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Urinary Tract Infections in Hospitalized Patients with Parkinson's Disease: Risk Factors and Outcomes
Hikaru Kamo1,2, Rachael M Burke1,3, Tejas R Mehta1
1Department of Neurology, Fixel Institute for Neurological Diseases, University of Florida, Gainesville, Florida, USA.
Urinary tract infections (UTIs) are common in hospitalized Parkinson's disease (PD) patients. Modifiable risk factors like emergent admission and catheter use increase UTI risk, leading to longer hospital stays.
Area of Science:
- Neurology
- Infectious Disease Epidemiology
- Health Services Research
Background:
- Urinary tract infections (UTIs) are frequent complications in hospitalized Parkinson's disease (PD) patients.
- UTIs contribute to adverse outcomes including delirium and extended hospital stays.
Purpose of the Study:
- To establish the prevalence of UTIs in hospitalized PD patients.
- To identify modifiable risk factors associated with UTIs.
- To evaluate the outcomes linked to UTIs in this population.
Main Methods:
- Retrospective cohort study utilizing the PINC-AI Healthcare Database.
- Inclusion of PD-related hospitalizations from 2019 to 2023.
- Identification of UTIs and multivariable analyses to determine associations.
Main Results:
- Over 321,000 PD hospitalizations were analyzed, with 18.9% having a UTI.
- Independent risk factors for UTI included emergent admission, inter-facility transfer, dementia, and indwelling urinary catheter use.
- Male sex was found to be a protective factor against UTI.
Conclusions:
- UTIs are prevalent in hospitalized PD patients and linked to significant adverse outcomes.
- Several modifiable risk factors for UTI were identified, offering targets for intervention.
- Findings support the development of PD-specific inpatient strategies for UTI prevention and risk assessment.
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