Risk Factors for Development of Septic Shock in Patients with Urinary Tract Infection
作者： Chih-Yen Hsiao , Huang-Yu Yang , Chih-Hsiang Chang , Hsing-Lin Lin , Chao-Yi Wu
DOI: 10.1155/2015/717094
关键词:
摘要: Introduction. Severe sepsis and septic shock are associated with substantial mortality. However, few studies have assessed the risk of among patients who suffered from urinary tract infection (UTI). Materials Methods. This retrospective study recruited UTI cases an acute care hospital between January 2006 October 2012 prospective data collection. Results. Of 710 participants admitted for UTI, 80 (11.3%) had shock. The rate bacteremia is 27.9%; kidney injury 12.7%, mortality 0.28%. Multivariable logistic regression analyses indicated that coronary artery disease (CAD) (OR: 2.521, 95% CI: 1.129–5.628, P = 0.024), congestive heart failure (CHF) 4.638, 1.908–11.273, 0.001), (AKI) 2.992, 1.610–5.561, 0.001) were independently in UTI. In addition, (female, OR: 4.076, 1.355–12.262, 0.012; male, 5.676, 1.103–29.220, 0.038, resp.) AKI 2.995, 1.355–6.621, 0.007; 3.359, 1.158–9.747, 0.026, significantly both gender groups. Conclusion. showed a medical history CAD or CHF higher when treatment. AKI, complication was also Therefore, prompt aggressive management recommended those risks to prevent subsequent treatment patients.
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