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ID 63895
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Author
Higashikawa, Toshihiro Department of Geriatric Medicine, Kanazawa Medical University Himi Municipal Hospital
Shigemoto, Kenji Department of Orthopedics and Joint Reconstructive Surgery, Juntendo University Nerima Hospital
Goshima, Kenichi Department of Orthopedics and Joint Reconstructive Surgery, Juntendo University Nerima Hospital
Iwai, Shintarou Department of Orthopedics and Joint Reconstructive Surgery, Juntendo University Nerima Hospital
Moriyama, Manabu Department of Urology, Kanazawa Medical University Himi Municipal Hospital
Usuda, Daisuke Department of Emergency and Critical Care Medicine, Juntendo University Nerima Hospital
Hangyou, Masahiro Toyama Municipal Hospital
Inujima, Hiromi Toyama Municipal Hospital
Nozaki, Kakeru Toyama Municipal Hospital
Yamaguchi, Miyako Toyama Municipal Hospital
Usuda, Kimiko Toyama Municipal Hospital
Nakahashi, Takeshi Department of Geriatric Medicine, Kanazawa Medical University
Matsumoto, Tadami Department of Orthopedic Medicine, Kanazawa Medical University
Takashima, Shigeki Kanazawa Medical University
Kanda, Tsugiyasu Kanazawa Medical University
Horii, Takeshi Department of Orthopedics and Joint Reconstructive Surgery, Juntendo University Nerima Hospital
Okuro, Masashi Department of Geriatric Medicine, Kanazawa Medical University
Sawaguchi, Takeshi Department of Orthopedics and Joint Reconstructive Surgery, Juntendo University Nerima Hospital
Abstract
We assessed risk factors for postoperative urinary retention (UR) in elderly males with femoral bone fractures: 169 Japanese males (mean age 81.95 ± 1.19 years) who had undergone hip surgery at a municipal hospital (Toyama, Japan). A multiple logistic regression analysis was used to test possible risk factors for UR: age, body mass index, serum albumin, cognitive impairment, activities of daily living (ADL), and history of diabetes mellitus (DM). UR occurred in 24 (14.2%) of the 169 patients. A multivariate logistic regression analysis with age adjustment showed that ADL (odds ratio [OR] 3.88; 95% confidence interval [CI]: 1.2-12.5, p=0.023) was significantly associated with the development of UR, and a history of DM showed marginal significance for UR occurrence (OR 0.36, 95%CI: 0.11-10, p=0.064). These results suggests that ADL is a risk factor for UR development in elderly males who have undergone surgery for femoral neck or trochanter fractures.
Keywords
elderly
femoral bone fracture
albumin
urinary retention
activities of daily living
Amo Type
Original Article
Publication Title
Acta Medica Okayama
Published Date
2022-08
Volume
volume76
Issue
issue4
Publisher
Okayama University Medical School
Start Page
409
End Page
414
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
English
Copyright Holders
Copyright Ⓒ 2022 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT