NCT02886143

Effect of Active vs. Passive Voiding Trials on Time to Discharge, Urinary Tract Infection, and Urinary Retention

Effect of Active vs. Passive Voiding Trials on Time to Patient Discharge, Rate of Urinary Tract Infection, and Rate of Urinary Retention: a Randomized, Controlled Clinical Trial

• Status: Completed
• Phase: Phase 3
• Study type: Interventional
• Enrollment: 274 (actual)
• Sponsor: University of Virginia · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Urinary retention is a common problem, particularly in hospitalized patients. When a Foley catheter is removed, a patient must be monitored for urinary retention. The usual method is a passive voiding trial where the catheter is removed, the bladder fills with urine and the patient is monitored for voiding over approximately 6 hours. Another option is an active voiding trial where the bladder is filled with saline before the catheter is removed and the patient is immediately assisted to void. This study seeks to determine the effect of active vs passive voiding trials on time to hospital discharge, rate of urinary tract infections, and rate or urinary retention in the general hospitalized population.

Detailed description

The intervention to be tested is an active voiding trial, where the bladder is filled with saline before the catheter is removed and the patient is immediately assisted to void.

Conditions

• Urinary Retention
• Urinary Tract Infections

Interventions

Type	Name	Description
PROCEDURE	Active Voiding Trial	Nursing protocol: 1. Instill 250-400 cc of STERILE SALINE via the lumen of the Foley catheter into the bladder via gravity drainage or slow push 2. Clamp the Foley 3. Deflate the catheter balloon and remove the catheter from the bladder. 4. Record the amount of saline that was instilled into the bladder. 5. Immediately assist the patient to void. Report the amount instilled and the amount voided to the physician within one hour a. Unless the patient reports extreme bladder fullness or pain, give the patient one hour to urinate 7\. If the patient fails the voiding trial, the physician will decide to do in and out catheterization or place a new Foley catheter
PROCEDURE	Passive Voiding Trial	Nursing protocol: 1. Deflate the catheter balloon and remove the catheter from the bladder. 2. Record the time that the catheter was removed and the time the patient is due to void (approximately 6 hours). 3. 5\. If the patient has not voided within 5 hours, assist the patient to try to void. 6\. If the patient is unable to void, is only voiding in small amounts, or reports fullness or abdominal pain, perform a bladder scan. 7\. If the patient has not voided after 6 hours, report this to the physician along with the results of the bladder scan 8. The physician will decide to do in and out catheterization or place a new Foley catheter

Timeline

• Start date: 2015-10-01
• Primary completion: 2016-07-01
• Completion: 2016-07-01
• First posted: 2016-09-01
• Last updated: 2016-09-01