后尿道并发症风险的性别差异.
- 为了确定与尿路导管治疗相关的特定并发症.
主要方法:
- 使用台湾国家健康保险研究数据库 (2000-2017年) 进行的回顾性队列研究.
- 包括148,304名患有福利导管安置和倾向性得分匹配的对照患者.
- 使用Fine和Gray模型评估了包括癌症,尿病,狭窄,感染和结构损伤在内的并发症.
主要成果:
- 与没有导管的女性相比,患有福利导管的男性患尿路癌的风险最高 (aHR 6.57).
- 患有福利导管的男性面临尿病,尿道狭窄和其他结构性问题的风险增加.
- 经过尿路导管治疗的女性对尿路感染的易感性更高.
结论:
- 尿导管是尿道并发症的重要危险因素,男性的风险更高.
- 医疗保健提供者必须明智地评估尿导管使用的必要性和持续时间.
- 严格遵守协议对于最小化导管相关的尿道并发症至关重要.
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