Predictors of postoperative urinary retention after posterior spinal fusion for adolescent idiopathic scoliosis
Purpose To determine predictors for postoperative urinary retention in adolescents undergoing posterior spinal fusion for idiopathic scoliosis. Postoperative urinary retention affects almost every third adolescent after spinal fusion for idiopathic scoliosis. There are limited data regarding the ris...
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| Veröffentlicht in: | European spine journal 2021-12, Vol.30 (12), p.3557-3562 |
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| creator | Yrjälä, Tommi Helenius, Linda Taittonen, Markku Oksanen, Hanna Keskinen, Heli Kolari, Terhi Helenius, Ilkka |
| description | Purpose
To determine predictors for postoperative urinary retention in adolescents undergoing posterior spinal fusion for idiopathic scoliosis. Postoperative urinary retention affects almost every third adolescent after spinal fusion for idiopathic scoliosis. There are limited data regarding the risk factors of postoperative urinary retention in this patient group.
Methods
A retrospective study with prospectively collected urinary retention data from paediatric spine register with 159 consecutive patients (114 females, mean age 15.6 years, range 10–21 years) undergoing pedicle screw instrumentation for adolescent idiopathic scoliosis at a university hospital between May 2010 and April 2020. Postoperative urinary retention was defined as an inability to void after catheter removal and documented residual over 300 mL as confirmed using an ultrasound or by catheterization.
Results
Postoperative urinary retention was diagnosed in 33% (53 of 159) of the patients during hospital stay. Opioid amount on the day of catheter removal (OR 6.74 [95% CI: 2.47, 18.36],
p
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| doi_str_mv | 10.1007/s00586-021-07016-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2579630753</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2579630753</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-1045d92e09752c8133d4368deb255474f12b9ff2ace803ca8137c29be9a1f86b3</originalsourceid><addsrcrecordid>eNp90U1rFTEUBuAgir2t_gEXEnDjZvTke7KU4kehoAtdh0zmRFPmTsYkI_jvTXurggtXgeQ5J8l5CXnG4BUDMK8rgBr1AJwNYIDpwTwgByYFH8AK_pAcwEoYtGH2jJzXegPAlAX9mJwJqRkzzBxI_lRwTqHlUmmOdMu15Q2Lb-kH0r2k1ZeftGDDtaW8Uh8bljuFJeVC69bFQuNeb09j3_FzXrCG7mmaU958-5YCrSEvKddUn5BH0S8Vn96vF-TLu7efLz8M1x_fX12-uR6CZLYNDKSaLUewRvEwMiFmKfQ448SVkkZGxicbI_cBRxDBd2ECtxNaz-KoJ3FBXp76biV_37E2d0z9VcviV8x7dVwZqwUYJTp98Q-9yXvp3-pKg7Qjt8p2xU8qlFxrwei2ko59Oo6Bu43DneJwPQ53F4czvej5fet9OuL8p-T3_DsQJ1D70foVy9-7_9P2FzDWl1Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2604982959</pqid></control><display><type>article</type><title>Predictors of postoperative urinary retention after posterior spinal fusion for adolescent idiopathic scoliosis</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Yrjälä, Tommi ; Helenius, Linda ; Taittonen, Markku ; Oksanen, Hanna ; Keskinen, Heli ; Kolari, Terhi ; Helenius, Ilkka</creator><creatorcontrib>Yrjälä, Tommi ; Helenius, Linda ; Taittonen, Markku ; Oksanen, Hanna ; Keskinen, Heli ; Kolari, Terhi ; Helenius, Ilkka</creatorcontrib><description>Purpose
To determine predictors for postoperative urinary retention in adolescents undergoing posterior spinal fusion for idiopathic scoliosis. Postoperative urinary retention affects almost every third adolescent after spinal fusion for idiopathic scoliosis. There are limited data regarding the risk factors of postoperative urinary retention in this patient group.
Methods
A retrospective study with prospectively collected urinary retention data from paediatric spine register with 159 consecutive patients (114 females, mean age 15.6 years, range 10–21 years) undergoing pedicle screw instrumentation for adolescent idiopathic scoliosis at a university hospital between May 2010 and April 2020. Postoperative urinary retention was defined as an inability to void after catheter removal and documented residual over 300 mL as confirmed using an ultrasound or by catheterization.
Results
Postoperative urinary retention was diagnosed in 33% (53 of 159) of the patients during hospital stay. Opioid amount on the day of catheter removal (OR 6.74 [95% CI: 2.47, 18.36],
p
< 0.001), male gender (OR 2.26 [95% CI: 1.01, 5.05],
p
= 0.048), and increasing weight (OR 1.04 [95% CI: 1.01, 1.07],
p
= 0.014) were associated with postoperative urinary retention. Mean opioid consumption on the day of catheter removal was 0.81 mg/kg (95% CI: 0.66, 0.96) in the retention group vs 0.57 mg/kg (95% CI: 0.51, 0.64) in the non-retention group,
p
< 0.001.
Conclusions
Higher total opioid consumption, opioid amount on the day of catheter removal, higher weight, and male gender increases the risk of postoperative urinary retention in adolescents with idiopathic scoliosis undergoing posterior spinal fusion.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-021-07016-7</identifier><identifier>PMID: 34611717</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adolescents ; Adult ; Back surgery ; Catheterization ; Catheters ; Child ; Female ; Gender ; Humans ; Male ; Medicine ; Medicine & Public Health ; Narcotics ; Neurosurgery ; Opioids ; Original Article ; Patients ; Pedicle Screws ; Retrospective Studies ; Risk factors ; Scoliosis ; Scoliosis - surgery ; Spinal Fusion - adverse effects ; Surgical Orthopedics ; Teenagers ; Treatment Outcome ; Urinary retention ; Urinary Retention - epidemiology ; Urinary Retention - etiology ; Young Adult</subject><ispartof>European spine journal, 2021-12, Vol.30 (12), p.3557-3562</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-1045d92e09752c8133d4368deb255474f12b9ff2ace803ca8137c29be9a1f86b3</citedby><cites>FETCH-LOGICAL-c419t-1045d92e09752c8133d4368deb255474f12b9ff2ace803ca8137c29be9a1f86b3</cites><orcidid>0000-0002-1171-3028 ; 0000-0002-1497-6907 ; 0000-0003-2305-1735 ; 0000-0002-9341-8443 ; 0000-0003-2707-2875 ; 0000-0001-5200-3279 ; 0000-0002-2780-3095</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-021-07016-7$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-021-07016-7$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34611717$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yrjälä, Tommi</creatorcontrib><creatorcontrib>Helenius, Linda</creatorcontrib><creatorcontrib>Taittonen, Markku</creatorcontrib><creatorcontrib>Oksanen, Hanna</creatorcontrib><creatorcontrib>Keskinen, Heli</creatorcontrib><creatorcontrib>Kolari, Terhi</creatorcontrib><creatorcontrib>Helenius, Ilkka</creatorcontrib><title>Predictors of postoperative urinary retention after posterior spinal fusion for adolescent idiopathic scoliosis</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
To determine predictors for postoperative urinary retention in adolescents undergoing posterior spinal fusion for idiopathic scoliosis. Postoperative urinary retention affects almost every third adolescent after spinal fusion for idiopathic scoliosis. There are limited data regarding the risk factors of postoperative urinary retention in this patient group.
Methods
A retrospective study with prospectively collected urinary retention data from paediatric spine register with 159 consecutive patients (114 females, mean age 15.6 years, range 10–21 years) undergoing pedicle screw instrumentation for adolescent idiopathic scoliosis at a university hospital between May 2010 and April 2020. Postoperative urinary retention was defined as an inability to void after catheter removal and documented residual over 300 mL as confirmed using an ultrasound or by catheterization.
Results
Postoperative urinary retention was diagnosed in 33% (53 of 159) of the patients during hospital stay. Opioid amount on the day of catheter removal (OR 6.74 [95% CI: 2.47, 18.36],
p
< 0.001), male gender (OR 2.26 [95% CI: 1.01, 5.05],
p
= 0.048), and increasing weight (OR 1.04 [95% CI: 1.01, 1.07],
p
= 0.014) were associated with postoperative urinary retention. Mean opioid consumption on the day of catheter removal was 0.81 mg/kg (95% CI: 0.66, 0.96) in the retention group vs 0.57 mg/kg (95% CI: 0.51, 0.64) in the non-retention group,
p
< 0.001.
Conclusions
Higher total opioid consumption, opioid amount on the day of catheter removal, higher weight, and male gender increases the risk of postoperative urinary retention in adolescents with idiopathic scoliosis undergoing posterior spinal fusion.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult</subject><subject>Back surgery</subject><subject>Catheterization</subject><subject>Catheters</subject><subject>Child</subject><subject>Female</subject><subject>Gender</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Narcotics</subject><subject>Neurosurgery</subject><subject>Opioids</subject><subject>Original Article</subject><subject>Patients</subject><subject>Pedicle Screws</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Scoliosis</subject><subject>Scoliosis - surgery</subject><subject>Spinal Fusion - adverse effects</subject><subject>Surgical Orthopedics</subject><subject>Teenagers</subject><subject>Treatment Outcome</subject><subject>Urinary retention</subject><subject>Urinary Retention - epidemiology</subject><subject>Urinary Retention - etiology</subject><subject>Young Adult</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp90U1rFTEUBuAgir2t_gEXEnDjZvTke7KU4kehoAtdh0zmRFPmTsYkI_jvTXurggtXgeQ5J8l5CXnG4BUDMK8rgBr1AJwNYIDpwTwgByYFH8AK_pAcwEoYtGH2jJzXegPAlAX9mJwJqRkzzBxI_lRwTqHlUmmOdMu15Q2Lb-kH0r2k1ZeftGDDtaW8Uh8bljuFJeVC69bFQuNeb09j3_FzXrCG7mmaU958-5YCrSEvKddUn5BH0S8Vn96vF-TLu7efLz8M1x_fX12-uR6CZLYNDKSaLUewRvEwMiFmKfQ448SVkkZGxicbI_cBRxDBd2ECtxNaz-KoJ3FBXp76biV_37E2d0z9VcviV8x7dVwZqwUYJTp98Q-9yXvp3-pKg7Qjt8p2xU8qlFxrwei2ko59Oo6Bu43DneJwPQ53F4czvej5fet9OuL8p-T3_DsQJ1D70foVy9-7_9P2FzDWl1Q</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Yrjälä, Tommi</creator><creator>Helenius, Linda</creator><creator>Taittonen, Markku</creator><creator>Oksanen, Hanna</creator><creator>Keskinen, Heli</creator><creator>Kolari, Terhi</creator><creator>Helenius, Ilkka</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1171-3028</orcidid><orcidid>https://orcid.org/0000-0002-1497-6907</orcidid><orcidid>https://orcid.org/0000-0003-2305-1735</orcidid><orcidid>https://orcid.org/0000-0002-9341-8443</orcidid><orcidid>https://orcid.org/0000-0003-2707-2875</orcidid><orcidid>https://orcid.org/0000-0001-5200-3279</orcidid><orcidid>https://orcid.org/0000-0002-2780-3095</orcidid></search><sort><creationdate>20211201</creationdate><title>Predictors of postoperative urinary retention after posterior spinal fusion for adolescent idiopathic scoliosis</title><author>Yrjälä, Tommi ; Helenius, Linda ; Taittonen, Markku ; Oksanen, Hanna ; Keskinen, Heli ; Kolari, Terhi ; Helenius, Ilkka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-1045d92e09752c8133d4368deb255474f12b9ff2ace803ca8137c29be9a1f86b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult</topic><topic>Back surgery</topic><topic>Catheterization</topic><topic>Catheters</topic><topic>Child</topic><topic>Female</topic><topic>Gender</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Narcotics</topic><topic>Neurosurgery</topic><topic>Opioids</topic><topic>Original Article</topic><topic>Patients</topic><topic>Pedicle Screws</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Scoliosis</topic><topic>Scoliosis - surgery</topic><topic>Spinal Fusion - adverse effects</topic><topic>Surgical Orthopedics</topic><topic>Teenagers</topic><topic>Treatment Outcome</topic><topic>Urinary retention</topic><topic>Urinary Retention - epidemiology</topic><topic>Urinary Retention - etiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yrjälä, Tommi</creatorcontrib><creatorcontrib>Helenius, Linda</creatorcontrib><creatorcontrib>Taittonen, Markku</creatorcontrib><creatorcontrib>Oksanen, Hanna</creatorcontrib><creatorcontrib>Keskinen, Heli</creatorcontrib><creatorcontrib>Kolari, Terhi</creatorcontrib><creatorcontrib>Helenius, Ilkka</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yrjälä, Tommi</au><au>Helenius, Linda</au><au>Taittonen, Markku</au><au>Oksanen, Hanna</au><au>Keskinen, Heli</au><au>Kolari, Terhi</au><au>Helenius, Ilkka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of postoperative urinary retention after posterior spinal fusion for adolescent idiopathic scoliosis</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>30</volume><issue>12</issue><spage>3557</spage><epage>3562</epage><pages>3557-3562</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
To determine predictors for postoperative urinary retention in adolescents undergoing posterior spinal fusion for idiopathic scoliosis. Postoperative urinary retention affects almost every third adolescent after spinal fusion for idiopathic scoliosis. There are limited data regarding the risk factors of postoperative urinary retention in this patient group.
Methods
A retrospective study with prospectively collected urinary retention data from paediatric spine register with 159 consecutive patients (114 females, mean age 15.6 years, range 10–21 years) undergoing pedicle screw instrumentation for adolescent idiopathic scoliosis at a university hospital between May 2010 and April 2020. Postoperative urinary retention was defined as an inability to void after catheter removal and documented residual over 300 mL as confirmed using an ultrasound or by catheterization.
Results
Postoperative urinary retention was diagnosed in 33% (53 of 159) of the patients during hospital stay. Opioid amount on the day of catheter removal (OR 6.74 [95% CI: 2.47, 18.36],
p
< 0.001), male gender (OR 2.26 [95% CI: 1.01, 5.05],
p
= 0.048), and increasing weight (OR 1.04 [95% CI: 1.01, 1.07],
p
= 0.014) were associated with postoperative urinary retention. Mean opioid consumption on the day of catheter removal was 0.81 mg/kg (95% CI: 0.66, 0.96) in the retention group vs 0.57 mg/kg (95% CI: 0.51, 0.64) in the non-retention group,
p
< 0.001.
Conclusions
Higher total opioid consumption, opioid amount on the day of catheter removal, higher weight, and male gender increases the risk of postoperative urinary retention in adolescents with idiopathic scoliosis undergoing posterior spinal fusion.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34611717</pmid><doi>10.1007/s00586-021-07016-7</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1171-3028</orcidid><orcidid>https://orcid.org/0000-0002-1497-6907</orcidid><orcidid>https://orcid.org/0000-0003-2305-1735</orcidid><orcidid>https://orcid.org/0000-0002-9341-8443</orcidid><orcidid>https://orcid.org/0000-0003-2707-2875</orcidid><orcidid>https://orcid.org/0000-0001-5200-3279</orcidid><orcidid>https://orcid.org/0000-0002-2780-3095</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | European spine journal, 2021-12, Vol.30 (12), p.3557-3562 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adolescents Adult Back surgery Catheterization Catheters Child Female Gender Humans Male Medicine Medicine & Public Health Narcotics Neurosurgery Opioids Original Article Patients Pedicle Screws Retrospective Studies Risk factors Scoliosis Scoliosis - surgery Spinal Fusion - adverse effects Surgical Orthopedics Teenagers Treatment Outcome Urinary retention Urinary Retention - epidemiology Urinary Retention - etiology Young Adult |
| title | Predictors of postoperative urinary retention after posterior spinal fusion for adolescent idiopathic scoliosis |
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