TREATMENT
Automatic stop orders reduced duration of indwelling urinary catheterisation in hospital
| The first 150 words of the full text of this article appear below. |
M Loeb
Dr M Loeb, McMaster University, Hamilton, Ontario, Canada; loebm@mcmaster.ca
Does a strategy of automatic stop orders reduce duration of indwelling urinary catheterisation in patients in hospital?
Design: randomised controlled trial.
Allocation: concealed.
Blinding: blinded (patients).
Follow-up period: until catheter removal or discharge from unit.
Setting: 7 general medical units in 3 hospitals in Hamilton, Ontario, Canada.
Patients:
692 patients in hospital (mean age 79 y, 62% women) with an indwelling urinary catheter inserted for 
48 hours. Patients with symptomatic urinary tract infection or an indwelling catheter inserted in the 10 days before hospital admission were excluded.
Intervention:
automatic stop orders to remove the catheter if the patient did not meet any of 6 criteria for appropriate catheterisation (urinary obstruction, neurogenic bladder and urinary retention, urological surgery, fluid challenge for acute renal failure, open sacral wound care for incontinent patients, and comfort care for urinary incontinence in terminal illness)
McMaster University School of Nursing, Hamilton, Ontario, Canada
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