Catheter-Associated Urinary Tract Infections among Trauma Patients: Poor Quality of Care or Marker of Effective Rescue?
| Autor: | Christopher W. Towe, Husayn A Ladhani, Esther S. Tseng, Jeffrey A. Claridge, Vanessa P. Ho |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Microbiology (medical) medicine.medical_specialty Catheters Surgical Infection Society Articles Hospitalized patients Urinary system Poor quality 03 medical and health sciences 0302 clinical medicine Trauma Centers Internal medicine Humans Medicine 030212 general & internal medicine Quality of Health Care Catheter-associated urinary tract infection Cross Infection 0303 health sciences 030306 microbiology business.industry Trauma quality improvement program Quality Improvement Catheter Infectious Diseases Catheter-Related Infections Urinary Tract Infections Wounds and Injuries Female Surgery Urinary Catheterization business |
| Zdroj: | Surg Infect (Larchmt) |
| ISSN: | 1557-8674 1096-2964 |
| Popis: | Background: Catheter-associated urinary tract infection (CAUTI) is associated generally with worse outcomes among hospitalized patients, but the impact of CAUTI on clinical outcomes is poorly described in trauma patients. We hypothesized that trauma patients with CAUTI would have worse outcomes such as longer length of stay (LOS), fewer discharges to home, and higher outcome of death. Methods: Patients with LOS >2 d in the 2016 Trauma Quality Improvement Program (TQIP) database were included. Patients with and without CAUTI were matched 1:1 via a propensity score using patient, injury, and hospital factors as covariates. Matched pair analysis was performed to compare difference in clinical outcomes between patients with and without CAUTI. Results: There were 238,274 patients identified, of whom 0.7% had a diagnosis of CAUTI. Prior to matching, CAUTI patients had a higher mortality rate (6.6% vs. 3.4%, p |
| Databáze: | OpenAIRE |
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