Risk factors for a complicated clinical course among women hospitalized with pelvic inflammatory disease.

Details

• Alternative Title:
  Infect Dis Obstet Gynecol
• Personal Author:
  Jamieson, Denise J. ; Duerr, Ann ; Macasaet, Milagros A. ; Peterson, Herbert B. ; Hillis, Susan D.
• Description:
  The aim of this study was to identify factors ascertainable at initial presentation that predict a complicated clinical course in HIV-negative women hospitalized with pelvic inflammatory disease (PID). We used data from a cross-sectional study of women admitted for clinically diagnosed PID to a public hospital in New York City. A complicated clinical course was defined as undergoing surgery, being readmitted for PID, or having a prolonged hospital stay (> or = 14 days) but no surgery. Logistic regression was used to identify independent predictors of complications. In adjusted analyses, older age (> or = 35 years) was a risk factor for prolonged hospital stay (adjusted odds ratio [OR] = 3.9; 95% confidence interval [CI] = 1.3-11.6) and surgery (OR = 10.4; CI = 2.5-44.1); self-reported drug use was a risk factor for readmission for PID (OR = 7.7; CI = 1.4-41.1) and surgery (OR = 6.2; CI = 1.8-20.5). Older age and self-reported drug use appear to be independent risk factors for a complicated clinical course among women hospitalized with PID.
• Subjects:
  Adolescent Adult Confidence Intervals Cross-Sectional Studies Female HIV Seronegativity Hospitalization Hospitals, Public Humans Incidence Length Of Stay Middle Aged Odds Ratio Pelvic Inflammatory Disease Predictive Value Of Tests Prognosis Risk Factors Severity Of Illness Index

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• Source:
  Infect Dis Obstet Gynecol. 8(2):88-93.
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Volume:
  8
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:5ecaa34c50569282a9c66b7c13b61806e812e61f629141dce785f8f40c377d7904d15781bcbd0d9f258287b710b8d2c7758227260a1fe6c8470a0f44ba692a60
• Download URL:
  https://stacks.cdc.gov/view/cdc/3275/cdc_3275_DS1.pdf
• File Type:
  [PDF - 771.02 KB ]