RT Journal Article
T1 The Impact of COPD in Trends of Urinary Tract Infection Hospitalizations in Spain, 2001–2018: A Population-Based Study Using Administrative Data
A1 Miguel Díez, Javier De
A1 Albaladejo Vicente, Romana
A1 Palacios-Ceña, Domingo
A1 Carabantes Alarcón, David
A1 Zamorano León, José Javier
A1 López Herranz, Marta
A1 López De Andrés, Ana Isabel
AB Background: 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.
PB MPDI
YR 2020
FD 2020
LK https://hdl.handle.net/20.500.14352/101434
UL https://hdl.handle.net/20.500.14352/101434
LA eng
NO de 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.
DS Docta Complutense
RD 5 abr 2025