Skip to main content

ORIGINAL RESEARCH article

Front. Neurol.
Sec. Neurocritical and Neurohospitalist Care
Volume 15 - 2024 | doi: 10.3389/fneur.2024.1435097
This article is part of the Research Topic Bridging The Gap of Unmet Need in Stroke Care in Developing Countries View all 9 articles

Development and Validation of a Nomogram to Predict Acute Postoperative Urinary Retention in Ischemic Stroke Patients Following Femoral Artery Puncture

Provisionally accepted
Minfang Zhu Minfang Zhu 1*Weibin Zhang Weibin Zhang 2Anqi Lyu Anqi Lyu 3Juanbi Gao Juanbi Gao 1
  • 1 Department of Neurology, Jiangmen Central Hospital, Jiangmen, Guangdong, China
  • 2 Department of Pathology, Jiangmen Central Hospital, Jiangmen, Guangdong, China
  • 3 Department of Nursing, Jiangmen Central Hospital, Jiangmen, Guangdong, China

The final, formatted version of the article will be published soon.

    Background: Acute postoperative urinary retention (POUR) is a common complication in patients with ischemic stroke following femoral artery puncture (FAP), leading to discomfort, delayed hospital discharge, and increased patient morbidity. The relevant risk factors are unclear; thus, a predictive tool is required to guide treatment decisions. Objective: To develop and validate a nomogram to predict acute POUR in patients with ischemic stroke following FAP. Methods: We retrospectively collected cases from 1729 patients with ischemic stroke from the electronic record system of Jiangmen Central Hospital from January 2021 to December 2023. A total of 731 patients were randomly divided into development (n = 511, 70%) and validation (n = 220, 30%) groups. Univariate and multivariate logistic regression analyses with backward stepwise regression were used to select the predictive variables, and a nomogram was developed. The discrimination was evaluated based on the area under the curve (AUC). Calibration was assessed using calibration plots and the Hosmer–Lemeshow test. Clinical applications were evaluated using decision curve analysis (DCA). Results: The incidence of acute POUR was 12.72%. Preoperative statin use within 24 h, operation type, intraoperative infusion, postoperative water intake within 3 h, postoperative pain, and postoperative anxiety were included in the nomogram. The AUC values were 0.764 (95% confidence interval (CI): 0.705–0.825) in the development group and 0.741 (95% CI: 0.615–0.856) in the validation group. The calibration plots showed good calibration. The p values in the Hosmer–Lemeshow tests were 0.962 and 0.315 for the development and validation groups, respectively. The DCA showed that patients could benefit from this nomogram. Conclusion: A nomogram was developed to successfully predict acute POUR in patients with ischemic stroke following FAP. This nomogram is a convenient and effective tool for clinicians to aid in the prevention and early intervention of acute POUR.

    Keywords: acute postoperative urinary retention, ischemic stroke, Femoral artery puncture, nomogram, Risk factors 1

    Received: 21 May 2024; Accepted: 20 Sep 2024.

    Copyright: © 2024 Zhu, Zhang, Lyu and Gao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Minfang Zhu, Department of Neurology, Jiangmen Central Hospital, Jiangmen, 529030, Guangdong, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.