H A Anton1, K Chambers, J Clifton, J Tasaka. 1. Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, Canada.
Abstract
OBJECTIVE: To evaluate the clinical utility of a new portable ultrasound device (PUD) in the management of intermittent catheter programs in patients with neuropathic bladder. DESIGN: Intervention study using randomized control trial. SETTING:Tertiary care center providing inpatient and ambulatory rehabilitation services to persons with neurologic disabilities. PARTICIPANTS: Thirty-eight inpatients and outpatients with neuropathic bladders requiring intermittent catheterization. MAIN OUTCOME MEASURES: Mean frequency of intermittent catheterization, mean number of episodes of overdistension, and patient satisfaction as measured with a Patient Satisfaction Questionnaire. RESULTS: The mean frequency of catheterization per day was reduced in the PUD group in comparison with controls (2.99 vs 4.12, p = .026). The number of episodes of overdistension was also reduced in the PUD group but did not reach statistical significance (12.45 vs 14.76, p = .61). Subjects generally expressed satisfaction with the PUD, with 16 of 18 patients at least somewhat satisfied with the device. CONCLUSION: The PUD is a useful tool for clinicians in patients undergoing intermittent catheterization programs that can reduce the number of required catheters. It is associated with a high degree of patient satisfaction.
RCT Entities:
OBJECTIVE: To evaluate the clinical utility of a new portable ultrasound device (PUD) in the management of intermittent catheter programs in patients with neuropathic bladder. DESIGN: Intervention study using randomized control trial. SETTING: Tertiary care center providing inpatient and ambulatory rehabilitation services to persons with neurologic disabilities. PARTICIPANTS: Thirty-eight inpatients and outpatients with neuropathic bladders requiring intermittent catheterization. MAIN OUTCOME MEASURES: Mean frequency of intermittent catheterization, mean number of episodes of overdistension, and patient satisfaction as measured with a Patient Satisfaction Questionnaire. RESULTS: The mean frequency of catheterization per day was reduced in the PUD group in comparison with controls (2.99 vs 4.12, p = .026). The number of episodes of overdistension was also reduced in the PUD group but did not reach statistical significance (12.45 vs 14.76, p = .61). Subjects generally expressed satisfaction with the PUD, with 16 of 18 patients at least somewhat satisfied with the device. CONCLUSION: The PUD is a useful tool for clinicians in patients undergoing intermittent catheterization programs that can reduce the number of required catheters. It is associated with a high degree of patient satisfaction.
Authors: Dorothea Leonhäuser; Carlos Castelar; Thomas Schlebusch; Martin Rohm; Rüdiger Rupp; Steffen Leonhardt; Marian Walter; Joachim O Grosse Journal: Biomed Eng Online Date: 2018-07-13 Impact factor: 2.819