MP25-17 DOES ROUTINE REPEAT IMAGING CHANGE MANAGEMENT IN HIGH-GRADE RENAL TRAUMA? RESULTS FROM A LEVEL 1 TRAUMA CENTER

catheter presence was 5.5 (interquartile range: 2-11) days.86% of the catheters were introduced during hospitalization.The common indications for catheter insertion were urine output monitoring (58%), post-surgical status (20%) and urinary retention (14%).In a univariate model including postulated risk factors, a longer duration of catheter presence (p¼0.001),patient immobility (p¼0.025),internal ward hospitalization (p¼0.045) and other skin ulcers (p¼0.008) were all predictors of meatal and urethral damage, while catheter fixation (p¼0.041) and a post-operative indication (p¼0.037) were associated with reduced meatal and urethral damage.In a multivariate analysis, duration of catheter presence (p¼0.017) and lack of catheter fixation (p¼0.006) were significantly associated with meatal damage, with a trend for other skin ulcers (p¼0.052).CONCLUSIONS: Meatal damage is a common, preventable complication of indwelling catheters in males.Catheter fixation may have a preventative effect on this phenomenon.Longitudinal studies are needed to establish evidence-based guidelines on this matter.