Risk Factors for a Complicated Clinical CourseAmong Women Hospitalized With PelvicInflammatory Disease
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Older age and self-reported drug use were identified as independent risk factors for a complicated clinical course, including surgery, readmission, or prolonged hospital stay, in HIV-negative women hospitalized with pelvic inflammatory disease.
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Abstract
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.
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