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[Hospital admission and mortality causes of HIV patients in a third level hospital]
R Asensi-Diez1, C Fernández-Cuerva, J J Alcaraz Sánchez
1Rocío Asensi-Diez, Hospital Regional Universitario de Málaga. Avenida de Carlos Haya s/n. CP.29010. Málaga. Spain. rocioasensidiez@hotmail.com.
Insights
This study analyzed hospitalized human immunodeficiency virus (HIV) patients, finding infectious diseases and HIV itself as primary admission causes. Mortality was linked to infections and cancers, highlighting the need for early HIV diagnosis and treatment adherence.
Area of Science:
- Infectious Diseases
- Public Health
- Clinical Medicine
Background:
- Tertiary hospitals manage a significant human immunodeficiency virus (HIV) patient population.
- Understanding admission and mortality patterns is crucial for optimizing care.
Purpose of the Study:
- To characterize the HIV population admitted to a tertiary hospital.
- To analyze the primary causes of hospital admission and mortality in these patients.
Main Methods:
- Retrospective observational study.
- Inclusion of adult patients (≥18 years) with diagnosed or newly discovered HIV.
- Data collection on clinical outcomes, laboratory results, and causes of death.
Main Results:
- 128 HIV patients met inclusion criteria; 79.7% were male, average age 50.29 years.
- Infectious and parasitic diseases (38.3%) and HIV disease (24.1%) were leading admission causes.
- Hospitalization mortality rate was 13.52%, with infections and malignancies as primary causes of death.
Conclusions:
- Emphasizes the importance of early HIV diagnosis and Pneumocystis jirovecii prophylaxis.
- Highlights the need for strict adherence to antiretroviral therapy (ART) and improved ART prescription education for admitted patients.
- Recommends routine viral load and CD4 lymphocyte count monitoring for all admitted HIV patients.
Objective:
The aim of this study is to describe the HIV population admitted to a tertiary level hospital and analyze hospital admission and mortality causes during hospitalization.
Methods:
Observational, retrospective study carried out in a third level Hospital. Inclusion criteria: Patients ≥18 years with a prescription of ART and diagnosis of HIV known or discovered during admission. It was accepted hospital ward discharge diagnose as hospitalization causes. Clinical, analytical outcomes as well as causes of mortality were collected.
Results:
Among 162 hospitalized HIV infected, 128 met the inclusion criteria, 8 of those were diagnosed as naive HIV patients. 79.7% were male; Age 50.29 ± 9.81 years. The main reasons for hospital admissions (38.3%) were certain infectious and parasitic diseases (ICD-10 Classification) and more specifically human immunodeficiency virus [HIV] disease represented 24,1% of whole hospitalizations. Mortality rates of ≥18 years HIV patients that were admitted to hospital during 2016-2017 were the 13.52%. The main causes of death were certain infectious and parasitic diseases followed by malignancies.
Conclusions:
Our results emphasize the need of intensifying the HIV early diagnosis as well as Pneumocystis jirovecii primary prophylaxis. Insist on ART adherence from infectology follow-up appointment and pharmacy care consultations, educate clinics on ART treatment prescription during hospital admission as well as requesting viral and CD4 lymphocytes loads to every HIV admitted patients.
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