Predictors of outcome in geriatric patients with urinary tract infections

Journal of Emergency Medicine

Volumn 27, Issue 2, 2004, Pages 101-108

  Ginde, Adit A ^a   Rhee, Sang Ho ^a   Katz, Eric D ^a  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

elderly; morbidity; predictors; UTI

Indexed keywords

ANTIBIOTIC AGENT;

AGED; ANALYTIC METHOD; ARTICLE; COHORT ANALYSIS; DEMOGRAPHY; EMERGENCY WARD; FEMALE; GERIATRICS; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; HYPERGLYCEMIA; HYPOTENSION; INFECTION; INTENSIVE CARE UNIT; LENGTH OF STAY; LEUKOCYTE COUNT; MAJOR CLINICAL STUDY; MALE; MENTAL HEALTH; MORBIDITY; MORTALITY; MULTIVARIATE ANALYSIS; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; NEUTROPHILIA; PREDICTION; PRIORITY JOURNAL; PROGNOSIS; RETROSPECTIVE STUDY; RISK FACTOR; SENSITIVITY ANALYSIS; SENSITIVITY AND SPECIFICITY; TACHYCARDIA; TEMPERATURE MEASUREMENT; UREA NITROGEN BLOOD LEVEL; URINALYSIS; URINARY TRACT INFECTION;

AGE FACTORS; AGED; AGED, 80 AND OVER; COHORT STUDIES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL MORTALITY; HOSPITALS, TEACHING; HUMANS; MALE; MISSOURI; PREDICTIVE VALUE OF TESTS; PROGNOSIS; RETROSPECTIVE STUDIES; RISK ASSESSMENT; TREATMENT OUTCOME; URBAN POPULATION; URINARY TRACT INFECTIONS;

EID: 3142759990     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2004.02.015     Document Type: Article

References (31)

1. Schappert SM. Ambulatory care visits to physicians' offices, hospital outpatient departments and emergency departments. United States, 1997. Vital Health Stat 1999;143:i-iv, 1-39
2. Foxman B. Epidemiology of urinary tract infections incidence, morbidity, and economic costs. Am J Med. 113:2002;5S-13S
3. Fine M.J., Auble T.E., Yealy D.M., et al. A prediction rule to identify low-risk patients with community acquired pneumonia. N Engl J Med. 336:1997;243-250
4. Ronald A.R., Nicolle L.E., Stamm E., et al. Urinary tract infection in adults research priorities and strategies. Int J Antimicrob Agents. 17:2001;343-348
5. Aminzdeh F., Dalziel W.B. Older adults in the emergency department a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med. 39:2002;238-247
6. Sanders A.B. Care of the elderly in emergency departments conclusions and recommendations. Ann Emerg Med. 21:1992;830-834
7. Wofford J.L., Schwartz E., Timerding B.L., et al. Emergency department utilization by the elderly analysis of the National Hospital Ambulatory Medical Care Survey. Acad Emerg Med. 3:1996;694-699
8. Bishara J., Leibovici L., Huminer D., et al. Five-year prospective study of bacteraemic urinary tract infection in a single institution. Eur J Clin Microbiol Infect Dis. 16:1997;563-567
9. Fontanarosa P.B., Kaeberlein F.J., Gerson L.W., et al. Difficulty in predicting bacteremia in elderly emergency patients. Ann Emerg Med. 21:1992;842-848
10. Marco C.A., Schoenfeld C.N., Hansen K.N., et al. Fever in geriatric emergency patients clinical features associated with serious illness. Ann Emerg Med. 26:1995;18-24
11. Barkham T.M., Martin F.C., Eykey S.J. Delay in the diagnosis of bacteraemic urinary tract infection in elderly patients. Age Ageing. 25:1996;130-132
12. Katz E.D., Carpenter C.R. Fever and immune response in the elderly. In: Meldon S, Ma OJ, Woolard R, eds. 2003;McGraw-Hill, Geriatric emergency medicine. New York
13. Ackermann R.J., Monroe P.W. Bacteremic urinary tract infection in older people. J Am Geriatr Soc. 44:1996;927-933
14. Nicolle L.E. Urinary tract infection in the elderly. J Antimicrob Chemother. 33:1994;99-109
15. Whitelaw D.A., Dayner B.I., Willcox P.A. Community acquired bacteremia in the elderly a prospective study of 121 cases. J Am Geriatr Soc. 40:1992;996-1000
16. McNamara R.M., Rousseau E., Sanders A.B. Geriatric emergency medicine a survey of practicing emergency physicians. Ann Emerg Med. 21:1992;796-801
17. Mellors J.W., Horwitz R.I., Harvey M.R., et al. A simple index to identify occult bacterial infection in adults with acute unexplained fever. Arch Intern Med. 147:1987;666-671
18. McCusker J., Bellavance F., Cardin S., et al. Prediction of hospital utilization among elderly patients during the 6 months after an emergency departments visit. Ann Emerg Med. 36:2000;438-445
19. Singal B.M., Hedges J.R., Rousseau E., et al. Geriatric patient emergency visits. Part I comparison of visits by geriatric and younger patients. Ann Emerg Med. 32:1992;803-807
20. Rockwood K., Fox R.Z., Stolee P., et al. Frailty in elderly people an evolving concept. Can Med Assoc J. 150:1994;489-495
21. Beier M.T. Management of urinary tract infections in the nursing home elderly a proposed algorithmic approach. Int J Antimicrob Agents. 11:1999;275-284
22. Nickel J.C., Pidutti R. A rational approach to urinary tract infections in older patients. Geriatrics. 47:1992;49-55
23. Kaplan V., Angus D.C., Griffin M.F., et al. Hospitalized community-acquired pneumonia in the elderly. Am J Respir Crit Care Med. 165:2002;766-772
24. Abrutyn E., Mossey J., Berlin J.A., et al. Does asymptomatic bacteriuria predict mortality and does antimicrobial treatment reduce mortality in elderly ambulatory women? Ann Intern Med. 120:1994;827-833
25. Boscia J.A., Abrutyn E., Kaye D. Asymptomatic bacteriuria in elderly persons treat or do not treat? Ann Intern Med. 106:1987;764-766
26. Zhanel G.G., Harding G.K.M., Guay D.R.P. Asymptomatic bacteriuria. Which patients should be treated? Arch Intern Med. 150:1990;1389-1396
27. Norman D.C., Grahn D., Yoshikawa T.T. Fever and aging. J Am Geriatr Soc. 33:1985;859-863
28. Keating H.J., Klimek J.J., Levine D.S., et al. Effect of aging on the clinical significance of fever in the ambulatory adult patient. Am Geriatr Soc. 32:1984;282-287
29. Ouslander J.G., Osterweil D. Physician evaluation and management of nursing home residents. Ann Intern Med. 121:1994;584-592
30. Lammers R.L., Gibson S., Kovacs D., et al. Comparison of test characteristics of urine dipstick and urinalysis of various test cutoff points. Ann Emerg Med. 38:2001;505-512
31. Bonnardeaux A., Somerville P., Kaye M. A study on the reliability of dipstick urinalysis. Clin Nephrol. 41:1994;167-172