Clean intermittent self-catheterisation for quadriplegic patients—A five year follow-up
1991; Springer Nature; Volume: 29; Issue: 8 Linguagem: Inglês
10.1038/sc.1991.78
ISSN1476-5624
AutoresGerard Sutton, Sarah Shah, Vernon Hill,
Tópico(s)Pelvic floor disorders treatments
ResumoWe present the findings of clean intermittent self-catheterisation (CISC) as a long term method of bladder management for 36 quadriplegic spinal cord injured patients, primarily at C6/C7 level, who were taught CISC between 1983 and 1987. Success in CISC was assessed by a mail survey, a telephone interview, and current sterile urine status. Twenty nine (81%) of 36 patients continued to use CISC after a mean discharge period of 2.9 years (p less than 0.001) with high levels of acceptance. Rao's V discriminant analysis showed success in CISC was affected by the interval between injury and initial self-catheterisation (Canonical Correlation Co-efficient = 1.34). Results of urinalysis for patients continuing CISC were obtained for 18 (62%) patients, 16 (88%) of whom had sterile urine. Implications of these and other findings along with reasons for cessation of CISC are discussed.
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