Cochrane · systematic review · CD004011
Strategies for the removal of short‐term indwelling urethral catheters in adults
Ellahi, A, Stewart, F, Kidd, EA, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
IncontinenceAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
11
No studies
5
Included studies
NR
No studies 5 · 31.3%Ungraded 0 · 0%Very low 5 · 31.3%Low 5 · 31.3%Moderate 1 · 6.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Removal of short‐term indwelling urethral catheters in adults at one time of day (6 am to 7 am) versus another time of day (10 pm to midnight)
Population: adults with short‐term indwelling urethral catheters that need to be removed
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants requiring recatheterisation Removal of short‐term indwelling urethral catheters in adults at one time of day (6 am to 7 am) vs another time of day (10 pm to midnight) | RR 0.7 [0.52, 0.94] | 10 studies · 1920 participants | Low Downgraded: risk of bias |
Symptomatic catheter‐associated urinary tract infection (CAUTI) Removal of short‐term indwelling urethral catheters in adults at one time of day (6 am to 7 am) vs another time of day (10 pm to midnight) | RR 1 [0.61, 1.63] | 1 study · 41 participants | Very low Downgraded: risk of bias, imprecision |
Dysuria Removal of short‐term indwelling urethral catheters in adults at one time of day (6 am to 7 am) vs another time of day (10 pm to midnight) | RR 2.2 [0.7, 6.86] | 1 study · 170 participants | Low Downgraded: imprecision |
Condition‐specific QoL or generic QoL measure Removal of short‐term indwelling urethral catheters in adults at one time of day (6 am to 7 am) vs another time of day (10 pm to midnight) | no estimate extracted | NR | No studies |
Removal of short‐term indwelling urethral catheters in adults after shorter versus longer durations
Population: adults with short‐term indwelling urethral catheters that need to be removed
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants requiring recatheterisation Removal of short‐term indwelling urethral catheters in adults after shorter vs longer durations | RR 1.81 [1.35, 2.41] | 44 studies · 5870 participants | Low Downgraded: risk of bias, inconsistency |
Symptomatic catheter associated urinary tract infection (CAUTI) Â Removal of short‐term indwelling urethral catheters in adults after shorter vs longer durations | RR 0.52 [0.45, 0.61] | 41 studies · 5759 participants | Moderate Downgraded: risk of bias |
Dysuria Removal of short‐term indwelling urethral catheters in adults after shorter vs longer durations | RR 0.42 [0.2, 0.88] | 7 studies · 1398 participants | Low Downgraded: risk of bias, inconsistency |
Condition‐specific QoL or generic QoL measure Removal of short‐term indwelling urethral catheters in adults after shorter vs longer durations | no estimate extracted | NR | No studies |
Removal of short‐term indwelling urethral catheters in adults: clamping compared to free drainage
Population: adults with short‐term indwelling urethral catheters that need to be removed
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants requiring recatheterisation Removal of short‐term indwelling urethral catheters in adults: clamping vs free drainage | RR 0.82 [0.55, 1.21] | 5 studies · 569 participants | Low Downgraded: risk of bias, imprecision |
Symptomatic catheter associated urinary tract infection (CAUTI) Removal of short‐term indwelling urethral catheters in adults: clamping vs free drainage | RR 0.99 [0.6, 1.63] | 2 studies · 267 participants | Very low Downgraded: risk of bias, imprecision |
Dysuria Removal of short‐term indwelling urethral catheters in adults: clamping vs free drainage | RR 0.84 [0.46, 1.54] | 1 study · 79 participants | Very low Downgraded: risk of bias, imprecision |
Condition‐specific QoL or generic QoL measure Removal of short‐term indwelling urethral catheters in adults: clamping vs free drainage | no estimate extracted | NR | No studies |
Removal of short‐term indwelling urethral catheters in adults: prophylactic use of alpha blocker versus no drug or intervention
Population: adults with short‐term indwelling urethral catheters that need to be removed
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants requiring recatheterisation Removal of short‐term indwelling urethral catheters in adults: prophylactic use of alpha blocker vs no drug or intervention | RR 1.18 [0.58, 2.42] | 2 studies · 184 participants | Very low Downgraded: risk of bias, imprecision |
Symptomatic catheter associated urinary tract infection Removal of short‐term indwelling urethral catheters in adults: prophylactic use of alpha blocker vs no drug or intervention | RR 0.2 [0.01, 4.06] | 1 study · 94 participants | Very low Downgraded: risk of bias, imprecision |
Dysuria Removal of short‐term indwelling urethral catheters in adults: prophylactic use of alpha blocker vs no drug or intervention | no estimate extracted | NR | No studies |
Condition‐specific QoL or generic QoL measure Removal of short‐term indwelling urethral catheters in adults: prophylactic use of alpha blocker vs no drug or intervention | no estimate extracted | NR | No studies |