Methods |
DESIGN: Randomised controlled cross‐over trial BLINDING PROCEDURES: Not clear SAMPLE CALCULATION: No DURATION: 7 weeks each arm FOLLOW‐UP: Urine for C&S at 2, 4, 7 weeks WITHDRAWALS/DROPOUTS: Not stated ITT: Not applicable GEOGRAPHICAL LOCATION: Italy SETTING: Rehabilitation Hospital |
Participants |
N = 18 DIAGNOSIS: Neurogenic bladder due to recent spinal cord injury ELIGIBLE: Unknown ENROLLED: 18 COMPLETED: 18 AGE: Adults GENDER: 16 male & 2 female |
Interventions |
Coated vs uncoated: Pre‐lubricated catheter with protective sleeve versus an uncoated, non‐lubricated catheter (water added by user); one catheter x 7 weeks then cross‐over to other group. |
Outcomes |
UTI measured by C&S at 2, 4 & 7 weeks; Urethral wall trauma by counting cells on catheter surface; VAS re: satisfaction with catheters |
Notes |
UTI defined as cloudy, odorous urine, onset of UI, increase autonomic dysreflexia, pyuria, bacteriuria; Sample size too small to draw conclusions. Attempted randomisation concealment; higher % of UTI in PVC group; no difference in urethral cell count; unable to use data in Table of Comparisons because of cross‐over design and no mid‐point data. |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Unclear risk |
"One of us organised randomisation" |
Allocation concealment (selection bias) |
Unclear risk |
Not stated |
Blinding of participants and personnel (performance bias) All outcomes |
Low risk |
No blinding, but the review authors judge that the outcome and outcome measurement are not likely to be influenced by lack of blinding. |
Blinding of outcome assessment (detection bias) All outcomes |
Unclear risk |
Insufficient information to permit judgement |
Incomplete outcome data (attrition bias) All outcomes |
Low risk |
No missing outcome data |
Source of Funding |
Unclear risk |
Not stated |