{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T05:25:05Z","timestamp":1786944305823,"version":"build-2736575974"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>To examine the Activities of Daily Living (ADL) level required to achieve catheter\u2010free urination in cases where a urinary catheter was inserted due to urinary retention, urination difficulty, or urinary incontinence in an acute care hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included patients who were originally capable of self\u2010urination but required rehabilitative therapy and intervention by the multidisciplinary urination care team for difficulty in removal of indwelled Foley catheter during hospitalization. The primary outcome was catheter\u2010free independent urination. Patients who achieved urinary independence through self\u2010catheterization for prolonged neurogenic bladder dysfunction were excluded. ADL scores before and after the intervention were evaluated using the Functional Independence Measure (FIM), which was consisted of motor FIM (mFIM), cognitive FIM, and total FIM, with and without deduction for urinary control score (\u2010UC). Logistic regression analyses were performed to identify factors associated with independent urination, and Receiver Operating Characteristic (ROC) curve analysis was conducted to determine the appropriate cutoff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 87 cases (72.8\u2009\u00b1\u200912.4 years old, male:female = 51:36). Catheter\u2010free urination was achieved in 43 (49%) patients. There were no significant differences between the catheter\u2010dependent and catheter\u2010free groups in terms of gender, age, hospitalized departments, treatment methods, total duration of admission, duration of intervention, discharged destination, and comorbidities. At the end of the intervention, the FIM scores were all significantly higher in the catheter\u2010free group than in the catheter\u2010dependent group. To achieve catheter\u2010free urination, mFIM\u2010UC at the end of the intervention was the only statistically significant corelate (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In the ROC analysis, the AUC of mFIM\u2010UC at the end of the intervention was 0.834, and the optimal cutoff value was 30 points (full score 84), with a sensitivity of 0.91 and specificity of 0.66.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ADL as represented by mFIM is a major correlate of catheter\u2010free urination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70295","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T11:10:01Z","timestamp":1776683401000},"page":"1196-1201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Activities of Daily Living Level is Associated With Recovery of Catheter\u2010Free Urination Among Patients Hospitalized in an Acute Care Hospital"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9521-4973","authenticated-orcid":false,"given":"Takashi","family":"Tanaka","sequence":"first","affiliation":[{"name":"Rehabilitation Center Hyogo Medical University Hospital Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0669-8986","authenticated-orcid":false,"given":"Akihiro","family":"Kanematsu","sequence":"additional","affiliation":[{"name":"Department of Urology Hyogo Medical University Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana","family":"Nagai","sequence":"additional","affiliation":[{"name":"Nursing Unit Hyogo Hyogo Medical University Hospital Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroe","family":"Yoneda","sequence":"additional","affiliation":[{"name":"Nursing Unit Hyogo Hyogo Medical University Hospital Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saya","family":"Yamanaka","sequence":"additional","affiliation":[{"name":"Nursing Unit Hyogo Hyogo Medical University Hospital Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuriko","family":"Kou","sequence":"additional","affiliation":[{"name":"Nursing Unit Hyogo Hyogo Medical University Hospital Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toeki","family":"Yanagi","sequence":"additional","affiliation":[{"name":"Department of Urology Hyogo Medical University Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Urology Hyogo Medical University Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3163-8723","authenticated-orcid":false,"given":"Ryoichi","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Urology Hyogo Medical University Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhisa","family":"Domen","sequence":"additional","affiliation":[{"name":"Rehabilitation Center Hyogo Medical University Hospital Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shingo","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Urology Hyogo Medical University Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"305","article-title":"[Investigation of Urinary Management After Removal of Indwelling Urethral Catheters in a General Hospital: Associations Between Bedridden State and Impaired Bladder Emptying]","volume":"56","author":"Tsuchiyama K.","year":"2010","journal-title":"Hinyokika Kiyo Acta Urologica Japonica"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199511000-00007"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.01.012"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000052363"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2017.41.2.204"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199304000-00005"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.14283\/jfa.2019.23"},{"key":"e_1_2_12_9_1","first-page":"454","article-title":"Relationship Between the Recovery of Lower Urinary Tract Function and Functional Independence Measure Performance","volume":"32","author":"Kitamura T.","year":"2022","journal-title":"Journal of Japanese Society of Wound, Ostomy and Continence Management"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12229"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25381"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24930"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2021.101539"}],"container-title":["Neurourology and 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