Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
J Chin Med Assoc. 2019 May;82(5):401-406. doi: 10.1097/JCMA.0000000000000040.
Urinary tract infection (UTI) is the most frequent complication in patients who have spinal cord injury (SCI). The occurrence rate of UTI in this type of hospitalized patients was correlated to seasonality, age, and gender.
Patients hospitalized during the 4-year study period with underlying SCI were identified from Taiwan's National Health Insurance Research Database. Patients with a discharge diagnosis of UTI were identified as those with SCI and UTI; they were divided into the following four age groups: <18 years, 18 to 44 years, 45 to 64 years, and ≥65 years. The gender, monthly number of cases, major complication rate, seasonal differences, and odds ratios (ORs) of associated factors were analyzed.
Data of 30 149 hospitalized patients diagnosed with SCI were retrieved. SCI and UTI were diagnosed in 3405 (11.3%) patients, of them 2296 were males (67.4%) and 1109 were females (32.6%). The UTI occurrence rate in hospitalized SCI patients was higher in males (11.8%) than in females (10.4%) (OR: 1.24; 95% CI: 1.15-1.34); it was highest in the ≥65-year-old age group (12.8%) and lowest in the <18-year-old age group (5.8%) (OR: 2.51; 95% CI: 1.83-3.44). The UTI occurrence rate varied from 7% to 18%, and it was highest in the summer (13.0% ± 2.6%) and lowest in the winter (10.2% ± 1.9%) (OR: 1.27; 95% CI: 1.15-1.40). Acute pyelonephritis was the most common complication in SCI and UTI cases.
The mean occurrence rate of UTI in hospitalized SCI patients was 11.3%; it was higher in males, in patients aged ≥65 years, and in the summer. Therefore, physicians should pay attention to the occurrence of UTI in aged male patients with SCI, especially in the summer.
尿路感染（UTI）是脊髓损伤（SCI）患者最常见的并发症。此类住院患者 UTI 的发生率与季节性、年龄和性别有关。
从台湾全民健康保险研究数据库中确定了在 4 年研究期间住院的 SCI 患者。具有 UTI 出院诊断的患者被确定为患有 SCI 和 UTI；他们被分为以下四个年龄组：<18 岁、18-44 岁、45-64 岁和≥65 岁。分析了性别、每月病例数、主要并发症发生率、季节性差异和相关因素的比值比（OR）。
共检索到 30149 例住院 SCI 患者的数据。在 3405 例（11.3%）患者中诊断出 SCI 和 UTI，其中 2296 例为男性（67.4%），1109 例为女性（32.6%）。住院 SCI 患者的 UTI 发生率男性（11.8%）高于女性（10.4%）（OR：1.24；95%CI：1.15-1.34）；≥65 岁年龄组最高（12.8%），<18 岁年龄组最低（5.8%）（OR：2.51；95%CI：1.83-3.44）。UTI 的发生率在 7%到 18%之间，夏季最高（13.0%±2.6%），冬季最低（10.2%±1.9%）（OR：1.27；95%CI：1.15-1.40）。急性肾盂肾炎是 SCI 和 UTI 病例中最常见的并发症。
住院 SCI 患者 UTI 的平均发生率为 11.3%；男性、≥65 岁和夏季较高。因此，医生应注意老年男性 SCI 患者 UTI 的发生，尤其是夏季。
