2026-08-29T10:10:01Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/142352025-06-09T10:12:58Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19613
Repisalud
author
Redondo-Sánchez, Jesús
author
Del Cura-González, Isabel
author
Díez-Izquierdo, Laura
author
Rodríguez-Barrientos, Ricardo
author
Rodriguez-Cabrera, Francisco David
author
Polentinos-Castro, Elena
author
López-Miguel, Miguel
author
Marina-Ono, Lucas
author
Llamosas-Falcón, Laura
author
Gil-de-Miguel, Ángel
funder
Instituto de Salud Carlos III
funder
Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF)
funder
Plan Nacional de I+D+i (España)
funder
Fundación de Investigación e Innovación Biosanitaria en Atención Primaria
2022-05-03T10:21:17Z
2022-05-03T10:21:17Z
2021-09
PLoS One. 2021;16(9):e0257546.
10.1371/journal.pone.0257546
1932-6203
PloS One
34587191
http://hdl.handle.net/20.500.12105/14235
Objective: To analyze trends in urinary tract infection hospitalization (cystitis, pyelonephritis, prostatitis and non-specified UTI) among patients over 65 years in Spain from 2000-2015. Methods: We conducted a retrospective observational study using the Spanish Hospitalization Minimum Data Set (CMBD), with codifications by the International Classification of Diseases (ICD-9). We collected data on sex, age, type of discharge, main diagnosis, comorbid diagnosis, length of stay, and global cost. All the hospitalizations were grouped by age into three categories: 65-74 years old, 75-84 years old, and 85 years old and above. In the descriptive statistical analysis, crude rates were defined as hospitalizations per 1,000 inhabitants aged ≥65. To identify trends over time, we performed a Joinpoint regression. Results: From 2000-2015, we found 387,010 hospitalizations coded as UTIs (54,427 pyelonephritis, 15,869 prostatitis, 2643 cystitis and 314,071 non-specified UTI). The crude rate of hospitalization for UTIs between 2000 and 2015 ranged from 2.09 in 2000 to 4.33 in 2015 Rates of hospitalization were higher in men than in women, except with pyelonephritis. By age group, higher rates were observed in patients aged 85 years or older, barring prostatitis-related hospitalizations. Joinpoint analyses showed an average annual percentage increase (AAPC) in incidence rates of 4.9% (95% CI 3.2;6.1) in UTI hospitalizations. We observed two joinpoints, in 2010 and 2013, that found trends of 5.5% between 2000 and 2010 (95% CI 4.7;6.4), 1.5% between 2010 and 2013 (95% CI -6.0;9.6) and 6.8% between 2013 and 2015 (95% CI -0.3;14.4). Conclusions: The urinary infection-related hospitalization rate in Spain doubled during the period 2000-2015. The highest hospitalization rates occurred in men, in the ≥85 years old age group, and in non-specified UTIs. There were increases in all types of urinary tract infection, with non-specified UTIs having the greatest growth. Understanding these changing trends can be useful for health planning.
eng
Trends in urinary tract infection hospitalization in older adults in Spain from 2000-2015
research article
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https://repisalud.isciii.es/bitstreams/1da1c3de-7a14-4c68-ad25-4c5826b41dc0/download
File
MD5
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application/pdf
TrendsInUrinaryTract_2021.pdf
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https://repisalud.isciii.es/bitstreams/dbbc9c23-2e75-4203-beb7-6ef64107dc61/download
File
MD5
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text/plain
TrendsInUrinaryTract_2021.pdf.txt