Research Article

Medical and Infectious Complications Associated with Pyelonephritis among Pregnant Women at Delivery

Table 5

Multivariable logistic regression analysis for the listed outcomes among women with pyelonephritis compared to women without pyelonephritis, while controlling for age, private insurance, residing in a ZIP code with annual income at lowest quartile, cardiomyopathy, asthma, diabetes, thyroid disorders, systemic lupus erythematous, anemia, thrombocytopenia, sickle cell disease, drug use, alcohol use, tobacco use, chronic hypertension, and chronic renal failure.

Adjusted OR (95% CI) value

Transfusion1.8 (1.7, 2.0)<0.0001
Mechanical ventilation10.9 (9.5, 12.5)<0.0001
Cardiac events
 Acute heart failure6.5 (4.9, 8.5)<0.0001
Pulmonary events
 Pneumonia18.5 (17.0, 20.1)<0.0001
 Pulmonary edema11.3 (8.6, 14.9)<0.0001
 Acute respiratory distress
 syndrome
11.6 (9.3, 14.3)<0.0001
Thromboembolic events
 Pulmonary embolism1.1 (0.6, 2.0)0.858
 Deep vein thrombosis1.6 (1.02, 2.4)0.038
Infections
 Sepsis108 (101, 115)<0.0001
Renal event
 Acute renal failure14.7 (12.9, 16.7)<0.0001
Obstetric events
 Cesarean delivery0.3 (0.2, 0.4)<0.0001
 Operative vaginal delivery0.4 (0.3, 0.4)<0.0001
 Multiple gestation2.9 (2.8, 3.1)<0.0001
 GDM0.7 (0.7, 0.8)<0.0001
 Prex, eclamp, gest HTN0.6 (0.5, 0.6)<0.0001
 Preterm labor1.7 (1.5, 1.8)<0.0001
 Premature rupture of membranes0.4 (0.4, 0.5)<0.0001
 Postpartum hemorrhage0.4 (0.4, 0.5) <0.0001
 Chorioamnionitis1.7 (1.6, 1.8)<0.0001

Eclamp: eclampsia; GDM: gestational diabetes; gest HTN: gestational hypertension; Prex: preeclampsia.