536 The Pump Ball Catheter Drainage Bag Pilot Study for Acute Management of Visible Haematuria/Clot Retention

Abstract

Abstract Aim Visible haematuria (VH) is a common finding on the urology ward. The high frequency of catheter blockages by clots presents a burden due to the need for bladder washes and irrigation. The pump-ball catheter drainage bag (PBCB) is designed to allow using a hand pump to dislodge blood clots through suctioning a closed system. The aim of the study was to assess the effectiveness of this device for patients with VH. Secondarily, to assess the cost effectiveness and environmental impact of the PBCB. Method A mixed quantitative and qualitative approach. In the qualitative arm, effectiveness was assessed through an anonymous questionnaire circulated to the urology multidisciplinary team. For the quantitative arm, a control group who used the standard urine bag and an intervention group who used the PBCB were identified. Data was accumulated retrospectively and prospectively from Electronic Patient Records, then compared statistically. Results The questionnaire received 26 responses. Overall, suggesting that the PBCB was faster when dislodging clots and helped to avoid bladder washouts. Of the 63 patients admitted with haematuria, 38 patients were taken as control, and 25 used the PBCB. The average number of bladder washouts decreased in the PBCB cohort when compared to the control, 1.68 and 2.28 respectively, which was statistically significant using chi-squared (p=0.011). We demonstrated an average saving of £3.38 per patient per inpatient stay using the PBCB. Conclusions Overall, the PBCB is a quick and effective tool to manage catheter blockages in patients with VH. It also reduces costs and has a beneficial environmental profile.