Health Services Research & Development

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Trautner BW, Saint S, Fowler KE, Van J, Rosen T, Colozzi J, Chopra V, Lescinskas E, Krein SL. What do patients say about their experience with urinary catheters and peripherally inserted central catheters? American journal of infection control. 2019 Sep 1; 47(9):1130-1134.
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Abstract: BACKGROUND: Little is known about the patient experience with urinary catheters or peripherally inserted central catheters (PICCs). We sought to better understand patient perspectives on having a urinary catheter or a PICC by reviewing open-ended comments made by patients about having either of these 2 devices. METHODS: As part of a larger study, we asked patients about certain catheter-related complications at the time of catheter placement and on days 14, 30, and 70 (PICCs only). In this larger project, we performed a structured assessment that included an open-ended question about other comments (initial interview) or problems (follow-up interview) associated with the device. For the current study, we conducted a descriptive analysis of these open-ended comments, classifying them as positive, negative, or neutral. RESULTS: Positive comments about urinary catheters accounted for 9 of 147 comments (6%), whereas positive comments about PICCs accounted for 10 of 100 comments (10%). Positive comments for both catheter types were mostly related to convenience. More than 80% of comments about both types of devices were negative and fell into the following areas: catheter malfunction; pain, irritation, or discomfort; interference with activities of daily living; provider error; and other. CONCLUSIONS: Our findings underscore the need to optimize the patient experience with placement, ongoing use, and removal of urinary catheters and PICCs.