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Completed

NCT Number: NCT06893562

Evaluating Nine-Year Sustainability After Implementing Evidence-Based Practices to Prevent Urinary Tract Infections and Overfilling of the Bladder in Patients With Hip Fracture

This study focuses on evaluating the long-term sustainability of a urinary catheter care bundle designed to prevent urinary tract infections and bladder distension in patients undergoing surgery for hip fractures. The intervention, which included two key innovations-a urinary catheter certificate and a nurse-driven urinary catheter protocol, was implemented between 2015 and 2020 and successfully reduced urinary tract infections and bladder distension, previously published. However, due to the pandemic, the initiative was paused and had to be reintroduced in 2022. Now, the study aims to assess the effectiveness of these preventive measures 9 years after their initial implementation. The research will analyze changes in the incidence of urinary tract infections, bladder distension, catheterisation methods, and documentation practices in patients aged 65 and older. The findings will help inform healthcare policies and may have broader implications for preventing adverse events in other surgical patient groups

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Key information

Conditions

Urinary Catheters Adherence Documentation Skill Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Femoral Fractures Fractures, Bone Hip Fracture Hip Fractures Hip Injuries Infections Leg Injuries Male Urogenital Diseases Sustainability of Innovations UTI - Urinary Tract Infection Urinary Retention Urinary Tract Infections Urination Disorders Urogenital Diseases Urologic Diseases Wounds and Injuries

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Sahlgrenska Academy, Sahlgrenska University hospital/Mölndal

Mölndal, Västra Götaland County, 43180, Sweden

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

-Hip fracture surgery at the study site, age 65 years and older and cared for in the ortho-geriatric wards.

Exclusion criteria

-No catheterisation during hospital stay

Treatment and study plan

Safe Hands and Safe Bladder intervention

Behavioral

Evaluating changes in urinary tract infections and bladder distension nine-year after implementing preventive measures

Primary outcomes

  1. Describe changes in the incidence of in-hospital urinary catheter-associated infections; Year 9 will be compared with previously published data from Years 1-5

    Time frame: For one year

    Definition: Urinary tract infection with onset on day 3 after admission with prior urinary catheterisation. A physician prescribed antimicrobial agents for a urinary tract infection during the hospital stay. Data will be collected from patients' medical records.

    Logistic regression analysis will be performed

Secondary outcomes

  1. Changes in the incidence of in-hospital acquired bladder distension will be compared; Year 9 will be compared to previously published data from Years 1-5.

    Time frame: For one year.

    Definition: Bladder distension is defined according to the national marker for point prevalence measurement when assessing adverse events. Bladderscan volume from patients' medical records.

  2. Changes in urine volume of 500ml and more during hospital stay. Year nine will be compared yera 1-5, previous published data

    Time frame: For one year

    Bladderscan volume from patients' medical records.

  3. Changes in catheterization methods during the hospital stay will be compared, with data from Year 9 compared to previously published data from Years 1-5

    Time frame: For one year

    Data will be collected from patients' medical records.

  4. Changes in urinary catheter-related documentation in Year 9 will be compared to previously published data from Years 1-5.

    Time frame: For one year

    Catheter-related documentation will be collected from patients' medical records.

Sponsors and collaborators

Lead sponsor

Sahlgrenska University Hospital

Other

Registry information

Official study title

Nine-Year Sustainability After Implementing Measures to Prevent Catheter- Associated Urinary Tract Infections and Bladder Distension in Patients With Hip Fracture

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Mar 25, 2025
Registry last updated
Mar 25, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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