Table 2.
Patient categories | ||||
---|---|---|---|---|
All | No growth | ASB | CAUTI | |
Per patient stay | ||||
Demographics | ||||
N | 1519 | 904 | 173 | 95 |
Age, mean | 56.1 | 55.2 | 57.5 | 56.9 |
Female sex | 52.9% | 45.8% | 57.2% | 76.8% |
Hospital stay | ||||
Cost, mean | $45,531 | $46,394 | $70,886 | $49,279 |
Expected LOS (days) | 12.0 | 12.0 | 15.3 | 12.3 |
LOS, mean (days) | 15.3 | 13.7 | 28.0 | 20.5 |
LOS excess (days) | 3.3 | 1.6 | 12.7 | 8.1 |
Case-mix index, mean | 4.3 | 4.6 | 4.8 | 4.6 |
Number discharge diagnoses, mean | 18 | 17 | 23 | 19 |
Urinary catheter | ||||
No of catheters/stay, mean | 1.2 | 1.1 | 1.4 | 1.5 |
UCx/stay, mean | 1.62 | 1.40 | 2.55 | 2.79 |
+UCx /stay, mean | 0.46 | 0.00 | 1.60 | 1.66 |
Any NHSNsymptomduring stay | 10.5% | 5.6% | 6.9% | 45.3% |
Per urine culture | ||||
Number of UCx | 2460 | 1620 | 182 | 97 |
Urinary catheter | ||||
Dwell time before UCx, mean (days) | 6.1 | 5.4 | 9.0 | 6.8 |
Positive urinalysis | 59.2% | 51.0% | 88.5% | 83.5% |
Signs (+/-48h of UCx) | ||||
Fever unexplained by BCx | 33.3% | 39.3% | 0.0% | 63.9% |
+BCx | 10.7% | 9.9% | 12.6% | 8.2% |
Hypothermia | 36.8% | 35.1% | 48.9% | 27.8% |
WBC, mean (x1000) | 12.5 | 12.7 | 13.0 | 12.2 |
Low WBC | 10.0% | 10.5% | 7.1% | 7.2% |
High WBC | 51.7% | 53.6% | 48.9% | 46.4% |
Symptoms (+/-48h of UCx) | ||||
From notes (NLP) | 4.1% | 2.0% | 0.0% | 28.9% |
From discrete GUsxfield | 4.2% | 2.7% | 0.0% | 26.8% |
From either notes or GU field | 6.8% | 4.1% | 0.0% | 40.2% |
ASB: asymptomatic bacteriuria, LOS: length of stay; UCx: urine culture; BCx: blood culture; WBC: white blood cell; NLP: natural language processing; GU: genitourinary