title: Risk factors for a complicated clinical course among women hospitalized with pelvic inflammatory disease.
abstract: The aim of this study was to identify factors ascertainable at initial presentation that predict a complicated clinical course in HIV-negative women hospitalized with pelvic inflammatory disease (PID). We used data from a cross-sectional study of women admitted for clinically diagnosed PID to a public hospital in New York City. A complicated clinical course was defined as undergoing surgery, being readmitted for PID, or having a prolonged hospital stay (> or = 14 days) but no surgery. Logistic regression was used to identify independent predictors of complications. In adjusted analyses, older age (> or = 35 years) was a risk factor for prolonged hospital stay (adjusted odds ratio [OR] = 3.9; 95% confidence interval [CI] = 1.3-11.6) and surgery (OR = 10.4; CI = 2.5-44.1); self-reported drug use was a risk factor for readmission for PID (OR = 7.7; CI = 1.4-41.1) and surgery (OR = 6.2; CI = 1.8-20.5). Older age and self-reported drug use appear to be independent risk factors for a complicated clinical course among women hospitalized with PID.
authors.affiliation: Epidemic Intelligence Service, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. djj0@cdc.gov
authors.forename: D J
authors.initials: DJ
authors.lastname: Jamieson
authors.forename: A
authors.initials: A
authors.lastname: Duerr
authors.forename: M A
authors.initials: MA
authors.lastname: Macasaet
authors.forename: H B
authors.initials: HB
authors.lastname: Peterson
authors.forename: S D
authors.initials: SD
authors.lastname: Hillis
mesh_terms: D000293:Adolescent; D000328:Adult; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D018023:HIV Seronegativity; D006760:Hospitalization / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007902:Length of Stay; D008875:Middle Aged; D016017:Odds Ratio; D000292:Pelvic Inflammatory Disease / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D011237:Predictive Value of Tests; D011379:Prognosis; D012307:Risk Factors; D012720:Severity of Illness Index; D014481:United States / Q000453:epidemiology