Early Versus Delayed Urinary Catheter Removal After Minimally Invasive Lumbar Spine Surgery

University of Kansas Medical Center

Overview

The study aims to compare between early versus delayed urinary catheter removal the impact on time to ambulation (in minutes) after minimally invasive lumbar spine surgery

Early ambulation enables rapid removal of drainage tubes and canisters and decreases length of hospitalization. Previous article showed that a 1-day shorter in hospitalization led to an approximately US$ 2000 reduction in total patient costs. Another study examining patients after total knee arthroplasty found that an early discharge group, a decrease in length of stay in 22h resulted in financial savings of approximately US$ 600 per case. Another author found that early ambulation was associated with 19% lower 90-day readmission rate. Moreover, early ambulation contributed to 50.6% lower probability of developing at least one complication than regular ambulation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

DOUBLE

Conditions

Foley Catheterization Ambulation

Interventions

ExperimentalOTHER

Early urethral foley removal after the surgery

Active comparatorOTHER

Delayed urethral foley removal after the surgery

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients aged 18 years and older * Minimally invasive one- or two-level lumbar fusion procedures Exclusion Criteria: * Patients that cannot give consent * Patients with lower extremity amputation(s); * Non-minimally invasive surgeries * Patients with pre-existing bladder/kidney or urinary tract dysfunction * Patients with spinal cord injuries * Patients with known lower extremity weakness and impaired mobility.

Locations (1)

University of Kansas Medical Center

Kansas City, Kansas, United States

Outcomes

Primary Outcomes

Ambulation

Time in minutes to ambulation

Time frame: After the surgery, postoperative day 1

Secondary Outcomes

Facility discharge

Number of subjects discharge to facility

Time frame: Average postoperative day 1-3

Home discharge

Number of subjects discharge to home

Time frame: Average postoperative day 1-3

Hospital length of stay

Total number of days in the hospital

Time frame: 1 to 3 days

Pain medication

Total dose of opioid medication in milligrams used by each subject

Time frame: Hospitalization period: postoperative day 1, 2, 3

Urinary catheter reinsertion

Total number of urinary catheter reinsertion

Time frame: From date of the surgery until the date of first documented event, whichever came first, assessed up to discharge (1 to 3 days) after the surgery

Urinary tract infection

Total number of urinary tract infection after urinary catheter removal

Time frame: From date of the surgery until the date of first documented event, whichever came first, assessed up to 1 month after the surgery

Physical therapy progression

Maximum walking distance tolerated in meters by each subject

Time frame: Hospitalization period: postoperative day 1, 2, 3

Data from ClinicalTrials.gov

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