Open AccessRisk factors for a complicated clinical course among women hospitalized with pelvic inflammatory disease
Author(s) -
Jamieson Denise J.,
Duerr Ann,
Macasaet Milagros A.,
Peterson Herbert B.,
Hillis Susan D.
Publication year - 2000
Publication title -
infectious diseases in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.656
H-Index - 48
eISSN - 1098-0997
pISSN - 1064-7449
DOI - 10.1002/(sici)1098-0997(2000)8:2<88::aid-idog5>3.0.co;2-x
Subject(s) - medicine , pelvic inflammatory disease , odds ratio , confidence interval , logistic regression , risk factor , disease , surgery
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 (≥14 days) but no surgery. Logistic regression was used to identify independent predictors of complications. In adjusted analyses, older age (≥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. Infect. Dis. Obstet. Gynecol. 8:88–93, 2000. Published 2000 Wiley‐Liss, Inc.