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Urinary retention in diabetic older adults: mortality associated with a urinary catheter inserted during hospitalization but not removed

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Key Summary Points

AbstractSection Aim

To study in diabetic older adults with urinary retention whether a urinary catheter inserted during hospitalization but not removed is associated with increased 1-year mortality rates.

AbstractSection Findings

Diabetic older adults with a urinary catheter inserted during hospitalization but not removed have significantly higher 1-year mortality rates relative to diabetic older adults in whom the catheter was removed, while in nondiabetic patients there is no difference in 1-year mortality rates between patients with or without a urinary catheter.

AbstractSection Message

Removing a urinary catheter inserted during hospitalization and its association with mortality should be studied prospectively in diabetic older adults with urinary retention.

Abstract

Purpose

We have studied, in diabetic older adults with urinary retention (UR), whether a urinary catheter (UC) inserted during hospitalization but not removed is associated with 1-year mortality.

Methods

A retrospective study included 327 consecutive older adults (age ≥ 65 years; median age 83 years; 57.8% males) with UR in whom a UC was inserted during hospitalization: 139 (42.5%) diabetics and 188 (57.5%) nondiabetics. UC removal rates during hospitalization and 1-year mortality rates were studied in both groups. Cox regression analysis was used to assess whether a UC inserted during hospitalization but not removed was independently associated with 1-year mortality.

Results

Most diabetic and non-diabetic patients left the hospital with a UC (66.2% vs. 75.5%; p = 0.082). Overall, 54 (38.8%) diabetic patients and 52 (27.7%) nondiabetic patients died one year later (OR 1.66; 95% CI 1.04–2.65; p = 0.042). Diabetic patients with a UC at discharge day had significantly higher 1-year mortality rates relative to diabetic patients without a UC (48.9% vs. 19.1%; OR 4.04; 95% CI 1.75–9.30; p = 0.001), while in nondiabetic patients there was no significant difference in 1-year mortality rates between patients with or without a UC at discharge day (26.8% vs. 30.4%; p = 0.705). Cox regression analysis showed that only in diabetic patients a UC not removed was independently associated with 1-year mortality (HR 2.56; 95% CI 1.16–5.64; p = 0.019).

Conclusion

A UC inserted but not removed in diabetic older adults with UR is associated with 1-year mortality. Removing a UC and its association with mortality should be studied prospectively in this population.

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Acknowledgements

We thank Dr. Tomer Ziv-Baran for the statistical consultation.

Funding

None declared.

Author information

Authors and Affiliations

  1. Pulmonology Unit, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel

    Tal Perluk

  2. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel

    Tal Perluk, Asnat Groutz & Dan Justo

  3. Internal Medicine B, Assuta Medical Center, Ashdod, Israel

    Amir Dagan

  4. Faculty of Health Sciences, Ben-Gurion University, Be’er Sheva, Israel

    Amir Dagan

  5. Department of Humanities, Health and Society, Florida International University College of Medicine, Miami, FL, USA

    Michael Swartzon

  6. Lis Maternity Hospital, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel

    Asnat Groutz

  7. Geriatrics Division, Sheba Medical Center, 5265601, Tel-Hashomer, Israel

    Dan Justo

Authors
  1. Tal Perluk
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  2. Amir Dagan
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  3. Michael Swartzon
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  4. Asnat Groutz
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  5. Dan Justo
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Corresponding author

Correspondence to Dan Justo.

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None declared.

Ethical approval

The study was approved by the institutional review board (Sheba Medical Center, Tel-Hashomer, Israel) with adherence to the principles of the Helsinki Declaration.

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Informed consent was waived by the IRB.

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Perluk, T., Dagan, A., Swartzon, M. et al. Urinary retention in diabetic older adults: mortality associated with a urinary catheter inserted during hospitalization but not removed. Eur Geriatr Med 12, 637–642 (2021). https://doi.org/10.1007/s41999-020-00440-w

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  • DOI: https://doi.org/10.1007/s41999-020-00440-w

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