{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T07:51:56Z","timestamp":1766908316709,"version":"build-2065373602"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,2,25]],"date-time":"2016-02-25T00:00:00Z","timestamp":1456358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2016,8]]},"abstract":"\n Objectives<\/jats:title>\n \n To conduct an audit of patients presenting with long\u2010term urinary catheter (\n LTC<\/jats:styled-content>\n )\u2010associated problems to our Emergency Department (\n ED<\/jats:styled-content>\n ) and to assess the availability of community nursing support for their\n LTC<\/jats:styled-content>\n . We also estimated the cost implication to the health service and the potential solutions to this issue, as although catheter care is provided by community nurses,\n LTC<\/jats:styled-content>\n problems are common presentations to the\n ED<\/jats:styled-content>\n and are often significant burdens to the services.\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n A study was carried out of all patients presenting to the\n ED<\/jats:styled-content>\n with a urinary catheter problem, specifically studying\n LTC<\/jats:styled-content>\n s and the reason for presentation, district nurses' involvement, and the intervention received.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In all, 78 patients with a urinary catheter problem presented to the\n ED<\/jats:styled-content>\n over a 69\u2010day period, of whom 59 (68%) had a\n LTC<\/jats:styled-content>\n . In all, 33 patients (42%) attended during normal working hours between 0900 and 1700 h. The mean (range) age was 74 (42\u201393) years and the duration the\n LTC<\/jats:styled-content>\n had been\n in situ<\/jats:italic>\n was 11 (1\u2013120) months. The most common reasons for attendance were blocked catheter (37 patients, 47%) and catheter\u2010bypass (18, 23%). Only 28 patients (36%) were known to district nursing services, and 14% were referred by a district nurse. Most of the remaining patients self\u2010referred to the\n ED<\/jats:styled-content>\n . No patient had any documented contact with their general practitioner. In addition, 64 patients (82%) had their catheter issues addressed adequately by\n ED<\/jats:styled-content>\n nurses or doctors, without any urology involvement.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n The high morbidity of\n LTC<\/jats:styled-content>\n s causes a considerable demand on\n ED<\/jats:styled-content>\n services, and has heavy cost implications to the health system. Most patients had minimal community nurse support, and their catheter problems were easily dealt with by\n ED<\/jats:styled-content>\n nurses and doctors.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.13430","type":"journal-article","created":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T04:13:51Z","timestamp":1456460031000},"page":"327-334","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Impact of the lack of community urinary catheter care services on the Emergency Department"],"prefix":"10.1111","volume":"118","author":[{"given":"Li June","family":"Tay","sequence":"first","affiliation":[{"name":"Department of Urology King's College Hospital NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Lyons","sequence":"additional","affiliation":[{"name":"Department of Urology King's College Hospital NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Karrouze","sequence":"additional","affiliation":[{"name":"Department of Urology King's College Hospital NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Urology King's College Hospital NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azhar A.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Urology King's College Hospital NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter M.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Urology King's College Hospital NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,2,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a116283"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.1996.09074.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afi094"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2007.07146.x"},{"key":"e_1_2_7_6_1","unstructured":"National Clinical Guideline Centre (NCGC) UK.Long\u2010term urinary catheters. 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