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

Mao 1994.

Study characteristics
Methods Study design: RCT
Dates study conducted: February 1992‐November 1992
Participants Population: obstetric ward patients who underwent abdominal surgery (total hysterectomy or salpingo‐oophorectomy). No previous urinary incontinence or infection. No urinary leakage or damage during surgery
Country: China
Condition for hospitalisation: abdominal surgery (total hysterectomy or salpingo‐oophorectomy)
Exclusion criteria: ovarian or cervical conditions were exclusions
Surgical wounds too severe
Number of participants: 227 randomised; 227 reported
Age (mean and SD): not reported
Use of antibiotic prophylaxis: not reported
Interventions Group A (n = 114): IUC removal same day
Group B (n = 113): IUC removal next day
Size and type of catheter used (e.g. Foley 16F): not reported
Study definition of short‐term catheterisation (days): not reported
Intended duration of catheterisation for each group:
Group A (intervention): catheter duration 7 am to 8 pm same day (114)
Group B (control): catheter duration 7 am to 6 am next day (113)
Outcomes Number of participants who passed urine spontaneously after removal (defined as passing spontaneously = able to pass without dribbling or sensation of incomplete urination, post‐void volume < 100 mL, passing more than a small amount. Any of the above present considered failure to pass spontaneously)
Amount of urine passed for first voiding
Time to first spontaneous passage of urine
Total number of times passing urine within 12 h of removal
Definition of CAUTI or bacteriuria Not reported
Sponsorship/funding Not reported
Ethical approval Not reported
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomisation process not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias)
All outcomes High risk Not reported. Unlikely possible given nature of intervention
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not reported
Blinding of microbiological outcome (detection bias) Low risk Not reported. Can assume urine samples would have been sent to a lab where the microbiologist would have been blinded
Incomplete outcome data (attrition bias)
All outcomes Low risk No evidence to suggest any missing data
Selective reporting (reporting bias) Low risk No evidence to suggest selective reporting
Other bias Low risk No other sources of bias noted