{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T06:04:54Z","timestamp":1774591494430,"version":"3.50.1"},"reference-count":25,"publisher":"Korean Continence Society","issue":"1","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["einj.org"],"crossmark-restriction":true},"short-container-title":["Int Neurourol J"],"published-print":{"date-parts":[[2026,3,31]]},"abstract":"<jats:p>Purpose: Acute urinary retention (AUR) is a common complication in hospitalized patients with unpredictable recovery times. We aimed to develop and validate a clinical prediction model for recovery from AUR within 14 days.Methods: A prospective cohort study was conducted from March 2024 to July 2025 at a tertiary care center. Adult patients (n=126) with AUR were enrolled upon urological consultation. Males with prostate volume &gt;30 g were excluded. Patients underwent standardized voiding trials every 3\u20134 days, with success defined as postvoid residual &lt;100 mL. Multivariable logistic regression was used to identify predictors of recovery within 14 days.Results: The cohort comprised 84 males (66.7%) and 42 females (33.3%), mean age 71.9\u00b114.2 years. Overall, 81.7% achieved successful voiding within 14 days. The prediction model demonstrated excellent discrimination (area under the curve [AUC], 0.83; 95% confidence interval [CI], 0.76\u20130.90) with 4 independent predictors: age &lt;70 years (OR, 4.11; 95% CI, 2.18\u20137.76; P=0.008), male sex (OR, 9.09; 95% CI, 4.35\u201319.01; P&lt;0.001), postoperative etiology (OR, 4.38; 95% CI, 2.26\u20138.48; P=0.004), and retention volume \u2264450 mL (OR, 4.55; 95% CI, 2.17\u20139.52; P=0.017). Bootstrap validation confirmed model stability (optimism-corrected AUC=0.81).Conclusions: Our clinical prediction model reliably identifies patients at risk for prolonged urinary retention using 4 simple bedside parameters. Implementation may optimize catheter management strategies and improve patient outcomes through risk-stratified care pathways.<\/jats:p>","DOI":"10.5213\/inj.2550208.104","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T04:32:18Z","timestamp":1774585938000},"page":"57-62","update-policy":"https:\/\/doi.org\/10.5213\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predicting Time to Recovery From Acute Urinary Retention in Hospitalized Patients: Development and Validation of a Clinical Prediction Model"],"prefix":"10.5213","volume":"30","author":[{"given":"Jin Wook","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3166","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-5347(01)64508-7"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3109\/00365598709180286"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/aln.0b013e31819f7aea"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2011.11.012"},{"key":"ref5","first-page":"643","volume-title":"Urinary retention in adults: diagnosis and initial management","author":"Selius","year":"2008"},{"key":"ref6","first-page":"1","volume-title":"An evidence-based approach to emergency department management of acute urinary retention","author":"Marshall","year":"2014"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410x.2011.10430.x"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410x.2008.07491.x"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-2-200207160-00012"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1086\/675718"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000127743.80759.7a"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.2147\/ijwh.s55383"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd006744.pub3"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.2001.02253.x"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.4065\/72.10.951"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.7326\/m14-0697"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/s0895-4356(96)00236-3"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00917.x"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-5347(17)35867-6"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-005-5790-9"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.65396"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2009.07.010"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000159165.90094.40"},{"key":"ref24","first-page":"46","volume-title":"Postoperative bladder catheterization based on individual bladder capacity: a randomized trial","author":"Brouwer","year":"2015"},{"key":"ref25","first-page":"116","volume-title":"The damaged human detrusor: functional and electron microscopic changes in disease","author":"Mayo","year":"1973"}],"container-title":["International Neurourology Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/einj.org\/upload\/pdf\/inj-2550208-104.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/einj.org\/journal\/view.php?doi=10.5213\/inj.2550208.104","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/einj.org\/upload\/pdf\/inj-2550208-104.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T04:33:15Z","timestamp":1774585995000},"score":1,"resource":{"primary":{"URL":"http:\/\/einj.org\/journal\/view.php?doi=10.5213\/inj.2550208.104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,31]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"URL":"https:\/\/doi.org\/10.5213\/inj.2550208.104","relation":{},"ISSN":["2093-6931"],"issn-type":[{"value":"2093-6931","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,31]]},"assertion":[{"value":"2025-08-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-31","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}