Influence of Clinical and Sociodemographic Factors on the Management, Costs, and Outcomes of Acute Urinary Retention in the Acute Care Setting

    April 2022 in “ Urology Practice
    Jordan Alger, Om Dave, Kevin E. Neuzil, Charles D. Scales, David F. Friedlander
    TLDR Early intervention for acute urinary retention can reduce costs and improve care.
    This study examined 30,827 patients with acute urinary retention and benign prostatic hyperplasia in New York and Florida in 2016. It found that 17.5% had multiple retention-related encounters, but only 6.4% received a bladder outlet procedure within a year. Factors like older age, Black race, Medicare insurance, and lower education were linked to recurrent urinary retention, while older age, high comorbidity, Medicaid status, and lower education were linked to lower odds of receiving a procedure. Costs were lower for single retention encounters and for those undergoing a procedure. The study suggests early intervention could reduce costs and improve care duration.
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