659 PREVALENCE AND ECONOMIC BURDEN OF PEDIATRIC EMERGENCY DEPARTMENT VISITS FOR URINARY TRACT INFECTION

Abstract

You have accessJournal of UrologyPediatrics: Urinary Tract Infection/Vesicoureteral Reflux1 Apr 2013659 PREVALENCE AND ECONOMIC BURDEN OF PEDIATRIC EMERGENCY DEPARTMENT VISITS FOR URINARY TRACT INFECTION Frank J. Penna, Jesse D. Sammon, Khurshid R. Ghani, Shyam Sukumar, Maxine Sun, Al'a Abdo, Pierre I. Karakiewicz, Yegappan Lakshmanan, Quoc-Dien Trinh, and Jack S. Elder Frank J. PennaFrank J. Penna Detroit, MI More articles by this author , Jesse D. SammonJesse D. Sammon Detroit, MI More articles by this author , Khurshid R. GhaniKhurshid R. Ghani Detroit, MI More articles by this author , Shyam SukumarShyam Sukumar Detroit, MI More articles by this author , Maxine SunMaxine Sun Montreal, Canada More articles by this author , Al'a AbdoAl'a Abdo Montreal, Canada More articles by this author , Pierre I. KarakiewiczPierre I. Karakiewicz Montreal, Canada More articles by this author , Yegappan LakshmananYegappan Lakshmanan Detroit, MI More articles by this author , Quoc-Dien TrinhQuoc-Dien Trinh Montreal, Canada More articles by this author , and Jack S. ElderJack S. Elder Detroit, MI More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.212AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Urinary tract infection (UTI) is a common bacterial infection in children. Pediatric UTI, including the presence of fever, is a common presenting diagnosis in the Emergency Department (ED). We sought to examine trends in pediatric UTI by examining ED admissions and total associated costs. METHODS Visits to the ED for pediatric UTI were extracted from the 2006-2009 Nationwide Emergency Department Sample (NEDS). The NEDS is the largest all-payer ED database in the United States and contains between 25 and 30 million records for ED visits for over 950 hospitals and approximates a 20-percent stratified sample of U.S. hospital-based EDs. The overall prevalence of pediatric urinary tract infection was calculated, and distributed by gender. Total associated charges for the ED visit were calculated over the time period. Temporal trends in rates for these parameters were quantified by estimated annual percent change (EAPC) using the least squares linear regression methodology. RESULTS Between 2006 and 2009, there were 1,764,724 visits to the ED for pediatric UTI. There was a small increase in the prevalence of overall, male, and female pediatric UTI over the time period, albeit only female UTI had a statistically significant increase (EAPC 3.41%, 95% CI 2.2-4.7%, p=0.035). The ratio of the overall prevalence of female to male pediatric UTI was approximately 10:1. The total associated charges with the ED visit increased by 13.98% per year (95% CI 11.9% to 16.1%, p=0.006) (Figure 1). CONCLUSIONS Though the number of pediatric UTIs has incrementally increased over the past several years, there was a statistically significant increase in female pediatric UTIs and a marked increase in total associated cost with the ED visit over the time period. These increases emphasize the importance of proper screening and management for pediatric UTIs on the part of the pediatrician in the outpatient setting. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e269-e270 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Frank J. Penna Detroit, MI More articles by this author Jesse D. Sammon Detroit, MI More articles by this author Khurshid R. Ghani Detroit, MI More articles by this author Shyam Sukumar Detroit, MI More articles by this author Maxine Sun Montreal, Canada More articles by this author Al'a Abdo Montreal, Canada More articles by this author Pierre I. Karakiewicz Montreal, Canada More articles by this author Yegappan Lakshmanan Detroit, MI More articles by this author Quoc-Dien Trinh Montreal, Canada More articles by this author Jack S. Elder Detroit, MI More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...