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Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Surgery: A Review of Current Literature and Meta-Analysis

STUDY DESIGN: Systematic Review and Meta-analysis OBJECTIVE: Postoperative urinary retention (POUR) is a common complication following lumbar spine surgery (LSS) and timely recognition is imperative to avoid long-term consequences. The aim of the current meta-analysis was to systematically review th...

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Autores principales: Reed, Logan A., Mihas, Alexander K., Fortin, Travis A., Donley, Connor J., Pratheep, Guna, Rajaram Manoharan, Sakthivel, Theiss, Steven M., Viswanathan, Vibhu Krishnan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10448081/
https://www.ncbi.nlm.nih.gov/pubmed/36562179
http://dx.doi.org/10.1177/21925682221146493
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author Reed, Logan A.
Mihas, Alexander K.
Fortin, Travis A.
Donley, Connor J.
Pratheep, Guna
Rajaram Manoharan, Sakthivel
Theiss, Steven M.
Viswanathan, Vibhu Krishnan
author_facet Reed, Logan A.
Mihas, Alexander K.
Fortin, Travis A.
Donley, Connor J.
Pratheep, Guna
Rajaram Manoharan, Sakthivel
Theiss, Steven M.
Viswanathan, Vibhu Krishnan
author_sort Reed, Logan A.
collection PubMed
description STUDY DESIGN: Systematic Review and Meta-analysis OBJECTIVE: Postoperative urinary retention (POUR) is a common complication following lumbar spine surgery (LSS) and timely recognition is imperative to avoid long-term consequences. The aim of the current meta-analysis was to systematically review the literature in order to identify risk factors associated with POUR after LSS. METHODS: In accordance with PRISMA guidelines, a systematic review of the literature was performed using Pubmed, EMBASE, and MEDLINE database for articles on POUR following LSS. A meta-analysis was performed comparing patients with and without POUR; and the factors associated with this adverse event were analyzed. The pooled data were reported as mean differences with 95% confidence intervals (CI; P < .05). Heterogeneity among the studies was evaluated using the I(2) statistic. RESULTS: The meta-analysis included 10 studies compromised of 30,300 patients. Based on our analysis, patients who were male, were older in age, underwent instrumented fusion, had diabetes mellitus, coronary artery disease, or benign prostatic hypertrophy had significantly higher risk of developing POUR. Additionally, patients in who developed POUR had significantly longer surgical times and higher volumes of intra-operative fluid administration, as compared with non-POUR patients. The POUR patients also had a significantly higher association with urinary tract infection. Prior surgery, BMI, length of stay, and smoking status did not reveal any statistical association with POUR. CONCLUSIONS: Risk factors associated with POUR following LSS include male gender, older age, longer surgical times, fusion procedures, larger volumes of intraoperative infusions, and associated comorbidities like DM, CAD, and BPH.
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spelling pubmed-104480812023-08-25 Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Surgery: A Review of Current Literature and Meta-Analysis Reed, Logan A. Mihas, Alexander K. Fortin, Travis A. Donley, Connor J. Pratheep, Guna Rajaram Manoharan, Sakthivel Theiss, Steven M. Viswanathan, Vibhu Krishnan Global Spine J Review Articles STUDY DESIGN: Systematic Review and Meta-analysis OBJECTIVE: Postoperative urinary retention (POUR) is a common complication following lumbar spine surgery (LSS) and timely recognition is imperative to avoid long-term consequences. The aim of the current meta-analysis was to systematically review the literature in order to identify risk factors associated with POUR after LSS. METHODS: In accordance with PRISMA guidelines, a systematic review of the literature was performed using Pubmed, EMBASE, and MEDLINE database for articles on POUR following LSS. A meta-analysis was performed comparing patients with and without POUR; and the factors associated with this adverse event were analyzed. The pooled data were reported as mean differences with 95% confidence intervals (CI; P < .05). Heterogeneity among the studies was evaluated using the I(2) statistic. RESULTS: The meta-analysis included 10 studies compromised of 30,300 patients. Based on our analysis, patients who were male, were older in age, underwent instrumented fusion, had diabetes mellitus, coronary artery disease, or benign prostatic hypertrophy had significantly higher risk of developing POUR. Additionally, patients in who developed POUR had significantly longer surgical times and higher volumes of intra-operative fluid administration, as compared with non-POUR patients. The POUR patients also had a significantly higher association with urinary tract infection. Prior surgery, BMI, length of stay, and smoking status did not reveal any statistical association with POUR. CONCLUSIONS: Risk factors associated with POUR following LSS include male gender, older age, longer surgical times, fusion procedures, larger volumes of intraoperative infusions, and associated comorbidities like DM, CAD, and BPH. SAGE Publications 2022-12-23 2023-07 /pmc/articles/PMC10448081/ /pubmed/36562179 http://dx.doi.org/10.1177/21925682221146493 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review Articles
Reed, Logan A.
Mihas, Alexander K.
Fortin, Travis A.
Donley, Connor J.
Pratheep, Guna
Rajaram Manoharan, Sakthivel
Theiss, Steven M.
Viswanathan, Vibhu Krishnan
Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Surgery: A Review of Current Literature and Meta-Analysis
title Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Surgery: A Review of Current Literature and Meta-Analysis
title_full Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Surgery: A Review of Current Literature and Meta-Analysis
title_fullStr Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Surgery: A Review of Current Literature and Meta-Analysis
title_full_unstemmed Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Surgery: A Review of Current Literature and Meta-Analysis
title_short Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Surgery: A Review of Current Literature and Meta-Analysis
title_sort risk factors for postoperative urinary retention following lumbar spine surgery: a review of current literature and meta-analysis
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10448081/
https://www.ncbi.nlm.nih.gov/pubmed/36562179
http://dx.doi.org/10.1177/21925682221146493
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