Table 5.
Pooled means and key percentiles of the distribution of urinary catheter-associated UTI rates and urinary catheter utilization ratios, by type of location, Acute Care Hospitals, DA module, 2013
| Urinary catheter-associated UTI rate* | Percentile | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Type of Acute Care Hospital Location | No. of locations† | No. of CAUTI | Urinary catheter-days | Pooled mean | 10% | 25% | 50% (median) | 75% | 90% |
| Critical care units | |||||||||
| Burn | 70 (69) | 369 | 76,619 | 4.8 | 0.0 | 1.8 | 3.6 | 7.3 | 10.4 |
| Medical | |||||||||
| -Major teaching | 248 | 2,696 | 775,684 | 3.5 | 0.9 | 1.7 | 2.9 | 4.8 | 6.0 |
| Medical | |||||||||
| -All other | 453 (449) | 1,703 | 833,658 | 2.0 | 0.0 | 0.0 | 1.2 | 2.6 | 3.9 |
| Medical cardiac | 384 (382) | 1,494 | 658,345 | 2.3 | 0.0 | 0.7 | 1.9 | 3.4 | 4.9 |
| Medical/Surgical | |||||||||
| -Major teaching | 358 (356) | 2,577 | 967,282 | 2.7 | 0.0 | 1.0 | 2.2 | 3.5 | 5.1 |
| Medical/Surgical | |||||||||
| -All other, ≤15 beds | 1,645 (1,619) | 2,429 | 1,910,118 | 1.3 | 0.0 | 0.0 | 0.4 | 1.7 | 3.1 |
| Medical/Surgical | |||||||||
| -All other, >15 beds | 804 | 4,666 | 2,758,180 | 1.7 | 0.0 | 0.6 | 1.4 | 2.3 | 3.4 |
| Neurologic | 58 (57) | 530 | 117,424 | 4.5 | 0.0 | 1.7 | 4.0 | 6.0 | 7.8 |
| Neurosurgical | 180 (178) | 2,482 | 470,403 | 5.3 | 1.8 | 3.1 | 4.4 | 6.7 | 9.1 |
| Pediatric cardiothoracic | 38 (36) | 39 | 33,545 | 1.2 | 0.0 | 0.0 | 0.5 | 1.6 | 2.3 |
| Pediatric medical | 30 (21) | 30 | 8,891 | 3.4 | 0.0 | 0.0 | 0.0 | 5.0 | 9.8 |
| Pediatric medical/surgical | 297 (261) | 402 | 162,875 | 2.5 | 0.0 | 0.0 | 1.4 | 3.6 | 5.7 |
| Pediatric surgical | 5 (4) | 0 | 1,475 | 0.0 | |||||
| Prenatal | 6 (5) | 0 | 1,150 | 0.0 | |||||
| Respiratory | 6 | 34 | 15,836 | 2.1 | |||||
| Surgical | |||||||||
| -Major teaching | 192 | 1,989 | 580,420 | 3.4 | 0.7 | 1.6 | 3.0 | 4.6 | 5.9 |
| Surgical | |||||||||
| -All other | 189 | 912 | 445,830 | 2.0 | 0.0 | 0.5 | 1.6 | 3.0 | 4.4 |
| Surgical cardiothoracic | 453 (452) | 1,715 | 942,852 | 1.8 | 0.0 | 0.7 | 1.5 | 2.4 | 3.4 |
| Trauma | 147 | 1,996 | 460,280 | 4.3 | 0.9 | 2.4 | 4.1 | 5.6 | 7.1 |
| Oncology Units | |||||||||
| Oncology critical care‡ | 18 | 57 | 34,198 | 1.7 | |||||
| Oncology step-down | 5 | 33 | 12,453 | 2.6 | |||||
| General hematology/oncology ward | 199 (195) | 338 | 161,366 | 2.1 | 0.0 | 0.0 | 1.5 | 3.1 | 5.6 |
| Hematopoietic stem cell transplant ward | 58 (50) | 59 | 26,765 | 2.2 | 0.0 | 0.0 | 0.0 | 2.3 | 7.1 |
| Leukemia and/or lymphoma ward | 16 (15) | 49 | 15,103 | 3.2 | |||||
| Pediatric general hematology/oncology ward | 30 (22) | 13 | 4,319 | 3.0 | 0.0 | 0.0 | 0.0 | 6.1 | 10.7 |
| Pediatric hematopoietic stem cell transplant ward | 5 (0) | 0 | 149 | 0.0 | |||||
| Solid tumor ward | 21 | 86 | 50,200 | 1.7 | 0.0 | 0.8 | 1.7 | 2.5 | 4.1 |
| Specialty Care Area | |||||||||
| Solid organ transplant | 22 | 50 | 27,535 | 1.8 | 0.0 | 0.0 | 1.1 | 2.2 | 4.7 |
| Step-down Units | |||||||||
| Adult step-down (post-critical care) | 632 (624) | 1,403 | 813,481 | 1.7 | 0.0 | 0.0 | 1.2 | 2.5 | 4.3 |
| Pediatric step-down (post-critical care) | 13 (10) | 1 | 1,275 | 0.8 | |||||
| Mixed Acuity Units§ | |||||||||
| Adult mixed acuity | 91 (87) | 144 | 92,702 | 1.6 | 0.0 | 0.0 | 0.7 | 2.4 | 3.9 |
| Mixed age mixed acuity | 51 (45) | 21 | 37,529 | 0.6 | 0.0 | 0.0 | 0.0 | 0.3 | 2.3 |
| Pediatric mixed acuity | 14 (4) | 2 | 1,327 | 1.5 | |||||
| Inpatient Wards | |||||||||
| Acute stroke | 15 | 28 | 15,029 | 1.9 | |||||
| Antenatal | 21 (15) | 0 | 3,524 | 0.0 | |||||
| Behavioral health/psychiatry | 132 (47) | 17 | 10,537 | 1.6 | 0.0 | 0.0 | 0.0 | 0.3 | 7.6 |
| Burn | 18 (17) | 21 | 6,716 | 3.1 | |||||
| Genitourinary | 12 | 20 | 16,653 | 1.2 | |||||
| Gerontology | 13 (11) | 15 | 9,532 | 1.6 | |||||
| Gynecology | 61 (57) | 23 | 29,463 | 0.8 | 0.0 | 0.0 | 0.0 | 0.0 | 1.8 |
| Jail | 13 (9) | 12 | 4,305 | 2.8 | |||||
| Labor and delivery | 132 (110) | 6 | 43,291 | 0.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Labor, delivery, recovery, postpartum suite | 218 (188) | 13 | 84,990 | 0.2 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Medical | 1,019 (989) | 1,571 | 1,025,180 | 1.5 | 0.0 | 0.0 | 1.0 | 2.4 | 4.0 |
| Medical/Surgical | 2,148 (2,092) | 2,837 | 2,263,306 | 1.3 | 0.0 | 0.0 | 0.6 | 1.9 | 3.3 |
| Neurologic | 77 (73) | 200 | 89,548 | 2.2 | 0.0 | 0.9 | 1.8 | 3.9 | 6.1 |
| Neurosurgical | 56 | 202 | 68,925 | 2.9 | 0.0 | 0.7 | 2.7 | 4.2 | 5.7 |
| Orthopedic | 312 (300) | 433 | 401,723 | 1.1 | 0.0 | 0.0 | 0.6 | 1.8 | 3.2 |
| Orthopedic trauma | 21 | 84 | 30,375 | 2.8 | 0.0 | 0.9 | 2.6 | 4.3 | 5.9 |
| Pediatric medical | 52 (19) | 8 | 5,912 | 1.4 | |||||
| Pediatric medical/surgical | 254 (136) | 57 | 41,258 | 1.4 | 0.0 | 0.0 | 0.0 | 0.0 | 4.6 |
| Pediatric orthopedic | 6 | 2 | 3,001 | 0.7 | |||||
| Pediatric rehabilitation - non-IRF∥ | 5 (2) | 1 | 509 | 2.0 | |||||
| Pediatric surgical | 10 (8) | 9 | 7,356 | 1.2 | |||||
| Postpartum | 277 (257) | 22 | 145,610 | 0.2 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Pulmonary | 37 (36) | 123 | 50,569 | 2.4 | 0.0 | 0.9 | 1.5 | 4.0 | 5.6 |
| Rehabilitation - non-IRF∥ | 25 (24) | 29 | 15,749 | 1.8 | 0.0 | 0.0 | 0.0 | 2.3 | 4.3 |
| Surgical | 577 (565) | 1,005 | 753,071 | 1.3 | 0.0 | 0.0 | 1.0 | 2.1 | 3.4 |
| Telemetry | 320 (317) | 495 | 393,318 | 1.3 | 0.0 | 0.0 | 0.8 | 2.0 | 3.6 |
| Vascular surgery | 23 (22) | 43 | 25,640 | 1.7 | 0.0 | 0.0 | 1.9 | 2.9 | 3.9 |
| Well-baby nursery | 7 (1) | 0 | 96 | 0.0 | |||||
| Chronic Care Units¶ | |||||||||
| Chronic care | 27 (24) | 21 | 13,995 | 1.5 | 0.0 | 0.0 | 0.0 | 2.4 | 3.5 |
| Chronic behavioral health/psych | 9 (4) | 1 | 625 | 1.6 | |||||
| Chronic care rehabilitation unit | 8 (7) | 7 | 3,475 | 2.0 | |||||
| Inpatient hospice | 7 | 7 | 7,122 | 1.0 | |||||
| Ventilator dependent unit | 6 | 29 | 8,846 | 3.3 | |||||
| Urinary catheter utilization ratio# | Percentile | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Type of Acute Care Hospital Location | No. of locations† | Urinary catheter-days | Patient days | Pooled mean | 10% | 25% | 50% (median) | 75% | 90% |
| Critical care units | |||||||||
| Burn | 70 | 76,619 | 158,863 | 0.48 | 0.22 | 0.33 | 0.45 | 0.60 | 0.76 |
| Medical | |||||||||
| -Major teaching | 248 | 775,684 | 1,165,272 | 0.67 | 0.49 | 0.60 | 0.69 | 0.77 | 0.83 |
| Medical | |||||||||
| -All other | 453 (451) | 833,658 | 1,366,503 | 0.61 | 0.34 | 0.51 | 0.64 | 0.74 | 0.80 |
| Medical cardiac | 384 | 658,345 | 1,277,315 | 0.52 | 0.29 | 0.42 | 0.54 | 0.67 | 0.76 |
| Medical/Surgical | |||||||||
| -Major teaching | 358 (357) | 967,282 | 1,482,847 | 0.65 | 0.42 | 0.55 | 0.67 | 0.75 | 0.81 |
| Medical/Surgical | |||||||||
| -All other, ≤15 beds | 1,645 (1,630) | 1,910,118 | 3,508,198 | 0.54 | 0.32 | 0.46 | 0.60 | 0.70 | 0.79 |
| Medical/Surgical | |||||||||
| -All other, >15 beds | 804 | 2,758,180 | 4,373,157 | 0.63 | 0.46 | 0.59 | 0.68 | 0.76 | 0.81 |
| Neurologic | 58 | 117,424 | 169,140 | 0.69 | 0.40 | 0.59 | 0.70 | 0.78 | 0.84 |
| Neurosurgical | 180 | 470,403 | 724,923 | 0.65 | 0.45 | 0.56 | 0.68 | 0.77 | 0.83 |
| Pediatric cardiothoracic | 38 | 33,545 | 161,234 | 0.21 | 0.11 | 0.15 | 0.20 | 0.28 | 0.33 |
| Pediatric medical | 30 (27) | 8,891 | 55,048 | 0.16 | 0.03 | 0.07 | 0.12 | 0.17 | 0.22 |
| Pediatric medical/surgical | 297 (294) | 162,875 | 786,229 | 0.21 | 0.07 | 0.11 | 0.18 | 0.25 | 0.31 |
| Pediatric surgical | 5 | 1,475 | 4,634 | 0.32 | |||||
| Prenatal | 6 | 1,150 | 11,490 | 0.10 | |||||
| Respiratory | 6 | 15,836 | 26,288 | 0.60 | |||||
| Surgical | |||||||||
| -Major teaching | 192 | 580,420 | 805,135 | 0.72 | 0.53 | 0.65 | 0.74 | 0.80 | 0.86 |
| Surgical | |||||||||
| -All other | 189 (187) | 445,830 | 631,337 | 0.71 | 0.52 | 0.65 | 0.75 | 0.83 | 0.86 |
| Surgical cardiothoracic | 453 (452) | 942,852 | 1,441,951 | 0.65 | 0.42 | 0.54 | 0.68 | 0.79 | 0.87 |
| Trauma | 147 | 460,280 | 616,514 | 0.75 | 0.53 | 0.67 | 0.77 | 0.83 | 0.90 |
| Oncology Units | |||||||||
| Oncology critical care‡ | 18 | 34,198 | 48,807 | 0.70 | |||||
| Oncology step-down | 5 | 12,453 | 38,141 | 0.33 | |||||
| General hematology/oncology ward | 199 | 161,366 | 1,155,708 | 0.14 | 0.06 | 0.08 | 0.13 | 0.19 | 0.25 |
| Hematopoietic stem cell transplant ward | 58 | 26,765 | 291,494 | 0.09 | 0.03 | 0.04 | 0.07 | 0.12 | 0.20 |
| Leukemia and/or lymphoma ward | 16 | 15,103 | 135,566 | 0.11 | |||||
| Pediatric general hematology/oncology ward | 30 | 4,319 | 155,203 | 0.03 | 0.01 | 0.01 | 0.02 | 0.03 | 0.04 |
| Pediatric hematopoietic stem cell transplant ward | 5 | 149 | 8,523 | 0.02 | |||||
| Solid tumor ward | 21 | 50,200 | 182,494 | 0.28 | 0.20 | 0.22 | 0.26 | 0.30 | 0.36 |
| Specialty Care Area | |||||||||
| Solid organ transplant | 22 | 27,535 | 120,504 | 0.23 | 0.11 | 0.15 | 0.19 | 0.27 | 0.46 |
| Step-down Units | |||||||||
| Adult step-down (post-critical care) | 632 (631) | 813,481 | 3,426,592 | 0.24 | 0.12 | 0.17 | 0.24 | 0.35 | 0.46 |
| Pediatric step-down (post-critical care) | 13 | 1,275 | 42,173 | 0.03 | |||||
| Mixed Acuity Units§ | |||||||||
| Adult mixed acuity | 91 | 92,702 | 377,598 | 0.25 | 0.09 | 0.15 | 0.21 | 0.33 | 0.49 |
| Mixed age mixed acuity | 51 | 37,529 | 187,862 | 0.20 | 0.05 | 0.11 | 0.17 | 0.25 | 0.41 |
| Pediatric mixed acuity | 14 (12) | 1,327 | 16,326 | 0.08 | |||||
| Inpatient Wards | |||||||||
| Acute stroke | 15 | 15,029 | 74,845 | 0.20 | |||||
| Antenatal | 21 | 3,524 | 55,065 | 0.06 | 0.01 | 0.02 | 0.04 | 0.09 | 0.16 |
| Behavioral health/psychiatry | 132 | 10,537 | 326,504 | 0.03 | 0.00 | 0.01 | 0.02 | 0.04 | 0.05 |
| Burn | 18 | 6,716 | 42,172 | 0.16 | |||||
| Genitourinary | 12 | 16,653 | 76,952 | 0.22 | |||||
| Gerontology | 13 | 9,532 | 70,140 | 0.14 | |||||
| Gynecology | 61 | 29,463 | 187,067 | 0.16 | 0.04 | 0.09 | 0.15 | 0.24 | 0.41 |
| Jail | 13 | 4,305 | 50,951 | 0.08 | |||||
| Labor and delivery | 132 | 43,291 | 250,056 | 0.17 | 0.03 | 0.08 | 0.14 | 0.25 | 0.36 |
| Labor, delivery, recovery, postpartum suite | 218 (216) | 84,990 | 545,286 | 0.16 | 0.06 | 0.09 | 0.13 | 0.19 | 0.27 |
| Medical | 1,019 (1,013) | 1,025,180 | 6,926,611 | 0.15 | 0.07 | 0.10 | 0.14 | 0.19 | 0.25 |
| Medical/Surgical | 2,148 (2,138) | 2,263,306 | 13,168,940 | 0.17 | 0.09 | 0.12 | 0.16 | 0.21 | 0.28 |
| Neurologic | 77 (76) | 89,548 | 531,244 | 0.17 | 0.05 | 0.10 | 0.15 | 0.20 | 0.30 |
| Neurosurgical | 56 | 68,925 | 378,316 | 0.18 | 0.09 | 0.13 | 0.18 | 0.23 | 0.34 |
| Orthopedic | 312 (308) | 401,723 | 1,655,512 | 0.24 | 0.10 | 0.17 | 0.23 | 0.31 | 0.39 |
| Orthopedic trauma | 21 | 30,375 | 149,949 | 0.20 | 0.11 | 0.15 | 0.18 | 0.24 | 0.31 |
| Pediatric medical | 52 (51) | 5,912 | 159,786 | 0.04 | 0.01 | 0.01 | 0.01 | 0.03 | 0.07 |
| Pediatric medical/surgical | 254 (253) | 41,258 | 882,237 | 0.05 | 0.01 | 0.01 | 0.03 | 0.06 | 0.10 |
| Pediatric orthopedic | 6 | 3,001 | 13,943 | 0.22 | |||||
| Pediatric rehabilitation - non-IRF∥ | 5 | 509 | 11,142 | 0.05 | |||||
| Pediatric surgical | 10 | 7,356 | 44,312 | 0.17 | |||||
| Postpartum | 277 (276) | 145,610 | 1,134,458 | 0.13 | 0.03 | 0.07 | 0.12 | 0.18 | 0.24 |
| Pulmonary | 37 | 50,569 | 248,747 | 0.20 | 0.05 | 0.13 | 0.20 | 0.26 | 0.40 |
| Rehabilitation - non-IRF∥ | 25 | 15,749 | 107,171 | 0.15 | 0.04 | 0.07 | 0.11 | 0.17 | 0.25 |
| Surgical | 577 (575) | 753,071 | 3,480,801 | 0.22 | 0.11 | 0.16 | 0.21 | 0.28 | 0.37 |
| Telemetry | 320 | 393,318 | 2,114,023 | 0.19 | 0.09 | 0.13 | 0.17 | 0.23 | 0.29 |
| Vascular surgery | 23 | 25,640 | 160,663 | 0.16 | 0.04 | 0.08 | 0.15 | 0.20 | 0.23 |
| Well-baby nursery | 7 (5) | 96 | 3,590 | 0.03 | |||||
| Chronic Care Units¶ | |||||||||
| Chronic care | 27 | 13,995 | 108,999 | 0.13 | 0.04 | 0.08 | 0.10 | 0.18 | 0.26 |
| Chronic behavioral health/psych | 9 | 625 | 21,401 | 0.03 | |||||
| Chronic care rehabilitation unit | 8 | 3,475 | 32,181 | 0.11 | |||||
| Inpatient hospice | 7 | 7,122 | 19,564 | 0.36 | |||||
| Ventilator dependent unit | 6 | 8,846 | 36,886 | 0.24 | |||||
UTI, urinary tract infection; CAUTI, catheter-associated UTI.
*
†
The number in parentheses is the number of locations meeting minimum requirements for percentile distributions (i.e., ≥50 device days for rate distributions, ≥50 patient days for device utilization ratios) if less than total number of locations. If this number is <20, percentile distributions are not calculated.
‡
Includes all oncology critical care unit types.
§
Mixed acuity units are defined as those units that provide care to patients of varying acuity levels and can include units that operate with acuity-adaptable beds. Such units may be comprised of patients from different specialty services (e.g., cardiac, neurology).
∥
Includes only in-hospital rehabilitation wards that are not defined as inpatient rehabilitation facilities (IRF) per the CMS Inpatient Rehabilitation Facility Quality Reporting Program.
¶
Includes chronic care locations within the general acute care hospital setting.
#