Early Versus Delayed Urinary Catheter Removal After Minimally Invasive Lumbar Spine Surgery

Purpose

The study aims to compare between early versus delayed urinary catheter removal the impact on time to ambulation (in minutes) after minimally invasive lumbar spine surgery

Conditions

  • Foley Catheterization
  • Ambulation

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Patients aged 18 years and older - Minimally invasive one- or two-level lumbar fusion procedures

Exclusion Criteria

  • Patients that cannot give consent - Patients with lower extremity amputation(s); - Non-minimally invasive surgeries - Patients with pre-existing bladder/kidney or urinary tract dysfunction - Patients with spinal cord injuries - Patients with known lower extremity weakness and impaired mobility.

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Other
Masking
Double (Participant, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Early Urethral Catheter Removal 		Removal of the urethral catheter in the operating room at the conclusion of surgery
  • Other: Experimental
    Early urethral foley removal after the surgery
Active Comparator
Delayed Urethral Catheter Removal 		Removal of the urethral catheter in next morning after surgery
  • Other: Active comparator
    Delayed urethral foley removal after the surgery

Recruiting Locations

University of Kansas Medical Center
Kansas City, Kansas 66160
Contact:
Brandon Carlson, MD, MPH

More Details

Status
Recruiting
Sponsor
University of Kansas Medical Center

Study Contact

Brandon Carlson B Carlson, MD, MPH
913-588-7568
bcarlson@kumc.edu

Detailed Description

Early ambulation enables rapid removal of drainage tubes and canisters and decreases length of hospitalization. Previous article showed that a 1-day shorter in hospitalization led to an approximately US$ 2000 reduction in total patient costs. Another study examining patients after total knee arthroplasty found that an early discharge group, a decrease in length of stay in 22h resulted in financial savings of approximately US$ 600 per case. Another author found that early ambulation was associated with 19% lower 90-day readmission rate. Moreover, early ambulation contributed to 50.6% lower probability of developing at least one complication than regular ambulation.