Risk factors for postoperative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer

Celeste Y. Kang, Obaid O. Chaudhry, Wissam J Halabi, Vinh Nguyen, Joseph C. Carmichael, Steven Mills, Michael J. Stamos

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

The aim of this study was to analyze risk factors for postoperative urinary tract infection (UTI) and urinary retention (UR) in patients with colorectal cancer. Using Nationwide Inpatient Sample 2006-2009, a retrospective analysis of surgical patients with colorectal cancer was conducted. Patients were stratified into groups, with or without UTI/UR. The LASSO algorithm for logistic regression identified independent risk factors. A total of 93,931 surgical patients with colorectal cancer were identified. The incidences of UTI and UR were 5.91 and 2.52 per cent, respectively. Overall in-hospital mortality was 2.68 per cent. The UTI group demonstrated significantly higher in-hospital mortality rates compared with those without. Both UTI and UR groups were associated with prolonged hospital stay and increased hospital charge. Multivariate logistic regression analysis revealed age older than 60 years, females, anemia, congestive heart failure, coagulopathy, diabetes with chronic complications, fluid and electrolyte, paralysis, pulmonary circulation disorders, renal failure, and weight loss were independent risk factors of UTI. Age older than 60 years, male gender, rectal and rectosigmoid cancers, and postoperative anastomotic leakage and ileus were independent risk factors for UR. Postoperative UTI increases in-house mortality. Postoperative UTI/UR in patients with colorectal cancer increases length of stay and hospital charges. Knowledge of these specific risk factors for UTI and UR is needed to counsel patients and prevent these complications in this high-risk population.

Original languageEnglish (US)
Pages (from-to)1100-1104
Number of pages5
JournalAmerican Surgeon
Volume78
Issue number10
StatePublished - Oct 1 2012
Externally publishedYes

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Urinary Retention
Urinary Tract Infections
Colorectal Neoplasms
Hospital Mortality
Hospital Charges
Length of Stay
Logistic Models
Anastomotic Leak
Pulmonary Circulation
Ileus
Rectal Neoplasms
Paralysis
Electrolytes
Renal Insufficiency
Anemia
Weight Loss
Inpatients
Heart Failure
Regression Analysis
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Kang, C. Y., Chaudhry, O. O., Halabi, W. J., Nguyen, V., Carmichael, J. C., Mills, S., & Stamos, M. J. (2012). Risk factors for postoperative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer. American Surgeon, 78(10), 1100-1104.

Risk factors for postoperative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer. / Kang, Celeste Y.; Chaudhry, Obaid O.; Halabi, Wissam J; Nguyen, Vinh; Carmichael, Joseph C.; Mills, Steven; Stamos, Michael J.

In: American Surgeon, Vol. 78, No. 10, 01.10.2012, p. 1100-1104.

Research output: Contribution to journalArticle

Kang, CY, Chaudhry, OO, Halabi, WJ, Nguyen, V, Carmichael, JC, Mills, S & Stamos, MJ 2012, 'Risk factors for postoperative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer', American Surgeon, vol. 78, no. 10, pp. 1100-1104.
Kang, Celeste Y. ; Chaudhry, Obaid O. ; Halabi, Wissam J ; Nguyen, Vinh ; Carmichael, Joseph C. ; Mills, Steven ; Stamos, Michael J. / Risk factors for postoperative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer. In: American Surgeon. 2012 ; Vol. 78, No. 10. pp. 1100-1104.
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