The utility of a bladder scan protocol using a portable ultrasonographic device in subacute stroke patients
- Authors
- Kim, Ha Jeong; Chun, Min Ho; Han, Eun Young; Yi, Jin Hwa; Kim, Don-Kyu
- Issue Date
- 2012
- Publisher
- INFORMA HEALTHCARE
- Keywords
- bladder; stroke; ultrasonographic; urinary; urinary retention
- Citation
- DISABILITY AND REHABILITATION, v.34, no.6, pp 486 - 490
- Pages
- 5
- Journal Title
- DISABILITY AND REHABILITATION
- Volume
- 34
- Number
- 6
- Start Page
- 486
- End Page
- 490
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/20938
- DOI
- 10.3109/09638288.2011.608147
- ISSN
- 0963-8288
1464-5165
- Abstract
- Purpose: To evaluate the clinical usefulness of a bladder scan protocol for measuring urinary retention with a Portable Ultrasonographic Device (PUD) in stroke patients. Method: This is case-control study. The study enrolled a total of 52 stroke patients with post-void residual urine (PVR) volume > 100 mL. The case group (n = 26) was managed using our bladder scan protocol until the PVR volume fell below 100 mL. A PVR volume > 400 mL resulted in intermittent urinary catheterization (IC). The control group (n = 26) was not managed using the bladder scan protocol. We compared outcomes for the two groups. Results: The case and control groups were similar in terms of the total scanning period (days). The number of scanning days after the PVR volume fell below < 100 mL was less for the case than the control group (2.3 versus 8.5 days; p < 0.001). Scanning was discontinued before the PVR volume fell below 100 mL in one case group and seven control group patients (p < 0.05). The mean IC volume was nearly 400 mL in the case group, without any bladder overdistensions and without any urinary tract infections. Conclusions: Our bladder scan protocol for urinary retention after stroke may be useful as this allows catheterization of an adequate urine volume and reduces unnecessary bladder scanning.
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