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Automatic stop orders reduced duration of indwelling urinary catheterisation in hospital

https://doi.org/10.1136/ebn.11.4.119

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    M Loeb

    Dr M Loeb, McMaster University, Hamilton, Ontario, Canada; loebm@mcmaster.ca

    QUESTION

    Does a strategy of automatic stop orders reduce duration of indwelling urinary catheterisation in patients in hospital?

    METHODS

    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, …

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    Footnotes

    • Source of funding: Physician’s Services Incorporated Foundation of Ontario.

    Footnotes

    • *Editor's note: Urinary tract infection rates were not reported in the abstract because data were available for <80% of randomised patients.