Bladder management methods and urological complications in spinal cord injury patients
2011

Bladder Management and Urological Complications in Spinal Cord Injury Patients

Sample size: 545 publication Evidence: moderate

Author Information

Author(s): Roop Singh, Rajesh Kumar Sangwan, Kapil Siwach, Ramchander Magu, Narender Kumar Sangwan, Sukhbir Singh

Primary Institution: Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India

Hypothesis

The study aims to assess the incidence of urinary tract infections and other urological complications in spinal cord injury patients and compare these incidences across different bladder management methods.

Conclusion

The incidence of urinary tract infections and other urological complications is lower in patients using clean intermittent catheterization compared to those using indwelling catheterization.

Supporting Evidence

  • The overall incidence of urinary tract infection was 0.64 per hundred person-days.
  • Clean intermittent catheterization was associated with lower incidence of urological complications compared to indwelling catheterization.
  • Urethral stricture and urethritis were significantly less common in the clean intermittent catheterization group.

Takeaway

This study found that using a specific method to manage bladder issues in people with spinal cord injuries can help prevent infections and other problems.

Methodology

The study included 545 patients with spinal cord injuries, assessing their bladder management methods and recording incidences of urinary tract infections and other complications over time.

Potential Biases

The strict categorization of patients into a single predominant bladder management group may have introduced experimental error.

Limitations

The study was non-randomized and categorized patients by predominant bladder management, which may have introduced experimental error.

Participant Demographics

The study included 386 males and 159 females with a mean age of 35.4 years.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.4103/0019-5413.77134

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