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. 2021 Jun 29;2021(6):CD004011. doi: 10.1002/14651858.CD004011.pub4

Comparison 2. Shorter versus longer duration of catheter.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
2.1 Number needing to be recatheterised 44 5870 Risk Ratio (M‐H, Random, 95% CI) 1.81 [1.35, 2.41]
2.1.1 Early removal versus later 19 2528 Risk Ratio (M‐H, Random, 95% CI) 2.59 [1.47, 4.57]
2.1.2 1‐day policy versus later 16 1874 Risk Ratio (M‐H, Random, 95% CI) 1.45 [0.93, 2.25]
2.1.3 2‐day to 7‐day policy versus later 10 1468 Risk Ratio (M‐H, Random, 95% CI) 1.67 [0.93, 2.99]
2.2 Number needing to be recatheterised: subgroup analysis based on type of surgery 37 4736 Risk Ratio (M‐H, Random, 95% CI) 1.85 [1.36, 2.51]
2.2.1 Urological surgery 9 1104 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.50, 1.67]
2.2.2 Gynaecological surgery 24 2935 Risk Ratio (M‐H, Random, 95% CI) 2.25 [1.58, 3.22]
2.2.3 Obstetric surgery 4 697 Risk Ratio (M‐H, Random, 95% CI) 3.36 [0.93, 12.15]
2.3 Number needing to be recatheterised: subgroup analysis based on sex 37 4736 Risk Ratio (M‐H, Random, 95% CI) 1.85 [1.36, 2.51]
2.3.1 Men only 9 1104 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.50, 1.67]
2.3.2 Women only 28 3632 Risk Ratio (M‐H, Random, 95% CI) 2.29 [1.64, 3.18]
2.4 Number needing to be recatheterised: subgroup analysis based on antibiotic prophylaxis 27 3839 Risk Ratio (M‐H, Random, 95% CI) 1.72 [1.11, 2.65]
2.4.1 Antibiotic prophylaxis given 22 3040 Risk Ratio (M‐H, Random, 95% CI) 1.73 [1.04, 2.89]
2.4.2 No antibiotic prophylaxis 5 799 Risk Ratio (M‐H, Random, 95% CI) 1.65 [0.70, 3.86]
2.5 Symptomatic catheter‐associated urinary tract infection (number of participants) 41 5759 Risk Ratio (M‐H, Fixed, 95% CI) 0.52 [0.45, 0.61]
2.5.1 Early versus later 17 2220 Risk Ratio (M‐H, Fixed, 95% CI) 0.55 [0.43, 0.71]
2.5.2 1 day versus later 15 1879 Risk Ratio (M‐H, Fixed, 95% CI) 0.48 [0.37, 0.62]
2.5.3 2 to 7 days versus later 9 1660 Risk Ratio (M‐H, Fixed, 95% CI) 0.55 [0.39, 0.78]
2.6 Symptomatic catheter‐associated urinary tract infection: post‐hoc subgroup analysis by antibiotic prophylaxis 24 3516 Risk Ratio (M‐H, Fixed, 95% CI) 0.47 [0.38, 0.59]
2.6.1 Antibiotic prophylaxis 20 2871 Risk Ratio (M‐H, Fixed, 95% CI) 0.49 [0.39, 0.62]
2.6.2 No antibiotic prophylaxis given 4 645 Risk Ratio (M‐H, Fixed, 95% CI) 0.28 [0.11, 0.72]
2.7 Asymptomatic bacteruria (number of participants) 18 2611 Risk Ratio (M‐H, Fixed, 95% CI) 0.47 [0.38, 0.58]
2.7.1 Early versus later 10 1461 Risk Ratio (M‐H, Fixed, 95% CI) 0.59 [0.45, 0.77]
2.7.2 1 day versus later 6 683 Risk Ratio (M‐H, Fixed, 95% CI) 0.37 [0.26, 0.54]
2.7.3 2 to 7 days versus later 3 467 Risk Ratio (M‐H, Fixed, 95% CI) 0.32 [0.18, 0.59]
2.8 Incidence of urinary retention 19   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
2.8.1 Early versus later 7 1108 Risk Ratio (M‐H, Random, 95% CI) 1.07 [0.57, 2.00]
2.8.2 1 day versus later 7 680 Risk Ratio (M‐H, Random, 95% CI) 1.36 [1.03, 1.81]
2.8.3 2 to 7 days versus later 6 881 Risk Ratio (M‐H, Random, 95% CI) 1.37 [0.88, 2.12]
2.9 Delayed voiding after catheter removal 2 176 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.53, 1.97]
2.9.1 1 day versus later 2 176 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.53, 1.97]
2.10 Chronic urinary retention 2 339 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.29, 2.44]
2.10.1 1‐day policy versus later 2 230 Risk Ratio (M‐H, Fixed, 95% CI) 0.81 [0.26, 2.59]
2.10.2 2 to 7 days versus later 1 109 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.07, 15.87]
2.11 Other complications of catheterisation: fever 2 470 Risk Ratio (M‐H, Fixed, 95% CI) 1.17 [0.40, 3.40]
2.11.1 Early versus later 2 470 Risk Ratio (M‐H, Fixed, 95% CI) 1.17 [0.40, 3.40]
2.12 Other complications of catheterisation: epididymitis 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
2.12.1 2 to 7 days versus later 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
2.13 Pain or discomfort (dichotomous) 5 510 Risk Ratio (M‐H, Random, 95% CI) 0.52 [0.21, 1.27]
2.13.1 Immediate post‐op removal versus removal 24 hours post‐op 3 230 Risk Ratio (M‐H, Random, 95% CI) 0.31 [0.04, 2.64]
2.13.2 Removal 4 hours post‐op versus removal 24 hours post‐op 1 240 Risk Ratio (M‐H, Random, 95% CI) 1.00 [0.78, 1.29]
2.13.3 Removal 3 days post‐op versus removal 28 days post‐op 1 40 Risk Ratio (M‐H, Random, 95% CI) 0.20 [0.01, 3.92]
2.14 Pain or discomfort: 0‐10 VAS (higher score = greater pain) 5 695 Mean Difference (IV, Fixed, 95% CI) ‐0.34 [‐0.47, ‐0.20]
2.14.1 Removal 4 hours post‐op versus removal at 6am 1 day post‐op 1 57 Mean Difference (IV, Fixed, 95% CI) ‐0.60 [‐1.65, 0.45]
2.14.2 Immediate post‐op removal versus removal 24 hours post‐op 3 433 Mean Difference (IV, Fixed, 95% CI) ‐0.37 [‐0.52, ‐0.23]
2.14.3 Immediate removal post‐op versus removal 3‐5 days post‐op 1 205 Mean Difference (IV, Fixed, 95% CI) 0.10 [‐0.37, 0.56]
2.15 Patient satisfaction 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
2.16 Urinary incontinence  7 1195 Risk Ratio (M‐H, Fixed, 95% CI) 0.55 [0.35, 0.86]
2.16.1 Early versus later 2 396 Risk Ratio (M‐H, Fixed, 95% CI) 0.13 [0.03, 0.55]
2.16.2 2 to 7 days versus later 5 799 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.52, 1.32]
2.17 Dysuria 7 1398 Risk Ratio (M‐H, Random, 95% CI) 0.42 [0.20, 0.88]
2.17.1 Early versus later 7 1398 Risk Ratio (M‐H, Random, 95% CI) 0.42 [0.20, 0.88]
2.18 Volume of first void (mL) 3 364 Mean Difference (IV, Fixed, 95% CI) 27.02 [1.00, 53.04]
2.18.1 Early removal versus later 1 227 Mean Difference (IV, Fixed, 95% CI) 12.00 [‐21.97, 45.97]
2.18.2 2‐day to 7‐day policy versus later 2 137 Mean Difference (IV, Fixed, 95% CI) 48.36 [7.88, 88.84]
2.19 Time to first void (hours) 2 277 Mean Difference (IV, Random, 95% CI) ‐8.59 [‐16.16, ‐1.01]
2.19.1 Early removal versus later 2 277 Mean Difference (IV, Random, 95% CI) ‐8.59 [‐16.16, ‐1.01]
2.20 Post‐void residual volume (mL) 2 137 Mean Difference (IV, Fixed, 95% CI) 6.37 [‐9.14, 21.88]
2.20.1 2‐day to 7‐day policy versus later 2 137 Mean Difference (IV, Fixed, 95% CI) 6.37 [‐9.14, 21.88]
2.21 Post‐void residual volume (median and range) (mL) 1   Other data No numeric data
2.22 Length of hospitalisation in days 27   Mean Difference (IV, Random, 95% CI) Subtotals only
2.22.1 Early removal versus later 13 2012 Mean Difference (IV, Random, 95% CI) ‐0.54 [‐0.82, ‐0.27]
2.22.2 1‐day policy versus later 10 1249 Mean Difference (IV, Random, 95% CI) ‐1.66 [‐2.25, ‐1.07]
2.22.3 2‐day to 7‐day policy versus later 5 474 Mean Difference (IV, Random, 95% CI) ‐5.00 [‐5.89, ‐4.11]
2.23 Length of hospitalisation in days: subgrouping based on type of surgery 27 3735 Mean Difference (IV, Random, 95% CI) ‐1.13 [‐1.42, ‐0.83]
2.23.1 Urological procedures 7 1005 Mean Difference (IV, Random, 95% CI) ‐3.40 [‐4.75, ‐2.05]
2.23.2 Gynaecological procedures 13 1453 Mean Difference (IV, Random, 95% CI) ‐0.92 [‐1.33, ‐0.51]
2.23.3 Obstetric procedures 6 1217 Mean Difference (IV, Random, 95% CI) ‐0.50 [‐0.87, ‐0.13]
2.23.4 General surgical procedures 1 60 Mean Difference (IV, Random, 95% CI) ‐1.10 [‐2.77, 0.57]
2.24 Length of hospitalisation in days (median and range) 6   Other data No numeric data
2.25 Frequency of micturition 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.25.1 Early versus later 2 521 Risk Ratio (M‐H, Fixed, 95% CI) 0.18 [0.06, 0.53]
2.26 Time to first ambulation (hours) 9 1688 Mean Difference (IV, Fixed, 95% CI) ‐5.06 [‐5.24, ‐4.88]
2.26.1 Early versus later 9 1688 Mean Difference (IV, Fixed, 95% CI) ‐5.06 [‐5.24, ‐4.88]