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
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Early Urethral Catheter Removal |
Removal of the urethral catheter in the operating room at the conclusion of surgery |
|
|
Active Comparator Delayed Urethral Catheter Removal |
Removal of the urethral catheter in next morning after surgery |
|
Recruiting Locations
Kansas City, Kansas 66160
Brandon Carlson, MD, MPH
More Details
- Status
- Recruiting
- Sponsor
- University of Kansas Medical Center
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.