File(s) under permanent embargo
Incidence of complications in men undergoing transurethral resection of the prostate
journal contribution
posted on 2017-01-01, 00:00 authored by S Kusljic,, J Aneja,, Elizabeth ManiasElizabeth ManiasObjectives: To examine the link between medication use and the risk of bleeding complications following transurethral resection of the prostate from the second postoperative day until hospital discharge. Method: Using a retrospective observational study design, the medical records of all patients who underwent transurethral resection of the prostate over a 24-month period were examined. Comprehensive data regarding patients' medication history, comorbidities and complications that occurred either during or after surgery were collected from medical records. Inferential statistical analysis was used to examine associations between demographic and medication variables and the risk of complications. Results: Complications arising after surgery occurred in 48/135 (36%) of patients. The most common complications postoperatively were hematuria, occurring in 41/48 (85%) and hematuria with clot retention, occurring in 24/48 (50%) of patients who suffered complications. There was a significant association between the number of medications prescribed and postoperative complications; for hematuria, χ 2 (12)=21.50, p =0.04; and for hematuria with clot retention χ 2 (12)=24.97, p =0.015. Conclusions: Demographic data relating to patients' age, comorbid state and the number of standard medications prescribed is associated with an increase in macroscopic hematuria and macroscopic hematuria with clot retention after transurethral resection of the prostate. These findings emphasize the importance of nursing practice in both preoperative and postoperative care of patients undergoing surgery. Nurses need to be very vigilant in assessing patients at risk of increased bleeding from a transurethral resection of the prostate by examining their medication regimen.
History
Journal
CollegianVolume
24Issue
1Pagination
3 - 9Publisher
ElsevierLocation
Amsterdam, The NetherlandsPublisher DOI
ISSN
1322-7696Language
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2015, ElsevierUsage metrics
Categories
No categories selectedKeywords
AgingHematuriaMedication usePhysiological changesTransurethral resection of the prostateScience & TechnologyLife Sciences & BiomedicineNursingTransurethral resection of theprostatePROTON PUMP INHIBITORSHYPERTENSION MANAGEMENTMYOCARDIAL-INFARCTIONATRIAL-FIBRILLATIONELDERLY-PATIENTSDRUG-METABOLISMRISKPREVENTIONTHERAPYSURGERY
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC