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[Mortality descriptors in HIV inpatients].
L C Thuler1, A L Hatherly, P N Góes
1Hospital Universitário Gaffrée e Guinle da Escola de Medicina e Cirurgia, Universidade do Rio de Janeiro, Brasil. lthuler@spacenet.com.br
Revista De Saude Publica
|June 1, 1999
Summary
Short hospital stays and lack of outpatient follow-up are key risk factors for mortality in human immunodeficiency virus (HIV) patients. Identifying these factors can improve interventions for hospitalized individuals with HIV/AIDS.
Area of Science:
- Infectious Diseases
- Epidemiology
- Public Health
Context:
- The study retrospectively analyzed adult patients with HIV/AIDS hospitalized between 1990 and 1994.
- Clinical-epidemiological descriptors of inpatient mortality were assessed.
- Data were collected from a university hospital setting.
Purpose:
- To identify clinical and epidemiological factors associated with inpatient mortality in human immunodeficiency virus (HIV) infected individuals.
- To determine independent risk factors for death in hospitalized HIV/AIDS patients.
Summary:
- A retrospective study of 240 adult HIV/AIDS patients revealed increasing patient age, a decreasing male/female ratio, and a higher proportion of non-white individuals over time.
- Respiratory infections were the primary cause of hospitalization, with opportunistic infections like candidiasis and tuberculosis also being frequent.
- Multivariate analysis identified a length of stay ≤7 days (OR=3.88) and absence of outpatient follow-up (OR=3.29) as significant risk factors for mortality.
Impact:
- Findings can inform the development of targeted interventions to reduce mortality among hospitalized HIV/AIDS patients.
- Highlights the importance of consistent outpatient follow-up for improving outcomes in HIV care.
- Contributes to understanding evolving patient demographics and clinical characteristics in HIV/AIDS management.