Hospitalizations for pelvic inflammatory disease and tuboovarian abscess

Clara K Paik1, L Elaine Waetjen, Guibo Xing

  • 1Department of Obstetrics and Gynecology, University of California, Davis, California, USA. ckpaik@ucdavis.edu

Insights

Hospitalizations for pelvic inflammatory disease (PID) and tuboovarian abscesses declined in California from 1991 to 2001. Black women aged 20-39 experienced the highest PID hospitalization rates during this period.

Area of Science:

  • Reproductive Health
  • Infectious Diseases
  • Public Health Surveillance

Background:

  • Pelvic inflammatory disease (PID) and tuboovarian abscess (TOA) are significant gynecological infections.
  • Understanding hospitalization trends and demographic disparities is crucial for targeted interventions.

Purpose of the Study:

  • To analyze demographic characteristics and hospitalization trends for PID and TOA in California between 1991 and 2001.
  • To identify specific age and racial/ethnic groups disproportionately affected by PID hospitalizations.

Main Methods:

  • Utilized the California Patient Discharge Database and International Classification of Diseases, 9th Revision, Clinical Modification codes.
  • Analyzed hospitalization rates by age and race/ethnicity using census data.
  • Estimated procedural associations, length of stay, readmission rates, and mortality.

Main Results:

  • PID hospitalization rates decreased by 61.5% and TOA rates by 33.3% from 1991 to 2001.
  • Hospitalization rates for PID were highest among women aged 20-39.
  • Black women aged 20-39 exhibited the highest PID hospitalization rates; hysterectomy rates were lowest in this group.

Conclusions:

  • A significant decline in PID hospitalizations was observed in California between 1991 and 2001.
  • Targeted public health efforts may be needed for Black women aged 20-39 due to persistently high PID hospitalization rates.
Abstract

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