000			03095nam a22003737a 4500
008			220221s20222022 xxu||||| |||| 00| 0 eng d
024			_a10.1093/ofid/ofab591 [doi]
024			_aofab591 [pii]
024			_aPMC8754377 [pmc]
040			_aOvid MEDLINE(R)
099			_a35036460
245			_aDescriptive Epidemiology and Outcomes of Hospitalizations With Complicated Urinary Tract Infections in the United States, 2018.
251			_aOpen Forum Infectious Diseases. 9(1):ofab591, 2022 Jan.
252			_aOpen forum infect. dis.. 9(1):ofab591, 2022 Jan.
253			_aOpen forum infectious diseases
260			_c2022
260			_fFY2022
260			_p2022 Jan
265			_sepublish
266			_d2022-02-21
520			_aBackground: Hospitalizations with complicated urinary tract infection (cUTI) in the United States have increased. Though most often studied as a subset of cUTI, catheter-associated UTI (CAUTI) afflicts a different population of patients and carries outcomes distinct from non-CA cUTI (nCAcUTI). We examined the epidemiology and outcomes of hospitalizations in these groups.
520			_aConclusions: There are >626 000 hospital admissions with a cUTI, comprising ~1.8% of all annual admissions in the United States; 4/5 are nCAcUTI. Because CAUTI is frequently the reason for admission, preventive efforts are needed beyond the acute care setting. Copyright (c) The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America.
520			_aMethods: We conducted a cross-sectional multicenter study within the 2018 National Inpatient Sample (NIS) database, a 20% stratified sample of discharges from US community hospitals, to explore characteristics and outcomes of patients discharged with a UTI diagnosis. We divided cUTI into mutually exclusive categories of nCAcUTI and CAUTI. We applied survey methods to develop national estimates.
520			_aResults: Among 2 837 385 discharges with a UTI code, 500 400 (17.6%, 19.8% principal diagnosis [PD]) were nCAcUTI and 126 120 (4.4%, 63.8% PD) were CAUTI. Though similar in age (CAUTI, 70.1 years; and nCAcUTI, 69.7 years), patients with nCAcUTI had lower comorbidity (mean Charlson, 4.3) than those with CAUTI (mean Charlson, 4.6). Median (interquartile range [IQR]) length of stay (LOS) was 5 (3-8) days in nCAcUTI and 5 (3-9) days in CAUTI. Overall median (IQR) hospital costs were similar in nCAcUTI ( _9713 [ _5923- _17 423]) and CAUTI ( _9711 [ _5969- _17 420]). Though low in both groups, hospital mortality was lower in nCAcUTI (2.8%) than in CAUTI (3.4%). Routine discharges home were higher in nCAcUTI (41.5%) than CAUTI (22.1%).
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/10.1093/ofid/ofab591 _zhttps://dx.doi.org/10.1093/ofid/ofab591
942			_cART _dArticle
999			_c880 _d880