PMID- 32339318
OWN - NLM
STAT- MEDLINE
DCOM- 20230202
LR  - 20230202
IS  - 1520-6777 (Electronic)
IS  - 0733-2467 (Linking)
VI  - 39
IP  - 5
DP  - 2020 Jun
TI  - Catheter-associated meatal pressure injury in hospitalized males.
PG  - 1456-1463
LID - 10.1002/nau.24372 [doi]
AB  - AIMS: To assess the prevalence of catheter-associated meatal pressure injury in 
      acute hospitalized males, to determine risk factors for its formation and to 
      propose a grading system for meatal pressure injury severity. METHODS: In this 
      cross-sectional study, we screened all adult males concurrently hospitalized at a 
      tertiary medical center for indwelling urethral catheters and for meatal pressure 
      injury. We proposed a system to grade meatal pressure injury severity and used 
      logistic-regression modeling to calculate odds ratios (ORs) of possible risk 
      factors. RESULTS: A number of 168/751 (22.4%) hospitalized males with indwelling 
      urethral catheters were included. Median age was 70.5 (inter-quartile range 
      [IQR]: 57.0-80.3) years, median time from catheterization 5.5 (IQR: 2-11) days. A 
      total of 61 (36%) had meatal pressure injury, as early as the first day after 
      catheterization. Grade III injuries (<2 cm ulcer) developed in 22 (13%) patients, 
      earliest noted on the second catheter day, and grade IV injuries (>/=2 cm) in 7 
      (4%) patients, as early as 5 days post catheterization. In a multivariable 
      analysis, catheter fixation (OR: 0.26 [95% CI: 0.10-0.70]; P = .008) was 
      associated with reduced risk of meatal pressure injury, while catheter presence 
      over 14 days (OR: 1.46 [95% CI: 1.01-1.08]; P = .005) and other skin ulcers (OR: 
      2.45 [95% CI: 1.05-5.71]; P = .038) were associated with a higher risk of meatal 
      pressure injury. CONCLUSIONS: Meatal pressure injury is a common complication of 
      indwelling catheters in hospitalized males, beginning days after catheterization. 
      Meatal pressure injury was associated with prolonged catheter presence, other 
      pressure injuries, and lack of catheter fixation. Prospective studies are needed 
      to establish evidence-based guidelines.
CI  - (c) 2020 Wiley Periodicals, Inc.
FAU - Shenhar, Chen
AU  - Shenhar C
AUID- ORCID: 0000-0001-5320-5403
AD  - Department of Urology, Rabin Medical Center, Petah Tikva, Israel.
FAU - Mansvetov, Marina
AU  - Mansvetov M
AD  - Department of Urology, Rabin Medical Center, Petah Tikva, Israel.
FAU - Baniel, Jack
AU  - Baniel J
AD  - Department of Urology, Rabin Medical Center, Petah Tikva, Israel.
FAU - Golan, Shay
AU  - Golan S
AUID- ORCID: 0000-0002-9205-5820
AD  - Department of Urology, Rabin Medical Center, Petah Tikva, Israel.
FAU - Aharony, Shachar
AU  - Aharony S
AUID- ORCID: 0000-0002-4653-8987
AD  - Department of Urology, Rabin Medical Center, Petah Tikva, Israel.
LA  - eng
PT  - Journal Article
DEP - 20200427
PL  - United States
TA  - Neurourol Urodyn
JT  - Neurourology and urodynamics
JID - 8303326
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Catheters, Indwelling/adverse effects
MH  - Cross-Sectional Studies
MH  - Hospitalization
MH  - Logistic Models
MH  - *Penis/injuries
MH  - Pressure
MH  - Risk Factors
MH  - Urinary Catheterization/adverse effects
MH  - *Urinary Catheters/adverse effects
MH  - *Pressure Ulcer/pathology
OTO - NOTNLM
OT  - catheter
OT  - complications
OT  - iatrogenic hypospadias
OT  - meatal pressure injury
OT  - pressure injury
EDAT- 2020/04/28 06:00
MHDA- 2020/11/21 06:00
CRDT- 2020/04/28 06:00
PHST- 2020/02/27 00:00 [received]
PHST- 2020/04/14 00:00 [accepted]
PHST- 2020/04/28 06:00 [pubmed]
PHST- 2020/11/21 06:00 [medline]
PHST- 2020/04/28 06:00 [entrez]
AID - 10.1002/nau.24372 [doi]
PST - ppublish
SO  - Neurourol Urodyn. 2020 Jun;39(5):1456-1463. doi: 10.1002/nau.24372. Epub 2020 Apr 
      27.