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Patients living with HIV in the modern era: Postoperative outcomes and healthcare utilization
Michael Guo1, Michael Budu2, Jason Trigg2
1Department of Surgery, St. Paul's Hospital & University of British Columbia, Vancouver, BC, Canada.
Introduction:
Despite advances in antiretroviral therapy (ART), surgical outcomes in people with HIV (PWH) remain poorly understood. This study compared postoperative outcomes and healthcare use between PWH and matched people without HIV (non-PWH) undergoing general surgery in British Columbia, Canada.
Methods:
Linked HIV-related and health administrative data (Jan 2008-Mar 2020) identified PWH and matched non-PWH. Outcomes included 30-day readmissions, 30-day re-operations, 30-day mortality, one-year mortality, and healthcare utilization.
Results:
Among 1252 PWH and 5008 non-PWH, HIV status was not associated with odds of 30-day readmissions, re-operations, or deaths. However, PWH had higher odds of mortality within one year post op (OR 1.75, 95% CI: 1.12-2.73), shorter hospital stays (RR 0.64, 95% CI: 0.55-0.73), higher likelihood of lab (RR 2.11, 95% CI: 1.86-2.39), and specialist visits (RR 1.16, 95% CI: 1.01-1.35) compared to non-PWH.
Conclusion:
PWH experienced similar short-term outcomes but higher one-year mortality and distinct care patterns, suggesting factors beyond perioperative care influence outcomes.
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