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London, United Kingdom 2013 Poster Session Blue Cerebrovasc Dis 2013; 35 (suppl 3)1-854 663 600 Acute stroke: emergency management, stroke units and complications Intermittent versus permanent bladder catheterization in acute stroke patients I. Sicilia1, A. Mattioni2, S. Cenciarelli3, T. Mazzoli4, E. Gallinella5, L.M. Greco6, R. Condurso7, W. Rociola8, F. Balloni9, S. Ricci10 Department of Neurology-Stroke Unit, Citta di Castello, ITALY1, Department of Neurolo-gy- Stroke Unit, Citta di Castello, ITALY2, Department of Neurology-Stroke Unit, Citta di Castello, ITALY3, Department of Neurology-Stroke Unit, Citta di Castello, ITALY4, Department of Neurolo-gy- Stroke Unit, Citta di Castello, ITALY5, Department of Neurology-Stroke Unit, Citta di Castello, ITALY6, Department of Neurology-Stroke Unit, Citta di Castello, ITALY7, Department of Urology, Citta di Castello, ITALY8, Department of Urology, Citta di Castello, ITALY9,Department of Neurol-ogy- Stroke Unit, Citta di Castello, ITALY10 Background: Bladder dysfunctions are common after stroke, might increase the risk for developing urinary tract infections (UTIs) and are associated with poorer outcome. There is no consensus on bladder management strategies in stroke patients. We aimed to evaluate bladder function recovery by a post-void residual urine (PVR) and the incidence of UTIs in the acute phase of stroke com-paring permanent versus intermittent catheterization. Methods: We have randomized consecutive ischaemic or haemorragic stroke patients with a PVR volume > 100 mL during the first 24 hours of hospitalization. The case group was managed using intermittent catheterization 4 or 5 times per day depending on urine volume measured by bladder scan. The control group was managed using permanent catheterization. Unless the patients recovered the bladder function earlier, we interrupted either permanent or intermittent catheterization after seven days, and we evaluated the PVR vol-ume with bladder scan. On the first and seventh days we perform chemical and cultural exams of urine. The primary outcome was the rate of bladder functional recovery. The secondary outcome was the incidence of UTIs. Results: From 01/04/11until 07/09/12 we randomized 48 patients, 24 patients with permanent catheterization and 24 with intermittent catheterization in Città di Castello and Branca Stroke Units: 37.5% were male; mean age was 80.46 years; age range was 60-94 years. Mean PVR volume was 355,67 cc in the group with intermittent catheterization, 278,33 cc in the group with permanent catheterization (p 0.40). Bacteriuria was detected in 15 patients (31,2%), 6 (12,5%) with intermittent catheterization, 9 (18,7%) with permanent catheterization (p 0.75). Conclusions: we did not find any significant difference in bladder function recovery and UTIs after 7 days in the two groups, but we found a trend for a better bladder function recovery in the group with permanent catheterization. A larger multicentre study is planned.


Karger_ESC London_2013
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