The Impact of COPD in Trends of Urinary Tract Infection Hospitalizations in Spain, 2001–2018: A Population-Based Study Using Administrative Data

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dc.contributor.authorMiguel Díez, Javier De
dc.contributor.authorAlbaladejo Vicente, Romana
dc.contributor.authorPalacios-Ceña, Domingo
dc.contributor.authorCarabantes Alarcón, David
dc.contributor.authorZamorano León, José Javier
dc.contributor.authorLópez Herranz, Marta
dc.contributor.authorLópez De Andrés, Ana Isabel
dc.date.accessioned2024-02-14T15:40:18Z
dc.date.available2024-02-14T15:40:18Z
dc.date.issued2020
dc.description.abstractBackground: To examine trends in incidence and outcomes of urinary tract infections (UTIs) among men and women with or without chronic obstructive pulmonary disease (COPD), and to identify the predictors for in-hospital mortality (IHM). (2) Methods: We included patients (aged ≥40 years) who were hospitalized with UTIs between 2001 and 2018. Data were collected from the Spanish National Hospital Discharge Database. (3) Results: We identified 748,458 UTI hospitalizations, 6.53% with COPD. The UTIs incidence increased over time. It was 1.55 times higher among men COPD patients than among non-COPD men (incidence rate ratio (IRR) 1.55; 95% CI 1.53-1.56). The opposite happened in women with COPD compared to non-COPD women (IRR 0.30; 95% CI 0.28-0.32). IHM was higher in men with COPD than non-COPD men (5.58% vs. 4.47%; p < 0.001) and the same happened in women (5.62% vs. 4.92%; p < 0.001). The risk of dying increased with age and comorbidity, but the urinary catheter was a protective factor among men (OR 0.75; 95% CI 0.64-0.89). Multivariable analysis showed a significant reduction in the IHM over time for men and women with COPD. Suffering from COPD only increased the risk of IHM among men (OR 1.07; 95% CI 1.01-1.13). (4) Conclusions: The incidence of UTIs increased over time. Suffering COPD increased the risk of IHM among men, but not among women.
dc.description.departmentDepto. de Salud Pública y Materno - Infantil
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.citationde Miguel-Diez J, Albaladejo-Vicente R, Palacios-Ceña D, Carabantes-Alarcon D, Zamorano-Leon JJ, Lopez-Herranz M, Lopez-de-Andres A. The Impact of COPD in Trends of Urinary Tract Infection Hospitalizations in Spain, 2001-2018: A Population-Based Study Using Administrative Data. J Clin Med. 2020 Dec 9;9(12):3979. doi: 10.3390/jcm9123979. PMID: 33316870; PMCID: PMC7763854.
dc.identifier.doi10.3390/jcm9123979
dc.identifier.essn2077-0383
dc.identifier.officialurlhttps://doi.org/10.3390/jcm9123979
dc.identifier.urihttps://hdl.handle.net/20.500.14352/101434
dc.journal.titleJournal of Clinical of Medicine
dc.language.isoeng
dc.page.initial3979
dc.publisherMPDI
dc.relation.projectIDproject No. 733 of the 2018 edition
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.cdu616.6
dc.subject.cdu616.1/.9
dc.subject.keywordUrinary tract infection
dc.subject.keywordCOPD
dc.subject.keywordMen
dc.subject.keywordWomen
dc.subject.keywordIncidence
dc.subject.keywordIn-hospital mortality
dc.subject.keywordSpain
dc.subject.ucmCiencias Biomédicas
dc.subject.unesco32 Ciencias Médicas
dc.titleThe Impact of COPD in Trends of Urinary Tract Infection Hospitalizations in Spain, 2001–2018: A Population-Based Study Using Administrative Data
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number9
dspace.entity.typePublication
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