Impact of urinary tract infection on inpatient healthcare for congenital obstructive uropathy

Brian Becknell, David Hains, Andrew L. Schwaderer, Brian A. Vanderbrink, John David Spencer, Patricia B. Reagan, Kirk M. McHugh

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Purpose: Congenital obstructive uropathy (COU) is a leading cause of pediatric chronic kidney disease (CKD). Urinary tract infections (UTIs) pose a risk for ascending infections and CKD in patients with COU. We evaluated the impact of comorbid UTIs on hospital charges and length of stay (LOS) for pediatric COU discharges. Materials and methods: The study sample (n = 2832) was drawn from the 2003 and 2006 US Healthcare Cost and Utilization Project Kids' Inpatient Database. Data were analyzed using logistic and linear regression. Results: Comorbid UTIs complicated 6.7% of COU discharges, and were most common in patients with posterior urethral valves (15.7% of discharges). Comorbid UTIs increased mean charges by $7910 (95% confidence interval (CI) $4770-$11,040; p < 0.001) and prolonged mean LOS by 2.66 days (95% CI 2.03-3.29; p < 0.001) compared to COU discharges without UTI. After controlling for LOS, charges for COU with a secondary diagnosis of UTI were no longer significantly higher. Mean charges in inflation-adjusted dollars increased by $2710, a 15.8% increase unexplained by covariate diagnoses and procedures. Conclusions: Comorbid UTIs contribute significantly to inpatient charges for COU, by prolonging LOS.

Original languageEnglish (US)
Pages (from-to)470-476
Number of pages7
JournalJournal of Pediatric Urology
Volume8
Issue number5
DOIs
StatePublished - Oct 1 2012
Externally publishedYes

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Urinary Tract Infections
Inpatients
Delivery of Health Care
Length of Stay
Chronic Renal Insufficiency
Confidence Intervals
Pediatrics
Hospital Charges
Economic Inflation
Health Care Costs
Linear Models
Logistic Models
Databases
Infection

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Urology

Cite this

Becknell, B., Hains, D., Schwaderer, A. L., Vanderbrink, B. A., Spencer, J. D., Reagan, P. B., & McHugh, K. M. (2012). Impact of urinary tract infection on inpatient healthcare for congenital obstructive uropathy. Journal of Pediatric Urology, 8(5), 470-476. https://doi.org/10.1016/j.jpurol.2011.10.021

Impact of urinary tract infection on inpatient healthcare for congenital obstructive uropathy. / Becknell, Brian; Hains, David; Schwaderer, Andrew L.; Vanderbrink, Brian A.; Spencer, John David; Reagan, Patricia B.; McHugh, Kirk M.

In: Journal of Pediatric Urology, Vol. 8, No. 5, 01.10.2012, p. 470-476.

Research output: Contribution to journalArticle

Becknell, B, Hains, D, Schwaderer, AL, Vanderbrink, BA, Spencer, JD, Reagan, PB & McHugh, KM 2012, 'Impact of urinary tract infection on inpatient healthcare for congenital obstructive uropathy', Journal of Pediatric Urology, vol. 8, no. 5, pp. 470-476. https://doi.org/10.1016/j.jpurol.2011.10.021
Becknell, Brian ; Hains, David ; Schwaderer, Andrew L. ; Vanderbrink, Brian A. ; Spencer, John David ; Reagan, Patricia B. ; McHugh, Kirk M. / Impact of urinary tract infection on inpatient healthcare for congenital obstructive uropathy. In: Journal of Pediatric Urology. 2012 ; Vol. 8, No. 5. pp. 470-476.
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