HIV-related admissions to a district general hospital in the U.K.: a single centre study.
Clin Med (Lond)
; 9(4): 333-7, 2009 Aug.
Article
em En
| MEDLINE
| ID: mdl-19728505
ABSTRACT
This study evaluates the patient and disease characteristics, potential cost implications and short-term outcomes of 64 adult patients admitted with HIV-related illnesses. The majority (65.6%) were black Africans and 75% were immigrants to the U.K. Of the 64 patients, 61% were unaware of their HIV status at admission; 50% had CD4 count <50 cells/microl and 48% had viral load >10(5) copies/ml. Thirty-eight patients had AIDS and this accounted for 66% of the total 897 inpatient days (equivalent to 16.5-30.2 patient years of highly active antiretroviral therapy (HAART), depending on the type of HAART regimen used). Fifteen (23.8%) died in hospital, and of these 11 had AIDS and a CD4 count <200 cells/microl. Immigrants from countries of high prevalence accounted for the majority of the inpatient HIV caseload. They presented late and had high in-hospital mortality. Screening programmes to allow early diagnosis and treatment should be adapted to reach migrant populations.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Admissão do Paciente
/
Infecções por HIV
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Hospitais de Distrito
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Hospitais Gerais
Tipo de estudo:
Observational_studies
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Prevalence_studies
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Risk_factors_studies
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Screening_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Clin Med (Lond)
Assunto da revista:
MEDICINA
Ano de publicação:
2009
Tipo de documento:
Article