FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3178563642> ?p ?o ?g. }

• W3178563642 abstract "Central MessagePostoperative urinary retention is common. Knowing who is at highest risk may allow interventions to prevent it.See Article page 359. Postoperative urinary retention (POUR) is common, causes patient distress, results in bladder instrumentation with its attendant infection risks, and can prolong length of stay. Understanding who is at highest risk and intervening to reduce those risks should improve patient satisfaction and reduce catheter-associated urinary tract infections. I am sure that all the networks that you practice in have these as goals. Wei and colleagues1Wei B. Xie R. Sollie Z. Deng L. DeLay T. Swicord W.B. et al.A prediction model for postoperative urinary retention after thoracic surgery.J Thorac Cardiovasc Surg Open. 2021; 7: 359-366Google Scholar have created a nomogram to predict POUR after major thoracic surgical procedures. They noted a particularly high rate of POUR leading to bladder catheterization—19%—and utilized their institutional Society of Thoracic Surgeons General Thoracic Surgery Database data to create a nomogram to predict who was at highest risk for POUR. Not surprisingly, male sex and advancing age were predictive of POUR. Other significant factors in the multivariable model included patient controled anesthesia use, creatinine level, and procedure type. This prediction model had a c-statistic of 0.77. They then tested the predictive value of their nomogram with a separate validation cohort of their patients and noted good modeling with a C-statistic of 0.72. The author's institutional 19% rate of POUR may seem higher than you see in your Society of Thoracic Surgery General Thoracic Surgery Database report that shows a rate of 2.5% to 6.5% for most major thoracic procedures. This 19% rate is largely driven by their inclusion criteria and protocol that called for Foley placement 6 hours postoperatively if the patient had not voided. Foley insertion rates could potentially be reduced if a POUR protocol was in place that allowed for some intermittent catheterizations. The limitations of this study are predominantly related to its retrospective nature and the fact that some variables that may be predictive of POUR were not collected and therefore could not be part of the model (eg, history of POUR). The value of knowing who is at highest risk for POUR is that it may lead to an intervention that could reduce its incidence. There are good data from other surgical specialties that transient alpha-blocker use can significantly reduce POUR.2Clancy C. Coffey J.C. O'Riordain M.G. Burke J.P. A meta-analysis of the efficacy of prophylactic alpha-blockade for the prevention of urinary retention following primary unilateral inguinal hernia repair.Am J Surg. 2018; 216: 337-341Google Scholar A nice clinical trial would see our high-risk patients being randomized to get several days of tamsulosin preoperatively and postoperatively versus placebo to see if we can make a real difference. A prediction model for postoperative urinary retention after thoracic surgeryJTCVS OpenVol. 7PreviewUrinary retention remains a frequent postoperative complication, associated with patient discomfort and delayed discharge following general thoracic surgery (GTS). We aimed to develop and prospectively validate a predictive model of postoperative urinary retention (POUR) among GTS patients. Full-Text PDF Open Access" @default.
• W3178563642 created "2021-07-19" @default.
• W3178563642 creator A5008183139 @default.
• W3178563642 date "2021-07-01" @default.
• W3178563642 modified "2023-10-18" @default.
• W3178563642 title "Commentary: Go with the flow" @default.
• W3178563642 cites W2596679400 @default.
• W3178563642 doi "https://doi.org/10.1016/j.xjon.2021.06.024" @default.
• W3178563642 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36003718" @default.
• W3178563642 hasPublicationYear "2021" @default.
• W3178563642 type Work @default.
• W3178563642 sameAs 3178563642 @default.
• W3178563642 citedByCount "0" @default.
• W3178563642 crossrefType "journal-article" @default.
• W3178563642 hasAuthorship W3178563642A5008183139 @default.
• W3178563642 hasBestOaLocation W31785636421 @default.
• W3178563642 hasConcept C105795698 @default.
• W3178563642 hasConcept C118552586 @default.
• W3178563642 hasConcept C126322002 @default.
• W3178563642 hasConcept C126894567 @default.
• W3178563642 hasConcept C141071460 @default.
• W3178563642 hasConcept C27415008 @default.
• W3178563642 hasConcept C2779091618 @default.
• W3178563642 hasConcept C2781267111 @default.
• W3178563642 hasConcept C3018125672 @default.
• W3178563642 hasConcept C33923547 @default.
• W3178563642 hasConcept C34626388 @default.
• W3178563642 hasConcept C71924100 @default.
• W3178563642 hasConcept C72563966 @default.
• W3178563642 hasConcept C77411442 @default.
• W3178563642 hasConcept C89128539 @default.
• W3178563642 hasConceptScore W3178563642C105795698 @default.
• W3178563642 hasConceptScore W3178563642C118552586 @default.
• W3178563642 hasConceptScore W3178563642C126322002 @default.
• W3178563642 hasConceptScore W3178563642C126894567 @default.
• W3178563642 hasConceptScore W3178563642C141071460 @default.
• W3178563642 hasConceptScore W3178563642C27415008 @default.
• W3178563642 hasConceptScore W3178563642C2779091618 @default.
• W3178563642 hasConceptScore W3178563642C2781267111 @default.
• W3178563642 hasConceptScore W3178563642C3018125672 @default.
• W3178563642 hasConceptScore W3178563642C33923547 @default.
• W3178563642 hasConceptScore W3178563642C34626388 @default.
• W3178563642 hasConceptScore W3178563642C71924100 @default.
• W3178563642 hasConceptScore W3178563642C72563966 @default.
• W3178563642 hasConceptScore W3178563642C77411442 @default.
• W3178563642 hasConceptScore W3178563642C89128539 @default.
• W3178563642 hasLocation W31785636421 @default.
• W3178563642 hasLocation W31785636422 @default.
• W3178563642 hasLocation W31785636423 @default.
• W3178563642 hasOpenAccess W3178563642 @default.
• W3178563642 hasPrimaryLocation W31785636421 @default.
• W3178563642 hasRelatedWork W1964062978 @default.
• W3178563642 hasRelatedWork W2202548566 @default.
• W3178563642 hasRelatedWork W2342299041 @default.
• W3178563642 hasRelatedWork W2355596166 @default.
• W3178563642 hasRelatedWork W2372083174 @default.
• W3178563642 hasRelatedWork W2372193799 @default.
• W3178563642 hasRelatedWork W2372758786 @default.
• W3178563642 hasRelatedWork W2384478369 @default.
• W3178563642 hasRelatedWork W3011386288 @default.
• W3178563642 hasRelatedWork W4311640303 @default.
• W3178563642 isParatext "false" @default.
• W3178563642 isRetracted "false" @default.
• W3178563642 magId "3178563642" @default.
• W3178563642 workType "article" @default.