The Effect of Clamping Method the Indwelling Urinary Catheters
NCT ID: NCT05480254
Last Updated: 2022-07-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
110 participants
INTERVENTIONAL
2021-04-15
2022-10-30
Brief Summary
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Objective: To evaluate the results of bladder training in ICU patients. Design: Randomized controlled trial. Setting general surgery ıntensıve care. Methods: Patients were randomly assigned either to have their urinary catheter clamped before removal or to have their catheter removed with free drainage.. Patients who will continue to have urinary catheterization for at least 5 days were included in the study.
Results: - Conclusion: -
Detailed Description
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In a study by Williamson (1982) on this subject, it was reported that intermittent clamping before removal of the indwelling urinary catheter reduces the frequency of urinary retention and shortens the time to return to normal bladder function. However, a systematic review published in Cochrane (2007) on strategies for removal of short-term indwelling urethral catheters in adults found insufficient evidence to suggest that catheter clamping prior to termination of catheterization is effective to induce normal bladder filling. In another systematic review published in Cochrane (2016), there was no significant difference between the patients' subjective perceptions of recatheterization, urinary retention, catheter-related urinary tract infection and urination symptoms in the clamping and free drainage groups.
In the limited number of studies on bladder training performed by clamping the indwelling urinary catheter, no evidence for practice could be obtained, and there is no consensus among clinicians yet. Ultimately, more research, better quality methodology, and more diverse study designs are needed until strong evidence is available to remove this uncertainty.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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clamped catheter group
Q3 clamped catheter protocol is applied before urinary catheter removal
clamped catheter
Q3 clamped catheter protocol is applied before urinary catheter removal
free dranaige group
Free dranaige is applied before urinary catheter removal
No interventions assigned to this group
Interventions
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clamped catheter
Q3 clamped catheter protocol is applied before urinary catheter removal
Eligibility Criteria
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Inclusion Criteria
* Within the first 12 hours of admission to the intensive care unit,
* Will continue urinary catheterization for at least 5 days,
* No diagnosed or recurrent urinary tract infection,
* Patients who agreed to participate in the study by obtaining their informed consent and who will not leave the study during the study.
Exclusion Criteria
* Those who have suprapubic catheters or who will undergo intermittent catheterization,
* Patients with impaired nerve conduction,
* Patients taking anticholinergic drug therapy such as tricyclic antidepressants,
* Patients receiving sympathomimetric drug therapy,
* Having a neurogenic bladder,
* Having diabetic cystopathy, Have a previous history of urinary retention or urination dysfunction,
18 Years
FEMALE
Yes
Sponsors
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Cumhuriyet University
OTHER
Hulya Kocyigit
OTHER
Responsible Party
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Hulya Kocyigit
Principal Investigator
Locations
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Cumhuriyet Universty
Sivas, , Turkey (Türkiye)
Countries
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Central Contacts
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Other Identifiers
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Cumhuriyet Universty
Identifier Type: -
Identifier Source: org_study_id