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 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.
Division of Infectious Diseases,Washington University School of Medicine,St Louis, MO,USA.
J F
JF
Echaiz
Division of Infectious Diseases,Washington University School of Medicine,St Louis, MO,USA.
J P
JP
Henderson
Division of Infectious Diseases,Washington University School of Medicine,St Louis, MO,USA.
D K
DK
Warren
Division of Infectious Diseases,Washington University School of Medicine,St Louis, MO,USA.
J
J
Marschall
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016470:Bacteremia / Q000175:diagnosis / Q000453:epidemiology / Q000401:mortality; D004926:Escherichia coli; D004927:Escherichia coli Infections / Q000175:diagnosis* / Q000453:epidemiology* / Q000401:mortality; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D008875:Middle Aged; D008923:Missouri / Q000453:epidemiology; D015999:Multivariate Analysis; D010343:Patient Admission / Q000706:statistics & numerical data*; D011379:Prognosis; D011446:Prospective Studies; D013997:Time Factors; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology / Q000401:mortality; D055815:Young Adult