Trends in urinary tract infection hospitalization in older adults in Spain from 2000-2015.

<h4>Objective</h4>To analyze trends in urinary tract infection hospitalization (cystitis, pyelonephritis, prostatitis and non-specified UTI) among patients over 65 years in Spain from 2000-2015.<h4>Methods</h4>We conducted a retrospective observational study using the Spanish...

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Autores principales:	Jesús Redondo-Sánchez, Isabel Del Cura-González, Laura Díez-Izquierdo, Ricardo Rodríguez-Barrientos, Francisco Rodríguez-Cabrera, Elena Polentinos-Castro, Miguel López-Miguel, Lucas Marina-Ono, Laura Llamosas-Falcón, Ángel Gil-de Miguel
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/28c70d04b17c486c834777a5be28bec7
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spelling	oai:doaj.org-article:28c70d04b17c486c834777a5be28bec72021-12-02T20:14:02ZTrends in urinary tract infection hospitalization in older adults in Spain from 2000-2015.1932-620310.1371/journal.pone.0257546https://doaj.org/article/28c70d04b17c486c834777a5be28bec72021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257546https://doaj.org/toc/1932-6203<h4>Objective</h4>To analyze trends in urinary tract infection hospitalization (cystitis, pyelonephritis, prostatitis and non-specified UTI) among patients over 65 years in Spain from 2000-2015.<h4>Methods</h4>We conducted a retrospective observational study using the Spanish Hospitalization Minimum Data Set (CMBD), with codifications by the International Classification of Diseases (ICD-9). We collected data on sex, age, type of discharge, main diagnosis, comorbid diagnosis, length of stay, and global cost. All the hospitalizations were grouped by age into three categories: 65-74 years old, 75-84 years old, and 85 years old and above. In the descriptive statistical analysis, crude rates were defined as hospitalizations per 1,000 inhabitants aged ≥65. To identify trends over time, we performed a Joinpoint regression.<h4>Results</h4>From 2000-2015, we found 387,010 hospitalizations coded as UTIs (54,427 pyelonephritis, 15,869 prostatitis, 2643 cystitis and 314,071 non-specified UTI). The crude rate of hospitalization for UTIs between 2000 and 2015 ranged from 2.09 in 2000 to 4.33 in 2015 Rates of hospitalization were higher in men than in women, except with pyelonephritis. By age group, higher rates were observed in patients aged 85 years or older, barring prostatitis-related hospitalizations. Joinpoint analyses showed an average annual percentage increase (AAPC) in incidence rates of 4.9% (95% CI 3.2;6.1) in UTI hospitalizations. We observed two joinpoints, in 2010 and 2013, that found trends of 5.5% between 2000 and 2010 (95% CI 4.7;6.4), 1.5% between 2010 and 2013 (95% CI -6.0;9.6) and 6.8% between 2013 and 2015 (95% CI -0.3;14.4).<h4>Conclusions</h4>The urinary infection-related hospitalization rate in Spain doubled during the period 2000-2015. The highest hospitalization rates occurred in men, in the ≥85 years old age group, and in non-specified UTIs. There were increases in all types of urinary tract infection, with non-specified UTIs having the greatest growth. Understanding these changing trends can be useful for health planning.Jesús Redondo-SánchezIsabel Del Cura-GonzálezLaura Díez-IzquierdoRicardo Rodríguez-BarrientosFrancisco Rodríguez-CabreraElena Polentinos-CastroMiguel López-MiguelLucas Marina-OnoLaura Llamosas-FalcónÁngel Gil-de MiguelPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257546 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jesús Redondo-Sánchez Isabel Del Cura-González Laura Díez-Izquierdo Ricardo Rodríguez-Barrientos Francisco Rodríguez-Cabrera Elena Polentinos-Castro Miguel López-Miguel Lucas Marina-Ono Laura Llamosas-Falcón Ángel Gil-de Miguel Trends in urinary tract infection hospitalization in older adults in Spain from 2000-2015.
description	<h4>Objective</h4>To analyze trends in urinary tract infection hospitalization (cystitis, pyelonephritis, prostatitis and non-specified UTI) among patients over 65 years in Spain from 2000-2015.<h4>Methods</h4>We conducted a retrospective observational study using the Spanish Hospitalization Minimum Data Set (CMBD), with codifications by the International Classification of Diseases (ICD-9). We collected data on sex, age, type of discharge, main diagnosis, comorbid diagnosis, length of stay, and global cost. All the hospitalizations were grouped by age into three categories: 65-74 years old, 75-84 years old, and 85 years old and above. In the descriptive statistical analysis, crude rates were defined as hospitalizations per 1,000 inhabitants aged ≥65. To identify trends over time, we performed a Joinpoint regression.<h4>Results</h4>From 2000-2015, we found 387,010 hospitalizations coded as UTIs (54,427 pyelonephritis, 15,869 prostatitis, 2643 cystitis and 314,071 non-specified UTI). The crude rate of hospitalization for UTIs between 2000 and 2015 ranged from 2.09 in 2000 to 4.33 in 2015 Rates of hospitalization were higher in men than in women, except with pyelonephritis. By age group, higher rates were observed in patients aged 85 years or older, barring prostatitis-related hospitalizations. Joinpoint analyses showed an average annual percentage increase (AAPC) in incidence rates of 4.9% (95% CI 3.2;6.1) in UTI hospitalizations. We observed two joinpoints, in 2010 and 2013, that found trends of 5.5% between 2000 and 2010 (95% CI 4.7;6.4), 1.5% between 2010 and 2013 (95% CI -6.0;9.6) and 6.8% between 2013 and 2015 (95% CI -0.3;14.4).<h4>Conclusions</h4>The urinary infection-related hospitalization rate in Spain doubled during the period 2000-2015. The highest hospitalization rates occurred in men, in the ≥85 years old age group, and in non-specified UTIs. There were increases in all types of urinary tract infection, with non-specified UTIs having the greatest growth. Understanding these changing trends can be useful for health planning.
format	article
author	Jesús Redondo-Sánchez Isabel Del Cura-González Laura Díez-Izquierdo Ricardo Rodríguez-Barrientos Francisco Rodríguez-Cabrera Elena Polentinos-Castro Miguel López-Miguel Lucas Marina-Ono Laura Llamosas-Falcón Ángel Gil-de Miguel
author_facet	Jesús Redondo-Sánchez Isabel Del Cura-González Laura Díez-Izquierdo Ricardo Rodríguez-Barrientos Francisco Rodríguez-Cabrera Elena Polentinos-Castro Miguel López-Miguel Lucas Marina-Ono Laura Llamosas-Falcón Ángel Gil-de Miguel
author_sort	Jesús Redondo-Sánchez
title	Trends in urinary tract infection hospitalization in older adults in Spain from 2000-2015.
title_short	Trends in urinary tract infection hospitalization in older adults in Spain from 2000-2015.
title_full	Trends in urinary tract infection hospitalization in older adults in Spain from 2000-2015.
title_fullStr	Trends in urinary tract infection hospitalization in older adults in Spain from 2000-2015.
title_full_unstemmed	Trends in urinary tract infection hospitalization in older adults in Spain from 2000-2015.
title_sort	trends in urinary tract infection hospitalization in older adults in spain from 2000-2015.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/28c70d04b17c486c834777a5be28bec7
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Trends in urinary tract infection hospitalization in older adults in Spain from 2000-2015.

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