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Epidemiol Infect ; 142(7): 1422-4, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24059687

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.


Subject(s)
Escherichia coli Infections/diagnosis , Escherichia coli Infections/epidemiology , Patient Admission/statistics & numerical data , Urinary Tract Infections/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Bacteremia/diagnosis , Bacteremia/epidemiology , Bacteremia/mortality , Escherichia coli , Escherichia coli Infections/mortality , Humans , Intensive Care Units/statistics & numerical data , Middle Aged , Missouri/epidemiology , Multivariate Analysis , Prognosis , Prospective Studies , Time Factors , Urinary Tract Infections/diagnosis , Urinary Tract Infections/microbiology , Urinary Tract Infections/mortality , Young Adult
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