周末诊断出大肠杆菌尿路感染并不能预测预后不良。
Weekend diagnosis of Escherichia coli urinary tract infection does not predict poor outcome.
作者信息
Echaiz J F, Henderson J P, Warren D K, Marschall J
机构信息
Division of Infectious Diseases,Washington University School of Medicine,St Louis, MO,USA.
出版信息
Epidemiol Infect. 2014 Jul;142(7):1422-4. doi: 10.1017/S095026881300229X. Epub 2013 Sep 23.
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.
有人认为，周末入院的患者死亡率更高。本研究的目的是比较因医院入院日期不同的大肠杆菌尿路感染（UTI）患者的预后。为此，对一组大肠杆菌UTI患者的前瞻性队列数据进行了二次分析。UTI的周末诊断与较高的死亡率无关。然而，死亡率与脓毒症、脓毒症诱发的低血压和重症监护病房（ICU）入院有关。脓毒症诱发的低血压和ICU入院是死亡率的独立决定因素。结果表明，疾病严重程度指标与UTI患者较高的死亡率相关，而非诊断时间。
Zotero 插件