Table 1.
Characteristics of 320 Patients with Hospital-Acquired Urinary Tract-Related Bloodstream Infection, 2000–2008
| Characteristic | Total n=320 |
|---|---|
| Age, mean (range) | 58.1 (21–92) |
| Age, mean (range) – expired | 56.9 (21–88) |
| Age, mean (range) – survived | 58.7 (21–92) |
| Gender | |
| Male | 177 (55.3%) |
| Female | 143 (44.7%) |
| Race | |
| Caucasian | 257 (80.3%) |
| African American | 35 (10.9%) |
| Unknown/Other | 28 (8.8%) |
| Length of Stay - days | |
| Mean | 40.6 |
| Median | 30.0 |
| Range | 4–251 |
| Admitting Source | |
| Emergency department | 122 (38.1%) |
| Home | 81 (25.3%) |
| Clinic admit (n=41) | |
| Admit from home (n=39) | |
| From observation (n=1) | |
| Transfer from another acute-care hospital | 54 (16.9%) |
| From outpatient procedure/day of procedure | 51 (15.9%) |
| Other/Unknown┼ | 12 (3.8%) |
| Insurance | |
| Commercial | 158 (49.4%) |
| Medicare | 134 (41.9%) |
| Medicaid | 21 (6.6%) |
| Other | 7 (2.2%) |
| Discharge Disposition | |
| Home | 107 (33.4%) |
| Home – order for home health service (n=75) | |
| Home – self-care (n=32) | |
| Expired | 105 (32.8%) |
| Transfer | 95 (29.7%) |
| Transfer – skilled nursing facility (n=44) | |
| Transfer – other facility (n=6) | |
| Transfer – short term acute facility (n=12) | |
| Transfer – another rehab facility (n=25) | |
| Transfer – long term care facility (n=8) | |
| Hospice | 13 (4.1%) |
| Profile of co-morbidities* (All diagnoses, primary or secondary) | |
| Surgery | 268 (84.1%) |
| Renal Failure and/or Renal Disease | 166 (51.9%) |
| Malignancy | 131 (40.9%) |
| Diabetes | 74 (23.1%) |
| Neutropenia | 69 (21.6%) |
| Transplant | 67 (20.9%) |
| Liver Disease | 57 (17.8%) |
| Benign Prostatic Hypertrophy | 11 (3.4%) |
Includes Transfer from other facility, DPU=distinct part unit (rehab unit/psych unit) (separate admission), transfer from correctional facility and unknown/missing
Defined using a two-step process: 1) by the presence/absence of any of the ICD-9 codes used to categorize each Elixhauser category and 2) additional ICD-9 codes as selected by the investigator team. Categories are according to comorbidity software version 3.3 found on the Healthcare Cost and Utilization Project (HCUP) website: http://www.hcup-us.ahrq.gov/toolssoftware/comorbidity/comorbidity.jsp#download.
Neutropenia as defined by laboratory values (neutrophil count ≤ 500).
Transplant as defined by the presence of ICD9 codes 996.0, 996.8, E878.0, V42.0, V42.1, V42.2, V42.7, V42.81, V42.82 and V42.83.
BPH as defined the presence of ICD-9 codes 600–600.9.