Descriptive epidemiology and outcomes of emergency department visits with complicated urinary tract infections in the United States, 2016-2018. (Record no. 657)

MARC details
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fixed length control field 03058nam a22003857a 4500
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fixed length control field 220511s20222022 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2688-1152
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1002/emp2.12694 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code EMP212694 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC8931190 [pmc]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 35342898
245 ## - TITLE STATEMENT
Title Descriptive epidemiology and outcomes of emergency department visits with complicated urinary tract infections in the United States, 2016-2018.
251 ## - Source
Source Journal of the American College of Emergency Physicians open. 3(2):e12694, 2022 Apr.
252 ## - Abbreviated Source
Abbreviated source J Am Coll Emerg Physicians Open. 3(2):e12694, 2022 Apr.
253 ## - Journal Name
Journal name Journal of the American College of Emergency Physicians open
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2022 Apr
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
266 ## - Date added to catalog
Date added to catalog 2022-05-11
520 ## - SUMMARY, ETC.
Abstract Conclusion: There were over 2 million ED visits with cUTI in 2016-2018. Although <10% met criteria for severe sepsis/septic shock, two thirds were admitted. The aggregate cost for cUTI visits rose by 15% without a substantial increase in volume. Copyright © 2022 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.
520 ## - SUMMARY, ETC.
Abstract Methods: We conducted a cross-sectional multicenter study within the National Emergency Department database, a 20% stratified sample of all US hospital-based EDs, 2016-2018, to explore characteristics of visits with a cUTI. We compared cUTI as the principal (PD) versus secondary diagnosis (non-PD). We applied survey methods to develop national estimates.
520 ## - SUMMARY, ETC.
Abstract Objective: There are >1 million emergency department visits and 100,000 admissions with urinary tract infection (UTI) annually in the United States. A fraction of total UTI volume, complicated (cUTI) costs the health care system over
Materials specified .5 billion per year. We evaluated the contemporary annual burden of emergency department (ED) visits with cUTI.
520 ## - SUMMARY, ETC.
Abstract Results: Among 2,379,448 ED cUTI visits (44.8% PD), 40.1% were female (45.1% PD; 36.9% non-PD) and 62.2% were >= 65 years (52.5% PD; 70.2% non-PD). Mean Charlson score was 2.3 (3.0 PD; 2.1 non-PD); end-stage renal disease prevalence was 2.3% (1.4% PD; 3.0% non-PD). Whereas pyelonephritis occurred in 10% of both groups, severe sepsis (7.2% vs 2.0%) and septic shock (7.1% vs 1.8%) were 4 times more prevalent among those with cUTI-non-PD than cUTI-PD. Overall, two thirds of all visits ended in hospitalization (44.9% PD; 85.5% non-PD). Despite similar numbers of visits, the annual national ED bill for cUTI rose from
Source .8 billion in 2016 to
Materials specified .2 billion in 2018.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Medicine/Pulmonary-Critical Care
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
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Local Authors Shorr, Andrew F
790 ## - Authors
All authors Nathanson BH, Shorr AF, Sulham K, Zilberberg MD
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1002/emp2.12694">https://dx.doi.org/10.1002/emp2.12694</a>
Public note https://dx.doi.org/10.1002/emp2.12694
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 05/11/2022   35342898 35342898 05/11/2022 05/11/2022 Journal Article

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