Hospitalization in HIV in Chicago

Sherer, Renslow; Pulvirenti, Joseph; Stieglitz, Kim; Narra, Jyothi; Jasek, John; Green, Lynn; Moore, Billie; Shott, Susan; Cohen, Mardge H.

doi:10.1177/154510970200100106

Cited by 15 publications

(11 citation statements)

References 6 publications

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“…Similar to results found elsewhere (Masson et al, 2004), IDU also had a large effect the costs and patterns of hospitalisation: IDUspecific treatment costs have been estimated to account for 15% of all hospital admissions at SPH (Wood et al, 2003). Our result runs contrary to findings in settings of privately funded healthcare (Sherer et al, 2002;Smith et al, 2000) but is verified in the Canadian universal health coverage setting (Weber et al, 2000).…”

Section: Discussioncontrasting

confidence: 86%

The effect of homelessness on hospitalisation among patients with HIV/AIDS

Nosyk

Sun

et al. 2007

AIDS Care

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The purpose of this study was to determine the effect of homelessness on the costs and patterns of hospitalisation in patients with HIV/AIDS. A retrospective longitudinal study design, based on medical records data covering 2,768 person-years of observation between 1997 and 2003 on patients with HIV/AIDS, was employed. A contextual measure of neighbourhood socioeconomic status (SES) was also used to uncover differences among low- and high-SES neighbourhood dwellers. The association of homelessness and neighbourhood SES with total annual hospitalisation costs, length of stay, numbers of hospital and emergency department admissions and the probability of an operating room procedure, controlling for other covariates, was assessed using multivariate regression analysis. Our results suggest that the homeless and low-SES neighbourhood residents had a large proportion of total costs attributable to admissions for acute events related to the progression of disease. Hospitalisations for planned operating room procedures comprised a relatively larger proportion of hospitalisation costs for high-SES neighbourhood residents. One implication of our findings is that improvements in the continuity of care and cost savings on inpatient care may be realised through further development of social assistance programs aimed at reaching the homeless and residents of low-SES neighbourhoods.

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Section: Discussioncontrasting

confidence: 86%

The effect of homelessness on hospitalisation among patients with HIV/AIDS

Nosyk

Sun

et al. 2007

AIDS Care

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“…10 A Canadian study demonstrated an inverse relationship between the hospital HIV caseload and in-hospital mortality suggesting that high volume hospitals are better equipped to recognise and effectively deal with seriously ill HIV-infected patients. 11 The study hospital does not have a dedicated HIV/infectious diseases unit and patients with HIV-related illnesses have previously been managed in a medical ward by general physicians working in close conjunction with the GUM department.…”

Section: Discussionmentioning

confidence: 99%

HIV-related admissions to a district general hospital in the UK: a single centre study

et al. 2009

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-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 UK. Of the 64 patients, 61% were unaware of their HIV status at admission; 50% had CD4 count Ͻ Ͻ50 cells/ l and 48% had viral load Ͼ Ͼ10 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 Ͻ Ͻ200 cells/ l. 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.

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“…With increased survival rates from the use of HAART in HIV infected patients, other medical conditions will become important causes of morbidity and mortality for this group of patients [22].…”

Section: Discussionmentioning

confidence: 99%

Clinical characteristics and predictors of mortality in hospitalized HIV-infected Nigerians

Agaba

Digin

Makai

et al. 2011

J Infect Dev Ctries

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Introduction: Human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is a chief cause of death in sub-Saharan Africa. In this study, the clinical characteristics and predictors of mortality among hospitalized HIV infected adult Nigerians are reported. Methodology: The records of 354 patients were reviewed for demographic and clinical characteristics. Predictors of mortality using logistic regression in a retrospective study were also reviewed. Results: A total of 109 (30.8%) males and 245 (69.2%) females participated in the study. The mean age of all participants was 35 ± 8 years. Median baseline CD4 cell counts and viral load were 91 cells/mm³ and 63,438 copies/ml respectively. There was a total of 123 (34.8%) deaths while 231 (65.2%) patients were discharged home. Tuberculosis (TB) was the most common diagnosis on admission as well as the leading cause of death. Among all subjects, only male gender (adjusted odds ratio [AOR]

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Hospitalization in HIV in Chicago

Cited by 15 publications

References 6 publications

The effect of homelessness on hospitalisation among patients with HIV/AIDS

The effect of homelessness on hospitalisation among patients with HIV/AIDS

HIV-related admissions to a district general hospital in the UK: a single centre study

Clinical characteristics and predictors of mortality in hospitalized HIV-infected Nigerians

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