ePoster
Presentation Description
Institution: Austin Health - Victoria, Australia
Purpose
Urinary catheter insertion is common in acute hospital wards. When a patient is ready for discharge and a trial of void (TOV) premature, a delayed TOV is an option. In aged care facilities, where patients often have poor functional status, transfer to a TOV clinic may be burdensome. We assess the feasibility of performing TOVs within the aged care home using a mobile geriatric service.
Methodology
We conducted a retrospective analysis of patients referred for a TOV after an acute hospital admission from January 2018 to April 2021. Patients residing in aged care facilities where a TOV was performed were included. Follow up telephone reviews were performed a day after a successful TOV to identify any issues before formal discharge.
Results
65 cases were identified (44 male, 21 female), with a mean age of 85.6 years. 40 (61.5%) cases had delirium or dementia, and 35 (53.8%) required assistance/hoist for transfers. Successful TOV occurred in 45 (69.2%) cases. 14 (21.5%) cases failed TOV and 6 cases were referred for acute admission (unrelated to the urinary catheter). Of those who failed, 3 were scheduled for another TOV and 11 (16.9%) were referred for outpatient urology review. Follow-up telephone reviews for successful cases revealed no further voiding issues, new cognitive issues, or mobility changes.
Conclusion
Performing TOV in aged care facilities is safe and feasible. Visiting clinicians were able to effectively manage TOV, including patients who failed to void. All identified cases would otherwise require attendance to a TOV clinic. Reducing transfers of frail residents to hospital services benefits patients, aged care facilities, and hospitals alike.
Presenters
Authors
Authors
Dr Matthew Alberto - , Dr Anne Hong - , Dr Cheryl Yeo - , Dr Henry Yao - , Prof Damien Bolton -