title: Management of urinary catheters following hip fracture.
abstract: OBJECTIVE
  To examine current practices and factors associated with outcomes of urinary catheter removal ('trial of void' or TOV) in patients following hip fracture.
  
  
  METHODS
  Retrospective file audit of patients discharged over a three-year period with a diagnosis of recent hip fracture.
  
  
  RESULTS
  There were 133 TOVs in 310 patients. Of the 78 TOVs occurring in the aged care rehabilitation hospital, 50% were successful. Adherence to the hospital's TOV guideline was documented infrequently. TOV outcome was not related to interval since catheter insertion, constipation or inability to mobilise. Multivariate analysis showed that dementia was independently associated with the presence of an in-dwelling catheter (IDC) on discharge and that patients discharged with an IDC had a higher probability of residential care placement.
  
  
  CONCLUSIONS
  Practices in managing TOVs are inconsistent. No potentially modifiable predictors of TOV success were identified. The presence of an IDC has implications for discharge destination.
authors.affiliation: Alfred Health Continence Service - Caulfield, Caulfield Hospital, Melbourne, Victoria, Australia.
authors.forename: Philip
authors.initials: P
authors.lastname: Street
authors.affiliation: Alfred Health Continence Service - Caulfield, Caulfield Hospital, Melbourne, Victoria, Australia.
authors.forename: Janie
authors.initials: J
authors.lastname: Thompson
authors.affiliation: Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Bailey
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002408:Catheters, Indwelling; D016009:Chi-Square Distribution; D003704:Dementia / Q000150:complications; D020878:Device Removal; D005260:Female; D019983:Guideline Adherence; D006299:Health Services for the Aged / Q000592:standards; D006620:Hip Fractures / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D010351:Patient Discharge; D017410:Practice Guidelines as Topic; D011379:Prognosis; D012112:Residential Facilities; D012189:Retrospective Studies; D012307:Risk Factors; D014546:Urinary Catheterization / Q000009:adverse effects / Q000295:instrumentation* / Q000592:standards; D062885:Urinary Catheters
keywords: aged 80 and over; dementia; hip fracture; urinary catheterisation; urinary retention