EFFECT OF HYDROPHILIC COATING ISOTONIC TO URINE ON INFECTIONS AND COMPLICATIONS AMONG USERS OF INTERMITTENT URINARY CATHETERS
Author(s)
Neovius K1, Svensson J1, Åberg-Håkansson M2, Lundqvist T2
1Aux Analysis, Stockholm, Sweden, 2Wellspect HealthCare, Mölndal, Sweden
OBJECTIVES: Infections and urethral trauma are common complications among patients using intermittent urinary catheters. The objective of this study was to investigate the effect on complications of switching to a catheter with hydrophilic coating isotonic to urine. METHODS: A questionnaire was sent to 694 individuals performing daily intermittent urinary catheterization in Europe and the USA. The participants were asked to report infections and complications, as well as current and previous catheter type if applicable. Only patients reporting to currently be using a catheter type with hydrophilic coating isotonic to urine were included in the study. The patients who had previously switched catheters were asked to estimate their current infections, complications and problems as much less, less, same, more or much more compared to before the switch. Wilcoxon signed rank tests were carried out to detect changes in level of consequences after switching. Analyses were performed separately for patients who switched but stayed on catheters with hydrophilic coating isotonic to urine and patients who switched from another catheter type. RESULTS: The initial response rate was 57% (n=391) of which 74% (n=288) were using catheters with hydrophilic coating isotonic to urine. 129 patients reported to have switched catheters, 41 (32%) stayed on the same catheter type, i.e. hydrophilic coating isotonic to urine, and 88 (68%) switched from another catheter type. Among those patients who switched from another catheter type to a catheter with hydrophilic coating isotonic to urine, an average of 15% reported more and 32% reported less infections (p=0.042), UTIs (p=0.041), complications (p=0.062) and general problems (p=0.001). The corresponding numbers for the patients who stayed on catheters with hydrophilic coating isotonic to urine were not statistically significant. CONCLUSIONS: This study indicates that patients performing daily intermittent catheterization can benefit from switching to a catheter with hydrophilic coating isotonic to urine.
Conference/Value in Health Info
2015-05, ISPOR 2015, Philadelphia, PA, USA
Value in Health, Vol. 18, No. 3 (May 2015)
Code
PMD80
Topic
Clinical Outcomes
Topic Subcategory
Comparative Effectiveness or Efficacy
Disease
Multiple Diseases