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. 2015 Dec 10;2015(12):CD004203. doi: 10.1002/14651858.CD004203.pub3

Comparison 1. Indwelling urethral vs suprapubic catheterisation.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Symptomatic UTI 5   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 Overall 5 575 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.61, 1.69]
1.2 Men 1 59 Risk Ratio (M‐H, Fixed, 95% CI) 0.69 [0.12, 3.83]
1.3 Women 2 310 Risk Ratio (M‐H, Fixed, 95% CI) 1.30 [0.62, 2.74]
1.4 After urogenital surgery 3 369 Risk Ratio (M‐H, Fixed, 95% CI) 1.16 [0.59, 2.29]
1.5 After non‐urogenital surgery 2 206 Risk Ratio (M‐H, Fixed, 95% CI) 0.86 [0.40, 1.85]
1.6 With antibiotic prophylaxis 2 378 Risk Ratio (M‐H, Fixed, 95% CI) 1.10 [0.47, 2.59]
1.7 Without antibiotic prophylaxis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2 Asymptomatic bacteriuria 19   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
2.1 Overall 19 1894 Risk Ratio (M‐H, Random, 95% CI) 2.25 [1.63, 3.10]
2.2 Men 4 282 Risk Ratio (M‐H, Random, 95% CI) 1.67 [1.09, 2.57]
2.3 Women 9 895 Risk Ratio (M‐H, Random, 95% CI) 2.30 [1.37, 3.85]
2.4 After urogenital surgery 8 1004 Risk Ratio (M‐H, Random, 95% CI) 2.60 [1.53, 4.42]
2.5 After non‐urogenital surgery 10 793 Risk Ratio (M‐H, Random, 95% CI) 2.02 [1.24, 3.28]
2.6 With antibiotic prophylaxis 7 676 Risk Ratio (M‐H, Random, 95% CI) 2.57 [1.05, 6.26]
2.7 Without antibiotic prophylaxis 3 341 Risk Ratio (M‐H, Random, 95% CI) 2.97 [1.47, 5.98]
2.8 Urine sample collected during catheterisation 4 378 Risk Ratio (M‐H, Random, 95% CI) 3.69 [1.73, 7.88]
2.9 Urine sample collected once catheterisation stopped 11 1325 Risk Ratio (M‐H, Random, 95% CI) 1.85 [1.30, 2.65]
3 Recatheterisation 11 1180 Risk Ratio (M‐H, Random, 95% CI) 2.21 [1.19, 4.09]
4 Mean duration of catheterisation in days 2 274 Mean Difference (IV, Fixed, 95% CI) ‐1.73 [‐2.42, ‐1.05]
5 Duration of catheterisation     Other data No numeric data
6 Number of participants catheterised more than five days 2   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
7 Number of participants with acute urinary retention 2 282 Risk Ratio (M‐H, Fixed, 95% CI) 0.83 [0.35, 1.94]
8 Number of participants with chronic urinary retention 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
9 Number of participants with bladder dysfunction 2 276 Risk Ratio (M‐H, Fixed, 95% CI) 1.53 [0.56, 4.18]
10 Number of participants with pain 4 535 Risk Ratio (M‐H, Fixed, 95% CI) 5.62 [3.31, 9.55]
11 Number of catheter days with pain 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
12 Mean pain score (VAS 0 ‐ 10)     Other data No numeric data
13 Number of participants with discomfort 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
13.1 Overall 3 438 Risk Ratio (M‐H, Fixed, 95% CI) 3.77 [2.68, 5.32]
13.2 Men 1 52 Risk Ratio (M‐H, Fixed, 95% CI) 2.57 [0.78, 8.43]
13.3 Women 1 56 Risk Ratio (M‐H, Fixed, 95% CI) 2.15 [0.64, 7.27]
14 Number of participants with catheter obstruction 5 694 Risk Ratio (M‐H, Random, 95% CI) 0.37 [0.08, 1.78]
15 Number of participants with catheter that fell out 2   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
16 Number of participants that had urine leak around the catheter 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
17 Number of participants with gross haematuria 4 557 Risk Ratio (M‐H, Fixed, 95% CI) 0.39 [0.16, 0.96]
18 Number of participants with microscopic haematuria 2   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
19 Number of participants with pyuria 2 330 Risk Ratio (M‐H, Random, 95% CI) 2.35 [1.13, 4.90]
20 Number of participants with urethral stricture 4 516 Risk Ratio (M‐H, Fixed, 95% CI) 2.38 [1.02, 5.56]
21 Urinary symptoms after surgery 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
22 Number of participants with epididymitis 2 156 Risk Ratio (M‐H, Random, 95% CI) 1.82 [0.08, 43.16]
23 Number of participants with postoperative pyrexia 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
24 Febrile morbidity 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
25 Number of participants who needed antibiotic therapy 2 254 Risk Ratio (M‐H, Fixed, 95% CI) 2.10 [1.36, 3.24]
26 Number of participants requiring drugs for relief of dysuria 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
27 Duration of hospital stay     Other data No numeric data
28 Mean duration of hospital stay 4   Mean Difference (IV, Fixed, 95% CI) Totals not selected
29 Number of participants with extended hospital stay 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
30 Cost     Other data No numeric data