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Trends in hospitalization for pediatric pyelonephritis: a population based study of California from 1985 to 2006

Hillary L Copp1, Meira S Halpern, Yvonne Maldonado

  • 1Department of Urology, UCSF School of Medicine, San Francisco, California 94143-0738, USA. CoppHL@urology.ucsf.edu

The Journal of Urology
|July 26, 2011
PubMed

Insights

Pediatric pyelonephritis hospitalizations in California rose over 80% from 1985-2006, driven by a ninefold increase in infants. Certain demographic factors were linked to higher admission risks.

Area of Science:

  • Pediatric Nephrology
  • Public Health Trends
  • Epidemiology

Background:

  • Pyelonephritis, a serious kidney infection, can lead to significant morbidity in children.
  • Understanding hospitalization trends is crucial for resource allocation and public health interventions.

Purpose of the Study:

  • To analyze trends in pediatric pyelonephritis hospitalizations in California from 1985 to 2006.
  • To identify demographic and socioeconomic factors associated with hospitalization for pyelonephritis in children.

Main Methods:

  • Population-based analysis of hospital discharge data from California (1985-2006).
  • Utilized the Office of Statewide Health Planning and Development database.
  • Employed multivariable logistic regression to identify factors associated with admission.

Main Results:

  • Total pediatric pyelonephritis hospitalizations exceeded 46,300 during the study period.
  • Overall hospitalization rates increased by over 80%, from 17 to 31 per 100,000 children.
  • Hospitalizations in children under 1 year increased ninefold, with specific risks for males, non-white race, and those without private insurance.

Conclusions:

  • A significant rise in pediatric pyelonephritis admissions occurred, particularly in infants.
  • Further research is necessary to determine the causes of this increase and identify at-risk populations.
  • Investigating disparities in healthcare access and outcomes for pediatric pyelonephritis is warranted.
Abstract

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