{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:18:42Z","timestamp":1785831522933,"version":"3.56.0"},"reference-count":17,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T00:00:00Z","timestamp":1474243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R18 HS020831"],"award-info":[{"award-number":["R18 HS020831"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,11]]},"abstract":"\n Objectives<\/jats:title>\n \n To describe the epidemiology of indwelling urinary catheter use in nursing homes (\n NH<\/jats:styled-content>\n s).\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Observational cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n A purposeful sampling strategy was used to identify a diverse sample of 28 Connecticut\n NH<\/jats:styled-content>\n s, defined in terms of ownership, quality ratings, and bed size.\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Long\u2010stay (>100 days) residents of study\n NH<\/jats:styled-content>\n s with an indwelling urinary catheter present at any time over a 1\u2010year period.\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n Duration of catheter use was determined, and indications for catheter placement were documented. Indications considered appropriate included urinary retention or outlet obstruction, pressure ulcer (Stage 3 or 4 with risk of contamination by urine), hospice care, and need for accurate measurement of input and output. During quarterly follow\u2010up assessments, whether the catheter was still in place or had been removed for any reason other than routine maintenance was determined.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The overall rate of any urinary catheter use per 100 resident\u2010beds over a 1\u2010year period was 4.8 (range 1.0\u20139.9, median 5.1). Of the 228 residents meeting eligibility criteria, a documented indication for the catheter was present in the\n NH<\/jats:styled-content>\n record for 195 (86%). Of those with a documented indication, 99% (n = 193) had one or more indications deemed appropriate, including urinary retention (83%), pressure ulcer (21%), hospice care (10%), and need for accurate measurement of input and output (6%). The urinary catheter was removed at some point during the period of observation in 49% (n = 111) of participants; those with a shorter duration of catheter use before study enrollment were more likely to have the catheter removed during the follow\u2010up period. Of the 111 residents who had the catheter removed, 58 (52.3%) had it reinserted at some point during follow\u2010up.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n These findings suggest that indwelling urinary catheter use in long\u2010stay\n NH<\/jats:styled-content>\n residents is uncommon and generally appropriate and that efforts to improve catheter care and outcomes should extend beyond a singular focus on reducing use.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.14464","type":"journal-article","created":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T03:29:53Z","timestamp":1474255793000},"page":"2204-2209","source":"Crossref","is-referenced-by-count":12,"title":["Use of Indwelling Urinary Catheters in Nursing Homes: Implications for Quality Improvement Efforts"],"prefix":"10.1111","volume":"64","author":[{"given":"Jerry H.","family":"Gurwitz","sequence":"first","affiliation":[{"name":"Meyers Primary Care Institute University of Massachusetts Medical School, Reliant Medical Group, and Fallon Health Worcester Massachusetts"},{"name":"Division of Geriatric Medicine University of Massachusetts Medical School Worcester Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"DuBeau","sequence":"additional","affiliation":[{"name":"Meyers Primary Care Institute University of Massachusetts Medical School, Reliant Medical Group, and Fallon Health Worcester Massachusetts"},{"name":"Division of Geriatric Medicine University of Massachusetts Medical School Worcester Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Mazor","sequence":"additional","affiliation":[{"name":"Meyers Primary Care Institute University of Massachusetts Medical School, Reliant Medical Group, and Fallon Health Worcester Massachusetts"},{"name":"Division of Geriatric Medicine University of Massachusetts Medical School Worcester Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meera","family":"Sreedhara","sequence":"additional","affiliation":[{"name":"Meyers Primary Care Institute University of Massachusetts Medical School, Reliant Medical Group, and Fallon Health Worcester Massachusetts"},{"name":"Division of Geriatric Medicine University of Massachusetts Medical School Worcester Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celeste","family":"Lemay","sequence":"additional","affiliation":[{"name":"Meyers Primary Care Institute University of Massachusetts Medical School, Reliant Medical Group, and Fallon Health Worcester Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Spenard","sequence":"additional","affiliation":[{"name":"Qualidigm Wethersfield Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Pandolfi","sequence":"additional","affiliation":[{"name":"Qualidigm Wethersfield Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Johnson","sequence":"additional","affiliation":[{"name":"Qualidigm Wethersfield Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terry","family":"Field","sequence":"additional","affiliation":[{"name":"Meyers Primary Care Institute University of Massachusetts Medical School, Reliant Medical Group, and Fallon Health Worcester Massachusetts"},{"name":"Division of Geriatric Medicine University of Massachusetts Medical School Worcester Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1086\/592416"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1086\/650482"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/146.6.719"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1985.tb05459.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1989.00390070073009"},{"key":"e_1_2_7_7_1","unstructured":"Centers for Medicare and Medicaid Services.Nursing Home Quality Initiatives Overview[on\u2010line]. Available athttps:\/\/www.cms.gov\/NursingHomeQualityInits\/AccessedDecember 2 2015."},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-2-200207160-00012"},{"key":"e_1_2_7_9_1","unstructured":"GouldCV UmscheidCA AgarwalRKet al. and theHealthcare Infection Control Practices Advisory Committee.Guideline for Prevention of Catheter\u2010Associated Urinary Tract Infections 2009[on\u2010line]. Available athttp:\/\/www.cdc.gov\/hicpac\/cauti\/001_cauti.htmlAccessed December 2 2015."},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-013-0528-y"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.1878"},{"key":"e_1_2_7_12_1","volume-title":"Fundamentals of Biostatistics","author":"Rosner B","year":"1990"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.2307\/2344317"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1972.tb00899.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.2774"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.1888"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2014.11.018"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.01675.x"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.14464","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.14464","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.14464","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T20:04:38Z","timestamp":1762200278000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.14464"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,19]]},"references-count":17,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1111\/jgs.14464"],"URL":"https:\/\/doi.org\/10.1111\/jgs.14464","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,19]]}}}