Morbidity and Economic Burden of Catheterised Patients on TURP Waiting List
BAUS ePoster online library. Mageean M. Jun 25, 2019; 259587; P9-10
Ms. Maire Mageean
Ms. Maire Mageean
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Abstract
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Patients who are on the waiting list for TURP with a catheter in situ encounter a number of issues whilst awaiting surgery. Data collected found that the longest waiter was 765 days, which lies well outside target. We have calculated the cost of a TURP to be £4224 and compared this to the economic burden of catheter associated issues, to see if there is benefit to operating earlier.
The patients on the TURP waiting list with a catheter in situ were included in the Audit.

A 'morbidity' included any ED attendance which required intervention for catheter problems, such as catheter change, UTI, bleeding, and blockage. We also included any Inpatient admissions as a result of catheter associated problems. It is estimated that 55% of patients on the waiting list attended ED. Furthermore, 45% of patients required an Inpatient admission. The cost of ED attendances was calculated to be £9676 and inpatient admissions totalled £30,440.

This data supports one of the recommendations included in the 'Getting It Right First Time' campaign. There is definite room for improvement both economically and also to improve the quality of life of the patients under our care.
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