Article

OBJECTIVES: To identify randomized controlled trials comparing the use of
hydrophilic and nonhydrophilic catheters for intermittent catheterization (IC) in
patients with spinal cord injury (SCI), and to perform a meta-analysis evaluating
the occurrence of hematuria and urinary tract infection (UTI).
DATA SOURCES: We
searched the following electronic databases to identify studies: EMBASE (1991 to
August 2011), PubMed (1991 to August 2011), Cochrane Library (no date
restriction), China National Knowledge Infrastructure (no date restriction), and
the Chinese Biomedical Literature Database (no date restriction). STUDY
SELECTION: Randomized controlled trials, parallel-control, crossover-control, and
prospective cohort studies that assessed morbidity associated with the use of
hydrophilic catheters and nonhydrophilic catheters in patients after SCI were
included. DATA EXTRACTION: Data extraction was performed using standardized forms
of the Cochrane Collaboration. Methodologic quality was independently assessed by
2 reviewers using the Downs and Black instrument. Pooled odds ratios (ORs) with
95% confidence intervals (CIs) were calculated for dichotomous data. DATA
SYNTHESIS: Five studies involving 508 subjects; 462 subjects completed the study
and were included in this meta-analysis. There was a significantly lower
incidence (OR=.36; 95% CI, 24%-54%; P<.0001) of reported UTIs in the
hydrophilic-treated group compared with the nonhydrophilic-treated group.
Hematuria was also reported significantly less in the hydrophilic catheter group
than in the nonhydrophilic catheter group (OR=.57; 95% CI, 35%-92%; P=.001).
CONCLUSIONS: This meta-analysis found UTIs and hematuria less frequently
associated with the use of hydrophilic-coated catheters for IC in patients with
SCI. These findings support the use of hydrophilic catheters in this patient
population.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS