干旱区生态环境知识资源中心(Arid): Association between obstetrical anal sphincter injury and postpartum urinary retention: a contemporary nationwide cohort study

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DOI	10.1007/s00192-022-05346-8
	Association between obstetrical anal sphincter injury and postpartum urinary retention: a contemporary nationwide cohort study
	Stairs, Jocelyn; Rolnik, Daniel L.; Pascali, Dante; Clancy, Aisling
通讯作者	Stairs, J
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2022
卷号	33 期号:12 页码:3473-3479
英文摘要	Introduction and hypothesis Identification and prompt management of postpartum urinary retention after vaginal birth is essential to minimize long-term morbidity. Obstetrical anal sphincter injuries (OASIS) have been identified as a possible risk factor for urinary retention. The objective of this study was to estimate the association between OASIS and postpartum urinary retention and compare the length of hospital stay and cost of admission between postpartum patients who experienced urinary retention and those who did not. Methods We conducted a population-based, retrospective cohort study of pregnant individuals delivering singleton fetuses via vaginal birth in the United States using the National Inpatient Sample (NIS) database. Multivariate logistic regression models were used to estimate the odds ratio (OR) for the association between OASIS and postpartum urinary retention. Simple linear regression was used to compare means. Results A total of 2,013,052 delivery admissions were included, which was representative of a population size of 10,065,253 utilizing the complex sampling design of the NIS database. 47,192 (2.34%) admissions sustained OASIS and 5,339 (0.27%) admissions experienced overt urinary retention. After adjusting for potential confounders, vaginal deliveries where OASIS occurred had 3.60 times the odds of postpartum urinary retention compared with vaginal deliveries where OASIS was not sustained (95% CI 3.26-3.97). Postpartum urinary retention was associated with an increased mean length of stay (2.94 vs 2.28 days, p<0.001) and 1.37 times the mean total cost of admission (US$22,946.38 vs US$16,758.85, p<0.001). Conclusions Obstetrical anal sphincter injuries are associated with increased odds of postpartum urinary retention compared with vaginal deliveries where OASIS did not occur.
英文关键词	Bladder dysfunction Obstetrical anal sphincter injury Postpartum Risk factors Urinary retention Voiding dysfunction
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000853456000001
WOS关键词	RISK-FACTORS ; DYSFUNCTION
WOS类目	Obstetrics & Gynecology ; Urology & Nephrology
WOS研究方向	Obstetrics & Gynecology ; Urology & Nephrology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/393221
推荐引用方式 GB/T 7714	Stairs, Jocelyn,Rolnik, Daniel L.,Pascali, Dante,et al. Association between obstetrical anal sphincter injury and postpartum urinary retention: a contemporary nationwide cohort study[J],2022,33(12):3473-3479.
APA	Stairs, Jocelyn,Rolnik, Daniel L.,Pascali, Dante,&Clancy, Aisling.(2022).Association between obstetrical anal sphincter injury and postpartum urinary retention: a contemporary nationwide cohort study.INTERNATIONAL UROGYNECOLOGY JOURNAL,33(12),3473-3479.
MLA	Stairs, Jocelyn,et al."Association between obstetrical anal sphincter injury and postpartum urinary retention: a contemporary nationwide cohort study".INTERNATIONAL UROGYNECOLOGY JOURNAL 33.12(2022):3473-3479.