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• W2114819711 abstract "You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Cost Effectiveness (II)1 Apr 2013138 HOSPITALIZATIONS DUE TO INDWELLING URINARY CATHETERS, 2001-2010 Janet Colli, Kevin Walls, Evan Dunn, Bayo Tojuola, Sheg Aranmolate, and Robert Wake Janet ColliJanet Colli Memphis, TN More articles by this author , Kevin WallsKevin Walls Memphis, TN More articles by this author , Evan DunnEvan Dunn Memphis, TN More articles by this author , Bayo TojuolaBayo Tojuola Memphis, TN More articles by this author , Sheg AranmolateSheg Aranmolate Memphis, TN More articles by this author , and Robert WakeRobert Wake Memphis, TN More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1518AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The study purpose is to investigate hospitalizations due to complications from the use of indwelling urinary catheters from 2001 to 2010 in the United States (U.S.). METHODS Data on hospitalizations due to complications from indwelling catheters were obtained from the National Inpatient Sample, Healthcare Cost and Utilization Project (HCUP). The national HCUP is a data file is obtained from a stratified sampling of 20% of nonfederal U.S. hospitals. ICD-9-CM codes were used to identify hospitalizations due to complications from indwelling urinary catheters (as the principal diagnosis for admission); and also to identify secondary procedures and diagnoses associated with the hospital stay. We also examined: length of stay, in-hospital deaths and aggregate charges (the “national bill”) from 2001 to 2010. RESULTS Hospitalizations from indwelling urinary catheters increased from 11,742 in 2001 to 40,429 in 2010. The “national bill” increased from $175 million to $1.3 billion (a factor of 7) for hospitalizations from indwelling urinary catheters alone, excluding costs for secondary diseases associated with the hospital stay. The “national bill” for hospitalizations due to indwelling urinary catheters as well as for secondary diseases associated with the hospital stay was $10.5 billion in 2010. From 2001 to 2010, the length of stay declined from 6.4 to 6.2 days, while in-hospital deaths declined from 2.9% to 2.2%. Most patients had a urinary tract infection (as primary diagnosis for hospitalization), 77% in 2001 and 87% in 2010. Also septicemia in indwelling urinary catheter hospitalizations has been increasing at a disturbing rate, 21% in 2001 to 40% in 2010. In 2010, secondary diseases associated with hospitalizations due to indwelling urinary catheters included: urinary tract infections (n=34,977), septicemia (n=16,279), bacterial infection (n=19,639) and acute renal failure (n=9,015). CONCLUSIONS Hospitalizations due to indwelling urinary catheters are increasing at high rates in U.S. hospitals, and the majority of patients had a urinary tract infection. Septicemia is of particular concern; as rates have almost doubled in patients hospitalized for indwelling catheters. Urinary catheter alternatives should be explored. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e56 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Janet Colli Memphis, TN More articles by this author Kevin Walls Memphis, TN More articles by this author Evan Dunn Memphis, TN More articles by this author Bayo Tojuola Memphis, TN More articles by this author Sheg Aranmolate Memphis, TN More articles by this author Robert Wake Memphis, TN More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ..." @default.
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• W2114819711 title "138 HOSPITALIZATIONS DUE TO INDWELLING URINARY CATHETERS, 2001-2010" @default.
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