BMJ  2007;335:1199-1202 (8 December), doi:10.1136/bmj.39377.617269.55 (published 8 November 2007)

Research

Mortality in men admitted to hospital with acute urinary retention: database analysis

¹ Clinical Effectiveness Unit, Royal College of Surgeons of England, London WC2A 3PE, ² Health Services Research Unit, London School of Hygiene and Tropical Medicine , ³ Division of Surgery and Interventional Science, University College Hospital, London NW1 2BU

Objectives To investigate mortality in men admitted to hospital with acute urinary retention and to report on the effects of comorbidity on mortality.

Design Analysis of the hospital episode statistics database linked to the mortality database of the Office for National Statistics.

Setting NHS hospital trusts in England, 1998-2005.

Participants All men aged over 45 who were admitted to NHS hospitals in England with a first episode of acute urinary retention.

Main outcome measures Mortality in the first year after acute urinary retention and standardised mortality ratio against the general population.

Results During the study period, 176 046 men aged over 45 were admitted to hospital with a first episode of acute urinary retention. In 100 067 men with spontaneous acute urinary retention, the one year mortality was 4.1% in men aged 45-54 and 32.8% in those aged 85 and over. In 75 979 men with precipitated acute urinary retention, mortality was 9.5% and 45.4%, respectively. In men with spontaneous acute urinary retention aged 75-84, the most prevalent age group, the one year mortality was 12.5% in men without comorbidity and 28.8% in men with comorbidity. The corresponding figures for men with precipitated acute urinary retention were 18.1% and 40.5%. Compared with the general population, the highest relative increase in mortality was in men aged 45-54 (standardised mortality ratio 10.0 for spontaneous and 23.6 for precipitated acute urinary retention) and the lowest for men 85 and over (1.7 and 2.4, respectively).

Conclusions Mortality in men admitted to hospital with acute urinary retention is high and increases strongly with age and comorbidity. Patients might benefit from multi-disciplinary care to identify and treat comorbid conditions.

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This article has been cited by other articles:

• Verhamme, K. M C, Sturkenboom, M. C J M (2007). Mortality in men admitted to hospital with acute urinary retention. BMJ 335: 1164-1165 [Full text]  

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