亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Bladder Management and Risk of Bladder Stone Formation in Spinal Cord Injured Patients

医学 脊髓损伤 危险系数 外科 置信区间 相对风险 比例危险模型 泊松回归 回顾性队列研究 导管 队列 脊髓 队列研究 导尿 低风险 麻醉 内科学 人口 环境卫生 精神科
作者
Jonathan Ord,D. LUNN,John Reynard
出处
期刊:The Journal of Urology [Lippincott Williams & Wilkins]
卷期号:170 (5): 1734-1737 被引量:100
标识
DOI:10.1097/01.ju.0000091780.59573.fa
摘要

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Nov 2003Bladder Management and Risk of Bladder Stone Formation in Spinal Cord Injured Patients J. ORD, D. LUNN, and J. REYNARD J. ORDJ. ORD , D. LUNND. LUNN , and J. REYNARDJ. REYNARD View All Author Informationhttps://doi.org/10.1097/01.ju.0000091780.59573.faAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined by statistical analysis whether method of management is associated with risk of bladder stone formation in spinal cord injured patients. Materials and Methods: A retrospective cohort study was performed of 457 patients admitted to Stoke Mandeville Hospital Spinal Injuries Center between 1985 and 1990 with more than 6 months of followup. Analysis included Cox regression and Poisson regression. Results: Relative to those patients treated with intermittent self-catheterization, the hazard ratio was 10.5 (p <0.0005, 95% confidence interval 4.0–27.5) for patients with suprapubic catheters and it was 12.8 (p <0.0005, 95% confidence interval 5.1–31.9) for those with indwelling urethral catheters. The absolute annual risk of stone formation in patients with a catheter was 4% compared with 0.2% for those on intermittent self-catheterization. However, having formed a stone, the risk of forming a subsequent stone quadrupled to 16% per year. Bladder stones were no more likely to form in patients with suprapubic catheters compared to those with indwelling urethral catheters (hazard ratio 1.2, p = 0.6). Conclusions: In spinal cord injured patients long-term catheterization is associated with a substantial increased risk of bladder stone formation. This increased risk occurs independently of age, sex and injury level. Degree of injury (complete or incomplete) was considered in the model. Catheter type (suprapubic or urethral) did not change this risk significantly if at all. References 1 : Intermittent catheterisation for bladder emptying in paraplegia. R Soc Med1947; 40: 219. Google Scholar 2 : Long-term survival in spinal cord injury: a fifty year investigation. Spinal Cord1998; 36: 266. Google Scholar 3 : Hospital readmissions in people with chronic spinal cord injury. Spinal Cord2000; 38: 371. Google Scholar 4 : Long-term urethral catheterisation after spinal injury. Paraplegia1968; 6: 11. Google Scholar 5 : Comparative urological outcome in women with spinal cord injury. J Urol1986; 135: 730. Link, Google Scholar 6 : Urinary tract complications in spinal cord injury patients. Ann Chir Gynaecol1984; 73: 325. Google Scholar 7 : Comparison of bladder management complication outcomes in female spinal cord injury patients. J Urol1995; 153: 1458. Link, Google Scholar 8 : Effect of bladder management on urological complications in spinal cord injured patients. J Urol2000; 163: 768. Link, Google Scholar 9 : A comparison of the urological complications associated with long-term management of quadriplegics with and without chronic indwelling urinary catheters. J Urol1992; 147: 1069. Link, Google Scholar 10 : Urological long-term follow-up in women with spinal cord injuries. Arch Phys Med Rehabil1992; 73: 1029. Google Scholar 11 : Neuromuscular dysfunction of the lower urinary tract and its management. In: . Philadelphia: W. B. Saunders Co.2002: 996. chapt. 26. Google Scholar From the Department of Urology, Churchill Hospital (JO, JR), University Department of Statistics, Oxford (DL) and The National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, England© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 170Issue 5November 2003Page: 1734-1737 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordsbladder calculicatheterizationspinal injuriesMetricsAuthor Information J. ORD More articles by this author D. LUNN More articles by this author J. REYNARD More articles by this author Expand All Advertisement PDF downloadLoading ...
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
科研通AI2S应助科研通管家采纳,获得10
6秒前
量子星尘发布了新的文献求助10
8秒前
17秒前
dara997发布了新的文献求助10
22秒前
dara997完成签到,获得积分10
27秒前
辣椒油完成签到,获得积分20
33秒前
45秒前
1分钟前
1分钟前
1分钟前
1分钟前
田様应助科研通管家采纳,获得10
2分钟前
量子星尘发布了新的文献求助10
2分钟前
2分钟前
隐形曼青应助noob_采纳,获得10
2分钟前
哈哈哈发布了新的文献求助10
2分钟前
2分钟前
noob_发布了新的文献求助10
2分钟前
科研通AI5应助哈哈哈采纳,获得10
2分钟前
青山完成签到,获得积分10
2分钟前
3分钟前
3分钟前
sunshinelwt发布了新的文献求助10
3分钟前
量子星尘发布了新的文献求助10
3分钟前
3分钟前
去晒月亮完成签到,获得积分20
3分钟前
3分钟前
伯赏元彤发布了新的文献求助10
3分钟前
去晒月亮发布了新的文献求助10
3分钟前
3分钟前
Jimmy发布了新的文献求助10
3分钟前
3分钟前
共享精神应助伯赏元彤采纳,获得10
4分钟前
领导范儿应助科研通管家采纳,获得10
4分钟前
4分钟前
Jimmy完成签到,获得积分10
4分钟前
Billy举报千里求助涉嫌违规
4分钟前
量子星尘发布了新的文献求助10
4分钟前
sunshinelwt完成签到,获得积分10
5分钟前
binyao2024完成签到,获得积分10
5分钟前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3976665
求助须知:如何正确求助?哪些是违规求助? 3520770
关于积分的说明 11204786
捐赠科研通 3257528
什么是DOI,文献DOI怎么找? 1798733
邀请新用户注册赠送积分活动 877897
科研通“疑难数据库(出版商)”最低求助积分说明 806629