Curvas de sobrevivência de pacientes de AIDS em Santos, Brasil

Henriques, Cláudio Maierovitch Pessanha; Filho, Tarcísio Soares Borges; Rodrigues, C.O.

doi:10.1590/s0034-89101992000400013

Cited by 3 publications

(2 citation statements)

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“…Cumulative proportion of death in this prevalent cohort presents an intermediate value (55.9%) as compared to other studies conducted in different time periods and countries and with different observation periods (Henriques et al, 1992;Jacobson et al, 1993;Chaisson et al, 1995;Volberding et al, 1995;Brettle et al, 1996). Median survival time following AIDS diagnosis was 14.3 months, longer than that verified in a previous study conducted in Brazil [5.1 months] (Castilho et al, 1992) and closer to that observed in developed countries [range from 10.3 to 21.4 months] (Guimarães, 1992).…”

Section: Discussioncontrasting

confidence: 54%

Health care utilization and survival among patients with AIDS in Belo Horizonte, Minas Gerais, Brazil

1998

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A historical cohort study was conducted in three public AIDS referral services in Belo Horizonte, Minas Gerais, to assess the relationship between health care utilization and patient survival following AIDS diagnosis. A review of medical and laboratory records was performed for HIV-infected patients seeking care for the first time in 1989-92. Among 291 patients initially categorized as 'A' [asymptomatic, acute HIV, or persistent generalized lymphadenopathy-PGL] or 'B' [symptomatic, non-'A', or AIDS-indicator conditions] (CDC, 1992) and who progressed to AIDS, 57.0% died. Mortality rate was 34.9 person-months. Overall median survival time following AIDS diagnosis was 14.3 months. Multivariate analysis showed that lack of AZT use (RR=1.87; 95% CI=1.34-2.61), advanced initial staging (RR=1.68; 95% CI=1.20-2.35), 9 or more inpatient days (RR=1.55; 95% CI=1.11-2.17), and intervals between outpatient visits longer than 6 months (RR=0.30; 95%CI= 0.16-0.56) were associated with death. The analysis suggests that: Patients who used health services more often had poorer prognosis; Patients who received AZT survived longer than those who did not; and variables used to assess health care utilization actually express the end of a process involving seeking and obtaining care.

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