Urine Output Monitoring Shows Better Outcomes, Better Data for COVID-19 Frontline Workers - Case study

Clinical Case Study: Grady Health, Atlanta, GA.

A Case study, utilizing a novel remote monitoring tablet, directly connected to the Accuryn Monitoring System.

Background:

There are an estimated 300,000 deaths from acute kidney injury (AKI) annually in the U.S.1

A mountain of growing clinical literature has shown that hourly urine output (UO) monitoring may lead to earlier recognition of AKI and better fluid management, thus improving outcomes.2

However, there are multiple obstacles preventing nurses from getting timely readings as well as increased risk to patient care.

THE COVID ICU MONITORING CHALLENGE:

In the COVID-19 ICU setting, it is even more difficult. PPE requirements and patient instability create a chaotic environment for the nurses to record timely urine output for a meaningful fluid balance status. This is because:

• Standard Foley drainage systems have a long history of failing to adequately drain the bladder as well as pose other risks to patients.
• Airlocks and dependent loops trap urine in the catheter, causing inaccurate readings. When nurses “milk” the Foley to move urine into the drainage bag, there is an increased risk of unsterile urine flowing back into the bladder and causing Catheter-Associated Urinary Tract Infection (CAUTI).3

Better Data, Better Outcomes

The Accuryn Monitoring System® overcomes airlocks in Foley catheters and drains the bladder for continuous and automated UO measurements.

By moving urine within a closed loop ventilation circuit, Accuryn removes airlocks to automate urine output. Data is then transmitted to AccuTab, a remote tablet located outside the room.

AccuTab greatly decreases the exposure risk to the staff, decreases the burden of PPE resource utilization and saves precious time. Compared to other urine monitors, Accuryn’s automated drainage provided more accurate and continuous data.4