This study focuses on evaluating the long-term sustainability of a urinary catheter care bundle designed to prevent urinary tract infections and bladder distension in patients undergoing surgery for hip fractures. The intervention, which included two key innovations-a urinary catheter certificate and a nurse-driven urinary catheter protocol, was implemented between 2015 and 2020 and successfully reduced urinary tract infections and bladder distension, previously published. However, due to the pandemic, the initiative was paused and had to be reintroduced in 2022. Now, the study aims to assess the effectiveness of these preventive measures 9 years after their initial implementation. The research will analyze changes in the incidence of urinary tract infections, bladder distension, catheterisation methods, and documentation practices in patients aged 65 and older. The findings will help inform healthcare policies and may have broader implications for preventing adverse events in other surgical patient groups
Study Type
OBSERVATIONAL
Enrollment
750
Evaluating changes in urinary tract infections and bladder distension nine-year after implementing preventive measures
Sahlgrenska Academy, Sahlgrenska University hospital/Mölndal
Mölndal, Västra Götaland County, Sweden
Describe changes in the incidence of in-hospital urinary catheter-associated infections; Year 9 will be compared with previously published data from Years 1-5
Definition: Urinary tract infection with onset on day 3 after admission with prior urinary catheterisation. A physician prescribed antimicrobial agents for a urinary tract infection during the hospital stay. Data will be collected from patients' medical records. Logistic regression analysis will be performed
Time frame: For one year
Changes in the incidence of in-hospital acquired bladder distension will be compared; Year 9 will be compared to previously published data from Years 1-5.
Definition: Bladder distension is defined according to the national marker for point prevalence measurement when assessing adverse events. Bladderscan volume from patients' medical records.
Time frame: For one year.
Changes in urine volume of 500ml and more during hospital stay. Year nine will be compared yera 1-5, previous published data
Bladderscan volume from patients' medical records.
Time frame: For one year
Changes in catheterization methods during the hospital stay will be compared, with data from Year 9 compared to previously published data from Years 1-5
Data will be collected from patients' medical records.
Time frame: For one year
Changes in urinary catheter-related documentation in Year 9 will be compared to previously published data from Years 1-5.
Catheter-related documentation will be collected from patients' medical records.
Time frame: For one year
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