{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T07:54:32Z","timestamp":1769154872232,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,1,24]],"date-time":"2013-01-24T00:00:00Z","timestamp":1358985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Catheter\u2010associated urinary tract infections (UTIs) have been identified as a preventable \u201cnever event\u201d by the Centers for Medicare &amp; Medicaid Services. We sought to determine the relationship between UTI and in\u2010hospital mortality, postoperative complications, length of stay, and costs in head and neck cancer (HNCA) surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional analysis using cross\u2010tabulations and multivariate regression modeling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>The Nationwide Inpatient Sample database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Discharge data for 93,663 patients who underwent an ablative procedure for a malignant oral cavity, laryngeal, hypopharyngeal, or oropharyngeal neoplasm in 2003\u20102008 were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Urinary tract infection was diagnosed in 2% of patients, with catheter\u2010associated UTI coded in only 20 patients. Patients with UTI were more likely to be older than 80 years (odds ratio [OR], 3.3; <jats:italic>P<\/jats:italic> =. 008), be female (OR, 1.9; <jats:italic>P<\/jats:italic> &lt;. 001), have advanced comorbidity (OR, 1.8; <jats:italic>P<\/jats:italic> &lt;. 012), undergo major surgical procedures (OR, 1.7; <jats:italic>P<\/jats:italic> =. 001), and have predisposing bladder and prostate conditions (OR, 3.8; <jats:italic>P<\/jats:italic> &lt;. 001), surgical complications (OR, 2.3; <jats:italic>P<\/jats:italic> &lt;. 001), and acute medical complications (OR, 3.1; <jats:italic>P<\/jats:italic> &lt;. 001). Urinary tract infection was associated with significantly increased length of hospitalization and hospital\u2010related costs, after controlling for all other variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Urinary tract infection is unusual in HNCA surgical patients but is more common with extent of surgery and age and is significantly associated with postoperative complications, length of hospitalization, and hospital\u2010related costs. Catheter\u2010associated UTI is likely underestimated because of difficulty in distinguishing between a catheter\u2010associated UTI and postoperative UTI in patients undergoing major surgical procedures, who routinely undergo perioperative urinary catheterization. Patients with HNCA are a high\u2010risk group for this \u201cnever event,\u201d particularly as the population ages.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599812474595","type":"journal-article","created":{"date-parts":[[2013,1,24]],"date-time":"2013-01-24T23:00:47Z","timestamp":1359068447000},"page":"602-610","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Postoperative Urinary Tract Infection and Short\u2010Term Outcomes and Costs in Head and Neck Cancer Surgery"],"prefix":"10.1002","volume":"148","author":[{"given":"Jason Y. K.","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins University Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yevgeniy R.","family":"Semenov","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins University Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine G.","family":"Gourin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins University Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335490712200205"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-12-200906160-00013"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2011.08.001"},{"key":"e_1_2_7_5_1","unstructured":"Centers for Disease Control and Prevention.Catheter\u2010associated urinary tract infection (CAUTI) event.http:\/\/www.cdc.gov\/nhsn\/pdfs\/pscmanual\/7psccauticurrent.pdf. 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