01 / 08UTI study
Company study · retrospective · nursing-home records Not a cleared indication · not a claim

Urinary tract infections: what the radar recorded before the diagnosis.

Two hundred and six residents in care facilities where the clinical XK300 was in use. Half went on to a confirmed urinary tract infection; half had no acute diagnosis. Looking back at the readings, the two groups had already parted days before the test. This page carries every figure from the original study.

206Residents analysed103 with a confirmed UTI · 103 controls
+19%Median breathing rate before a UTI18.2 against 15.3 breaths a minute
74.5%Model accuracyTelling UTI cases from controls, retrospectively
4.2 daysAverage interval before diagnosisHalf the cases showed the shift five days before
How to read this

This is a retrospective analysis of records from nursing homes using the FDA-cleared XK300, carried out by Xandar Kardian. "Days before" is the interval between a shift in a resident's own readings and the date the infection was diagnosed, measured after the fact. It is part of an ongoing discovery and research programme, and we show what we found. It is not a claim that any Kardian product detects, predicts or diagnoses an infection, and no such use is cleared. XK does not predict or diagnose health events. The later February 2026 analysis, with 108 events, put the average interval at 4.3 days.

Why it matters

A leading cause of preventable hospital stays.

Urinary tract infections are a leading cause of preventable hospitalisation in long-term care, and they often go unnoticed until the symptoms are severe.

150 millionCases a year, worldwideRefs 1, 2
$4.8 billion+Estimated yearly cost in the United StatesRef 2
MissedA late diagnosis can lead to sepsis, kidney failure and emergency visitsRef 1

Why radar

Nothing to wear, charge or remember. Resting heart rate and breathing rate are read around the clock, from the wall, against each resident's own usual. What follows is what those readings looked like in the days before an infection was diagnosed.

A nurse with a resident; the XK300 on the wall behind
Method Longitudinal records · matched groups

Two groups of 103.

XK radar sensors are deployed across the United States in hospitals, homes and care facilities. We analysed longitudinal data from 206 residents.

UTI group · n = 103

Residents with a confirmed UTI diagnosis

Requirement: sensor data available for at least 7 of the 10 days before diagnosis, so the onset of the infection was captured.

Control group · n = 103

Residents with no acute diagnosis

Requirement: no acute events within 14 days either side. This group establishes the usual baseline against which a change is measured.

One resident, in detail

Breathing rose from about 18 to about 26.

One resident: breathing rate, the five days before diagnosis10 /min15 /min20 /min25 /min30 /minD-5D-4D-3D-2D-1DResident with a UTIControl residentshift seen in review, two days beforediagnosis by clinical test
Daily breathing rate for one resident who went on to a confirmed UTI, against a control resident over the same days. D is the day of diagnosis by clinical test. Redrawn from the study.
  1. The breathing rate rose from about 18 to about 26 breaths a minute.The control resident stayed near 13 throughout.
  2. Read afterwards, the shift is visible two days before the diagnosis.The infection was then confirmed by a clinical test on day D.
  3. Labelling.D is the diagnosis day; D-5 is five days before it.
In short

In this single example the breathing rate marked a clear change from the resident's own usual two days before the UTI was diagnosed.

As a group Daily averages in the days before diagnosis

Four measures moved. Two behaviours too.

Each chart compares the spread of daily values in the UTI group before diagnosis with the control group. The bar runs from the 25th to the 75th percentile; the tick is the median.

Breathing rate median 19% higher

1012141618202224Control13.616.915.3Before a UTI16.82018.2bar = 25th to 75th percentile · tick = median

Breaths per minute. Control 13.6 / 15.3 / 16.9 · before a UTI 16.8 / 18.2 / 20.0 (25th, median, 75th).

Breathing-rate variability median 22% higher

0.20.250.30.350.40.450.5Control0.280.360.32Before a UTI0.360.430.39bar = 25th to 75th percentile · tick = median

RRV. Control 0.28 / 0.32 / 0.36 · before a UTI 0.36 / 0.39 / 0.43.

Resting heart rate median 11% higher

5560657075808590Control60.171.165.5Before a UTI68.281.372.7bar = 25th to 75th percentile · tick = median

Beats per minute. Control 60.1 / 65.5 / 71.1 · before a UTI 68.2 / 72.7 / 81.3.

Heartbeats per breath median 17% lower

33.544.555.56Control4.25.24.6Before a UTI3.54.33.9bar = 25th to 75th percentile · tick = median

Beats for every breath. Control 4.2 / 4.6 / 5.2 · before a UTI 3.5 / 3.9 / 4.3. Breathing sped up more than the heart did.

Out of bed more, asleep longer

Residents heading toward a UTI left the bed more often, consistent with more trips to the bathroom, and rested more.

Bed exits per day2.26Control2.93Before a UTI+29.6%Bed exits per night1.34Control1.85Before a UTI+38.1%Hours of sleep per night7.83Control8.67Before a UTI+10.7%

Averages per resident per day or night. 29.6% more bed exits during the day, 38.1% more during the night, 10.7% more sleep at night.

Putting everything together Retrospective · company analysis

A model trained only on what the radar collected.

An AI model was trained on these records to learn how the days before a UTI differ from ordinary days, using nothing but the XK300's own readings. Tested afterwards on cases it had not seen:

Share of UTI cases in which the model, run afterwards, had marked the shift, by days before diagnosis0%25%50%75%100%01234567half the cases, five days before
For each number of days before the diagnosis, the share of UTI cases in which the model, run afterwards, had already marked the shift. In half the cases that was five days before. Redrawn from the study.
74.5%AccuracyTelling UTI cases from controls
4.2 daysAverage intervalBetween the marked shift and the diagnosis

What weighed most

Higher breathing-rate variability4.2× more commonLonger sleep hours3.1× more commonHigher breathing rate2.8× more commonHigher resting heart rate1.5× more common

How much more common each pattern was in the days before a UTI than on ordinary days.

In short

Higher breathing-rate variability was the strongest pattern, more than four times as common before a UTI. Longer sleep and a higher breathing rate came next. Resting heart rate, the measure a routine check looks at, moved least.

These are retrospective results on care-setting records, shown as research. They describe what the readings looked like before a diagnosis that clinicians made; they are not a claim that any Kardian product detects or diagnoses infection. The February 2026 methodology update, across 108 events, reported 4.3 days. See the full outcomes table.

For care providers An illustration from the study · not a guarantee

What a UTI readmission costs a facility.

The arithmetic, for a 100-bed skilled nursing facility Sources 3 to 5
  1. ReadmissionsThe average rate of hospital readmission from a skilled nursing facility is about 15% (3). Of those, about 27% are due to a UTI (4). That is roughly 4% of residents.
  2. Residents in a year100 beds at 80% occupancy with a 28-day average stay is about 1,000 residents a year, so about 40 UTI-related readmissions.
  3. Cost per readmissionAn average loss to the facility of $15,200 for each readmission (5). 40 × $15,200 = $608,000 a year.
  4. If half were avoidedIf, as the study assumes for illustration, half of those infections were treated in the facility instead, the saving would be about $304,000 a year. Treated early, a UTI is a course of antibiotics rather than an emergency visit.
Per year, 100 bedsAs isIf half were avoided
UTI-related readmissions4020
Readmission losses$608,000$304,000
Net yearly saving$0$304,000

The "half avoided" column is the study's assumption, not an observed result.

References and the original
  1. Advani, S. D., Luck, M. E., Chang, R., Duh, M. S., Desai, R., Pinaire, M., … & Ellis, J. J. (2025). Assessing the burden of outpatient urinary tract infections in the United States: analysis of nationwide ambulatory data (2016–2019). Antimicrobial Stewardship & Healthcare Epidemiology, 5(1), e143.
  2. Ackerson, B. K., Tartof, S. Y., Chen, L. H., Contreras, R., Reyes, I. A. C., Ku, J. H., … & Bruxvoort, K. J. (2024). Risk factors for recurrent urinary tract infections among women in a large integrated health care organization in the United States. The Journal of Infectious Diseases, 230(5), e1101–e1111.
  3. Definitive Healthcare, average hospital readmission rate by state. definitivehc.com
  4. Readmissions from skilled nursing facilities attributed to UTI. PMC5960203
  5. HCUP Statistical Brief 278, conditions with frequent readmissions by payer, 2018. hcup-us.ahrq.gov

Xandar Kardian company study, December 2025. Retrospective; part of ongoing discovery and research; not a cleared indication. XK does not predict or diagnose health events.