000			03058nam a22003857a 4500
008			220511s20222022 xxu||||| |||| 00| 0 eng d
022			_a2688-1152
024			_a10.1002/emp2.12694 [doi]
024			_aEMP212694 [pii]
024			_aPMC8931190 [pmc]
040			_aOvid MEDLINE(R)
099			_a35342898
245			_aDescriptive epidemiology and outcomes of emergency department visits with complicated urinary tract infections in the United States, 2016-2018.
251			_aJournal of the American College of Emergency Physicians open. 3(2):e12694, 2022 Apr.
252			_aJ Am Coll Emerg Physicians Open. 3(2):e12694, 2022 Apr.
253			_aJournal of the American College of Emergency Physicians open
260			_c2022
260			_fFY2022
260			_p2022 Apr
265			_sepublish
266			_d2022-05-11
520			_aConclusion: 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			_aMethods: 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			_aObjective: 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 _3.5 billion per year. We evaluated the contemporary annual burden of emergency department (ED) visits with cUTI.
520			_aResults: 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 _2.8 billion in 2016 to _3.2 billion in 2018.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Washington Hospital Center
656			_aMedicine/Pulmonary-Critical Care
657			_aJournal Article
700			_aShorr, Andrew F
790			_aNathanson BH, Shorr AF, Sulham K, Zilberberg MD
856			_uhttps://dx.doi.org/10.1002/emp2.12694 _zhttps://dx.doi.org/10.1002/emp2.12694
942			_cART _dArticle
999			_c657 _d657