干旱区生态环境知识资源中心(Arid): Urinary tract infection-related hospitalization among older adults receiving home health care

Arid

DOI	10.1016/j.ajic.2018.12.012
	Urinary tract infection-related hospitalization among older adults receiving home health care
	Osakwe, Zainab Toteh 1; Larson, Elaine 2; Shang, Jingjing 2
通讯作者	Osakwe, Zainab Toteh
来源期刊	AMERICAN JOURNAL OF INFECTION CONTROL
ISSN	0196-6553
EISSN	1527-3296
出版年	2019
卷号	47 期号:7 页码:786-+
英文摘要	Background: Urinary tract infection (UTI)- related hospitalizations are a poor patient outcome in the rapidly growing home health care (HHC) arena that serves a predominantly elderly population. We examined the association between activities of daily living (ADL) and risk of UTI-related hospitalization among this population. Methods: Using a retrospective cohort design, we conducted a secondary data analysis of a 5% random sample of a national HHC dataset, the Outcome and Assessment Information Set for the year 2013. Andersen's Behavioral Model of Health Service Utilization was used as a guiding framework for statistical modeling. We used logistic regression to examine the association between UTI-related hospitalization and predisposing, enabling, or need factors. Results: Among beneficiaries (n = 24,887) hospitalized in 2013, 1,133 had UTI-related hospitalizations. HHC patients with a UTI-related hospitalization were more likely to have severe ADL dependency, impaired decision making, and lower Charlson Comorbidity Index, than those with a non UTI-related hospitalization (P < .001). Risk factors for UTI-related hospitalization included female sex, (adjusted odds ratio [AOR], 1.44; 95% confidence interval [CI], 1.25-1.66), Medicaid recipient (AOR, 1.99; 95% CI, 1.09-3.64), severe ADL dependency (AOR, 1.50; 95% CI, 1.16-1.94), the presence of a caregiver to assist with supervision and safety (AOR, 1.26; 95% CI, 1.06-1.49), treatment for UTI in the previous 14 days (AOR, 2.85; 95% CI, 2.46-3.29), presence of a urinary catheter (AOR, 3.77; 95% CI, 2.98-4.77), and prior history of indwelling or suprapubic catheter (AOR, 1.44; 95% CI, 1.06-1.94). Conclusions: ADL dependency levels are a potentially modifiable risk factor for UTI-related hospitalization on admission to HHC. ADL dependency levels can inform clinical interventions to ameliorate ADL dependency in HHC settings and identify groups of patients at high risk for UTI-related hospitalization. (C) 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
英文关键词	Outcome and Assessment Information Set (OASIS) Post acute care Infection Home care Hospitalizations ADL dependency levels
类型	Article
语种	英语
国家	USA
开放获取类型	Green Accepted
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000472009900009
WOS关键词	ASSESSMENT INFORMATION SET ; HEART-FAILURE ; MEDICAID PATIENTS ; POSTACUTE CARE ; UNITED-STATES ; RISK ; ADMISSION ; DIAGNOSIS ; VALIDITY ; FACILITY
WOS类目	Public, Environmental & Occupational Health ; Infectious Diseases
WOS研究方向	Public, Environmental & Occupational Health ; Infectious Diseases
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/214123
作者单位	1.Adelphi Univ, Coll Nursing & Publ Hlth, 1 South Ave, Garden City, NY 11530 USA; 2.Columbia Univ, Sch Nursing, New York, NY USA
推荐引用方式 GB/T 7714	Osakwe, Zainab Toteh,Larson, Elaine,Shang, Jingjing. Urinary tract infection-related hospitalization among older adults receiving home health care[J],2019,47(7):786-+.
APA	Osakwe, Zainab Toteh,Larson, Elaine,&Shang, Jingjing.(2019).Urinary tract infection-related hospitalization among older adults receiving home health care.AMERICAN JOURNAL OF INFECTION CONTROL,47(7),786-+.
MLA	Osakwe, Zainab Toteh,et al."Urinary tract infection-related hospitalization among older adults receiving home health care".AMERICAN JOURNAL OF INFECTION CONTROL 47.7(2019):786-+.