■留置尿道导管(IDC)在医疗机构中无处不在,并与许多熟悉的风险相关,如血尿,感染,膀胱痉挛和结石。然而,一个鲜为人知的并发症是导管相关性胃压损伤(CAMPI),尤其是那些有长期身份证的人。这项研究的目的是探索患病率,长期IDC成人CAMPI的相关特征和管理。
■对昆士兰州西南部地区的200名长期IDC成年人进行了横断面多中心研究,2019年6月至2021年6月之间的澳大利亚。通过临床检查确定CAMPI的患病率,参与者完成的自愿调查和病历记录。主要IDC统计数据包括IDC的总持续时间,IDC变化的位置,IDC大小,类型和固定。
■在200名患有长期IDC的成年人中,9%(18/200)有CAMPI。男性CAMPI(17/169,10%)的患病率高于女性CAMPI(1/31,3%)。初次IDC插入后CAMPI的中位鉴定时间为12周(2-136周),但发生在两周内。CAMPI的形成与社区中的IDC变化有关,行动不便和充血性心力衰竭(CCF)。考虑到人口的脆弱,CAMPI大多采用保守的方法进行治疗。
■流动性差,社区管理的IDC,和CCF均发现与CAMPI的发展具有统计学上的显着关联。CAMPI代表泌尿外科实践中重要且未得到充分治疗的医源性并发症,并且需要更高的意识来预防长期IDC的脆弱患者。
UNASSIGNED: Indwelling urethral catheters (IDC) are ubiquitous to healthcare settings, and are associated with many familiar risks like haematuria, infections, bladder spasms and stones. However, a less known complication is catheter-associated meatal pressure injury (CAMPI), especially in those with long-term IDCs. The objective of this study was to explore the prevalence, associated features and management of CAMPI in adults with a long-term IDC.
UNASSIGNED: A cross-sectional multi-centre study was undertaken of 200 adults with a long-term IDC across regional south-west Queensland, Australia between June 2019 to June 2021. The prevalence of CAMPI was determined by clinical examination, voluntary surveys completed by participants and documentation in medical records. Key IDC statistics included total duration of IDC, location of IDC changes, IDC size, type and fixation.
UNASSIGNED: Out of 200 adults with a long-term IDC, 9% (18/200) had a CAMPI. There was a higher prevalence of male CAMPI (17/169, 10%) compared to female CAMPI (1/31, 3%). The median time to identification of a CAMPI after initial IDC insertion was 12 weeks (2-136 weeks), but occurred as soon as 2 weeks. CAMPI formation was associated with IDC changes in the community, impaired mobility and congestive cardiac failure (CCF). CAMPI were mostly treated by conservative means given the frailty of the population.
UNASSIGNED: Poor mobility, community-managed IDCs, and CCF were all found to have statistically significant associations with the development of CAMPI. CAMPI represents an important and underserved iatrogenic complication within urology practice, and greater awareness is needed to prevent it in vulnerable patients with long-term IDCs.