Postoperative Urinary Retention after Pediatric Orthopedic Surgery
Abstract
:1. Introduction
2. Materials and Methods
Statistical Analysis
3. Results
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Risk Factor | Postoperative Urinary Retention | p Value | |
---|---|---|---|
No (n = 231,659) | Yes (n = 892) | ||
Male | 0.22031 | ||
No | 102,891 (44.4%) | 378 (42.4%) | |
Yes | 128,742 (55.6%) | 514 (57.6%) | |
Race | <0.0001 | ||
Asian | 5550 (2.4%) | 17 (1.9%) | |
Black | 33,246 (14.4%) | 108 (12.1%) | |
Native American | 1365 (0.6%) | 12 (1.3%) | |
White | 144,809 (62.5%) | 617 (69.2%) | |
Other | 46,689 (20.2%) | 138 (15.5%) | |
White | <0.0001 | ||
No | 86,850 (37.5%) | 275 (30.8%) | |
Yes | 144,809 (62.5%) | 617 (69.2%) | |
Ethnicity | 0.0001 | ||
Hispanic or Latino | 45,307 (19.6%) | 133 (14.9%) | |
Not Hispanic or Latino | 167,053 (72.1%) | 700 (78.5%) | |
Unknown | 19,299 (8.3%) | 59 (6.6%) | |
Age at Admission (years) | <0.0001 | ||
N | 23,1659 | 892 | |
Mean (SD) | 9.2 (5.0) | 11.9 (4.3) | |
Range | (1.0–18.0) | (1.0–18.0) | |
Primary Source of Insurance | 0.2510 | ||
Government | 158,404 (68.4%) | 590 (66.1%) | |
Private | 69,325 (29.9%) | 289 (32.4%) | |
Other | 3930 (1.7%) | 13 (1.5%) | |
Median Household Income ($) | 0.0003 | ||
N | 231,659 | 892 | |
Mean (SD) | 47,766.8 (18,851.9) | 49,864.4 (19,366.6) | |
Range | (6320.0–196,032.0) | (6320.0–139,915.0) | |
Surgical Location | <0.0001 | ||
Spine | 11,601 (5.0%) | 340 (38.1%) | |
Femur | 13,316 (5.7%) | 137 (15.4%) | |
Hip | 3363 (1.5%) | 58 (6.5%) | |
Tibia | 5834 (2.5%) | 16 (1.8%) | |
Humerus | 6781 (2.9%) | 9 (1.0%) | |
Soft tissue | 12,035 (5.2%) | 50 (5.6%) | |
Other | 178,729 (77.2%) | 282 (31.6%) | |
Medical Complication Flag | <0.0001 | ||
No | 231,490 (99.9%) | 884 (99.1%) | |
Yes | 169 (0.1%) | 8 (0.9%) | |
Surgical Complication Flag | <0.0001 | ||
No | 226,091 (97.6%) | 601 (67.4%) | |
Yes | 5568 (2.4%) | 291 (32.6%) | |
Infection Flag | <0.0001 | ||
No | 222,328 (96.0%) | 751 (84.2%) | |
Yes | 9331 (4.0%) | 141 (15.8%) | |
Complex Chronic Condition (CCC) | <0.0001 | ||
Neuromuscular CCC | 13,618 (5.9%) | 333 (37.3%) | |
Non-neuromuscular CCC | 23,033 (9.9%) | 325 (36.4%) | |
No CCC | 195,008 (84.2%) | 234 (26.2%) | |
Cerebral Palsy | <0.0001 | ||
No | 223,022 (96.3%) | 671 (75.2%) | |
Yes | 8637 (3.7%) | 221 (24.8%) | |
Length of Stay (days) | <0.0001 | ||
N | 231,659 | 892 | |
Mean (SD) | 1.7 (2.6) | 7.8 (10.4) | |
Range | (1.0–259.0) | (1.0–128.0) |
Risk Factor | Neurological and Muscular | Total | |
---|---|---|---|
Yes | No | ||
Cerebral Palsy | |||
Yes | 66.6% | 0.0% | 24.8% |
No | 33.4% | 100.0% | 75.2% |
Spina Bifida | |||
Yes | 5.5% | 0.2% | 2.1% |
No | 94.6% | 99.8% | 97.9% |
Muscular Dystrophy | |||
Yes | 7.2% | 0.0% | 2.7% |
No | 92.8% | 100.0% | 97.3% |
Risk Factor | OR (95% CI) | p-Value |
---|---|---|
Male vs. Female | 1.09 (0.95–1.24) | 0.2204 |
Race | ||
Asian vs. White | 0.72 (0.44–1.16) | 0.1801 |
Black vs. White | 0.76 (0.62–0.94) | 0.0094 |
Native American vs. White | 2.06 (1.16–3.66) | 0.0134 |
Other vs. White | 0.69 (0.58–0.83) | 0.0001 |
White vs. Not | 1.35 (1.17–1.55) | <0.0001 |
Age at Admission (years) | 1.12 (1.11–1.14) | <0.0001 |
Primary Insurance | ||
Government vs. Other | 1.13 (0.65–1.95) | 0.6728 |
Private vs. Other | 1.26 (0.72–2.2) | 0.4155 |
Cerebral Palsy vs. Not | 8.5 (7.29–9.91) | <0.0001 |
Surgical Complication Flag vs. Not | 19.66 (17.05–22.67) | <0.0001 |
Medical Complication Flag vs. Not | 12.4 (6.08–25.27) | <0.0001 |
Infection Flag vs. Not | 4.47 (3.73–5.36) | <0.0001 |
Complex Chronic Condition (CCC) | ||
Neuromuscular CCC vs. No CCC | 20.38 (17.23–24.11) | <0.0001 |
Non-Neuromuscular CCC vs. No CCC | 11.76 (9.93–13.92) | <0.0001 |
Risk Factor | OR (95% CI) | p Value |
---|---|---|
Male vs. Female | 1.46 (1.27–1.68) | <0.0001 |
White vs. Not | 1.26 (1.09–1.45) | 0.0018 |
Neuromuscular CCC vs. NO CCC | 11.54 (9.6–13.88) | <0.0001 |
Non-Neuromuscular CCC vs. NO CCC | 5.07 (4.11–6.25) | <0.0001 |
Spine vs. other location | 3.98 (3.28–4.82) | <0.0001 |
Femur/Hip vs. other location | 3.63 (3.03–4.36) | <0.0001 |
Admit Age (years) | 1.06 (1.04–1.08) | <0.0001 |
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Belthur, M.V.; Singleton, I.M.; Burns, J.D.; Temkit, M.H.; Sitzman, T.J. Postoperative Urinary Retention after Pediatric Orthopedic Surgery. Children 2022, 9, 1488. https://doi.org/10.3390/children9101488
Belthur MV, Singleton IM, Burns JD, Temkit MH, Sitzman TJ. Postoperative Urinary Retention after Pediatric Orthopedic Surgery. Children. 2022; 9(10):1488. https://doi.org/10.3390/children9101488
Chicago/Turabian StyleBelthur, Mohan V., Ian M. Singleton, Jessica D. Burns, M’hamed H. Temkit, and Thomas J. Sitzman. 2022. "Postoperative Urinary Retention after Pediatric Orthopedic Surgery" Children 9, no. 10: 1488. https://doi.org/10.3390/children9101488
APA StyleBelthur, M. V., Singleton, I. M., Burns, J. D., Temkit, M. H., & Sitzman, T. J. (2022). Postoperative Urinary Retention after Pediatric Orthopedic Surgery. Children, 9(10), 1488. https://doi.org/10.3390/children9101488