Trial Outcomes & Findings for Postoperative Urinary Retention in Patients After Noncardiac Surgery and Reversal of Neuromuscular Block (NCT NCT05545280)

NCT ID: NCT05545280

Last Updated: 2025-02-10

Results Overview

The primary outcome of urinary retention is assessed by post-void bladder volume.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

50 participants

Primary outcome timeframe

1 hour after surgery, which started from out of operation room

Results posted on

2025-02-10

Participant Flow

Participant milestones

Participant milestones
Measure
Neostigmine
Reversal of Neuromuscular Block by Neostigmine. Neostigmine with glycopyrrolate: Administration by intravenous infusion
Sugammadex
Reversal of Neuromuscular Block by Sugammadex. Sugammadex: Administration by intravenous infusion
Overall Study
STARTED
23
27
Overall Study
COMPLETED
23
27
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Postoperative Urinary Retention in Patients After Noncardiac Surgery and Reversal of Neuromuscular Block

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Neostigmine
n=23 Participants
Reversal of Neuromuscular Block by Neostigmine. Neostigmine with glycopyrrolate: Administration by intravenous infusion
Sugammadex
n=27 Participants
Reversal of Neuromuscular Block by Sugammadex. Sugammadex: Administration by intravenous infusion
Total
n=50 Participants
Total of all reporting groups
Age, Continuous
72.1 years
STANDARD_DEVIATION 4.7 • n=5 Participants
72.1 years
STANDARD_DEVIATION 7 • n=7 Participants
72.1 years
STANDARD_DEVIATION 5 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
18 Participants
n=7 Participants
31 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
n=5 Participants
25 Participants
n=7 Participants
46 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
22 Participants
n=5 Participants
26 Participants
n=7 Participants
48 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
ASA score
1
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
ASA score
2
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
ASA score
3
18 Participants
n=5 Participants
24 Participants
n=7 Participants
42 Participants
n=5 Participants
ASA score
unknown
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
BMI
26.1 kg/m2
n=5 Participants
28.6 kg/m2
n=7 Participants
27 kg/m2
n=5 Participants
pulmonary disease
6 Participants
n=5 Participants
10 Participants
n=7 Participants
16 Participants
n=5 Participants
cardiac disease
16 Participants
n=5 Participants
15 Participants
n=7 Participants
31 Participants
n=5 Participants
kidney disease
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
neurological disease
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants
previous surgery
22 Participants
n=5 Participants
25 Participants
n=7 Participants
47 Participants
n=5 Participants
Metabolic equivalent
2.0
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Metabolic equivalent
3.0
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Metabolic equivalent
3.5
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Metabolic equivalent
4.0
10 Participants
n=5 Participants
11 Participants
n=7 Participants
21 Participants
n=5 Participants
Metabolic equivalent
>4
10 Participants
n=5 Participants
14 Participants
n=7 Participants
24 Participants
n=5 Participants
Substance abuse-illegal drug use
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Substance abuse -alcohol abuse
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 hour after surgery, which started from out of operation room

Population: A total of 50 patients were included in data analysis based on the modified intent-to-treat rule

The primary outcome of urinary retention is assessed by post-void bladder volume.

Outcome measures

Outcome measures
Measure
Neostigmine
n=23 Participants
Reversal of Neuromuscular Block by Neostigmine. Neostigmine with glycopyrrolate: Administration by intravenous infusion
Sugammadex
n=27 Participants
Reversal of Neuromuscular Block by Sugammadex. Sugammadex: Administration by intravenous infusion
Urine Residual in PACU
219 ml
Interval 141.0 to 329.0
222 ml
Interval 68.0 to 361.0

SECONDARY outcome

Timeframe: within 24 hours after out of operation room

participants who needed a urinary catheter within 24 hours after surgery

Outcome measures

Outcome measures
Measure
Neostigmine
n=23 Participants
Reversal of Neuromuscular Block by Neostigmine. Neostigmine with glycopyrrolate: Administration by intravenous infusion
Sugammadex
n=27 Participants
Reversal of Neuromuscular Block by Sugammadex. Sugammadex: Administration by intravenous infusion
Number of Participants Who Needed a Urinary Catheter
5 Participants
2 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: during postoperative hospital stay, which from out of operation room to discharge from the hospital, an average of 1 week

patients having urinary tract infections during the hospitalization

Outcome measures

Outcome measures
Measure
Neostigmine
n=23 Participants
Reversal of Neuromuscular Block by Neostigmine. Neostigmine with glycopyrrolate: Administration by intravenous infusion
Sugammadex
n=27 Participants
Reversal of Neuromuscular Block by Sugammadex. Sugammadex: Administration by intravenous infusion
Participants Having Urinary Tract Infections
0 Participants
0 Participants

Adverse Events

Neostigmine

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Sugammadex

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Kurt Ruetzler, MD

Cleveland Clinic Foundation

Phone: 216 636-0561

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place