SHORT REPORT: Weekend diagnosis of Escherichia coli urinary tract infection does not predict poor outcome
It has been suggested that mortality is higher in patients admitted to hospitals during the weekend. The objective of this study was to compare outcomes in patients with E. coli urinary tract infection (UTI) depending on the hospital admission day. For this purpose, a secondary analysis of data from...
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Veröffentlicht in: | Epidemiology and infection 2014-07, Vol.142 (7), p.1422-1424 |
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creator | ECHAIZ, J. F. HENDERSON, J. P. WARREN, D. K. MARSCHALL, J. |
description | It has been suggested that mortality is higher in patients admitted to hospitals during the weekend. The objective of this study was to compare outcomes in patients with E. coli urinary tract infection (UTI) depending on the hospital admission day. For this purpose, a secondary analysis of data from a prospective cohort of patients with E. coli UTI was conducted. Weekend diagnosis of UTI was not associated with higher mortality. However, mortality was associated with sepsis, sepsis-induced hypotension and intensive care unit (ICU) admission. Sepsis-induced hypotension and ICU admission were independent determinants of mortality. The results indicate that indicators of severity of illness are associated with higher mortality in patients with UTI rather than the time of diagnosis. |
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The results indicate that indicators of severity of illness are associated with higher mortality in patients with UTI rather than the time of diagnosis.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><language>eng</language><publisher>Cambridge University Press</publisher><subject>Antibiotics ; Escherichia coli ; Health outcomes ; Hospital admissions ; Hypotension ; Infectious diseases ; Intensive care units ; Mortality rates ; Other gastrointestinal ; Sepsis ; Urinary tract infections</subject><ispartof>Epidemiology and infection, 2014-07, Vol.142 (7), p.1422-1424</ispartof><rights>Cambridge University Press 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/24477032$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/24477032$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,57992,58225</link.rule.ids></links><search><creatorcontrib>ECHAIZ, J. 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The results indicate that indicators of severity of illness are associated with higher mortality in patients with UTI rather than the time of diagnosis.</description><subject>Antibiotics</subject><subject>Escherichia coli</subject><subject>Health outcomes</subject><subject>Hospital admissions</subject><subject>Hypotension</subject><subject>Infectious diseases</subject><subject>Intensive care units</subject><subject>Mortality rates</subject><subject>Other gastrointestinal</subject><subject>Sepsis</subject><subject>Urinary tract infections</subject><issn>0950-2688</issn><issn>1469-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNqFzLsKwjAUgOEgCtbLIwjnBQqxxl5cpeKmaMFRQnpqj5ecksTBt7eDu9M_fPAPRLRUaRErJYuhiGSxlnGS5vlYTLy_SymLJM8iQef94VTBqTz22cAF8YG2hpr0zbInD9xA6U2LjkxLGgw_Cd6OrHYfCE6bAGQbNIHYQs3owXKAzmFNPXXMDvgdDL9wJkaNfnqc_zoVi11Zbffx3Qd2187Rq39eE6WyTK6S1T__Arq8RIM</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>ECHAIZ, J. 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K.</creatorcontrib><creatorcontrib>MARSCHALL, J.</creatorcontrib><jtitle>Epidemiology and infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ECHAIZ, J. F.</au><au>HENDERSON, J. P.</au><au>WARREN, D. K.</au><au>MARSCHALL, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SHORT REPORT: Weekend diagnosis of Escherichia coli urinary tract infection does not predict poor outcome</atitle><jtitle>Epidemiology and infection</jtitle><date>2014-07-01</date><risdate>2014</risdate><volume>142</volume><issue>7</issue><spage>1422</spage><epage>1424</epage><pages>1422-1424</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><abstract>It has been suggested that mortality is higher in patients admitted to hospitals during the weekend. The objective of this study was to compare outcomes in patients with E. coli urinary tract infection (UTI) depending on the hospital admission day. For this purpose, a secondary analysis of data from a prospective cohort of patients with E. coli UTI was conducted. Weekend diagnosis of UTI was not associated with higher mortality. However, mortality was associated with sepsis, sepsis-induced hypotension and intensive care unit (ICU) admission. Sepsis-induced hypotension and ICU admission were independent determinants of mortality. The results indicate that indicators of severity of illness are associated with higher mortality in patients with UTI rather than the time of diagnosis.</abstract><pub>Cambridge University Press</pub></addata></record> |
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source | Jstor Complete Legacy; PubMed Central |
subjects | Antibiotics Escherichia coli Health outcomes Hospital admissions Hypotension Infectious diseases Intensive care units Mortality rates Other gastrointestinal Sepsis Urinary tract infections |
title | SHORT REPORT: Weekend diagnosis of Escherichia coli urinary tract infection does not predict poor outcome |
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