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Aim of study: to present the causes of mortality in HIV-infected patients, taking into account age and gender aspects.Materials and methods. The frequency, causes of mortality in the group of 284 HIV-infected patients are analyzed. Among them were 190 (66,9%) men, 94 (33,1%) women. The average age of patients was 45,3±4,2 years. The medical documentation of patients were retrospectively analyzed.Results. In the analyzed group of deceased HIV-infected patients, the overwhelming majority were young people under 40 years old (61.6%) compared with people who died between the ages of 41–50 years old — 73 (25,7%) and 51 years old and older 36 (12,7%) (p<0,05). In all age groups, the proportion of deceased men significantly (more than 2 times) exceeded the proportion of women. Among young males, co-infection with viruses of parenteral hepatitis, tuberculosis and alcohol abuse is more common. Over 70% of deceased patients did not receive ART or were on short courses of therapy (less than 1 year). The average life expectancy after HIV-infection diagnosis was 5,8±4,4 years and did not differ depending on the gender and age of the patients. AIDS-related causes of death accounted for 141 (49,6%) cases, nonAIDS-associated — 143 (50,4%). Among AIDSrelated causes, tuberculosis was the most frequent (59/20,8%). Among non AIDS-associated causes, death was associated with the decompensation of liver cirrhosis. A significant influence on the formation of AIDS-associated mortality of a complex of factors — co-infection with viruses of parenteral hepatitis, the presence of «advanced» stages of HIV infection, alcoholism and life expectancy with HIV infection, must be taken into account when monitoring HIV-infected patients.
Aim of study: to present the causes of mortality in HIV-infected patients, taking into account age and gender aspects.Materials and methods. The frequency, causes of mortality in the group of 284 HIV-infected patients are analyzed. Among them were 190 (66,9%) men, 94 (33,1%) women. The average age of patients was 45,3±4,2 years. The medical documentation of patients were retrospectively analyzed.Results. In the analyzed group of deceased HIV-infected patients, the overwhelming majority were young people under 40 years old (61.6%) compared with people who died between the ages of 41–50 years old — 73 (25,7%) and 51 years old and older 36 (12,7%) (p<0,05). In all age groups, the proportion of deceased men significantly (more than 2 times) exceeded the proportion of women. Among young males, co-infection with viruses of parenteral hepatitis, tuberculosis and alcohol abuse is more common. Over 70% of deceased patients did not receive ART or were on short courses of therapy (less than 1 year). The average life expectancy after HIV-infection diagnosis was 5,8±4,4 years and did not differ depending on the gender and age of the patients. AIDS-related causes of death accounted for 141 (49,6%) cases, nonAIDS-associated — 143 (50,4%). Among AIDSrelated causes, tuberculosis was the most frequent (59/20,8%). Among non AIDS-associated causes, death was associated with the decompensation of liver cirrhosis. A significant influence on the formation of AIDS-associated mortality of a complex of factors — co-infection with viruses of parenteral hepatitis, the presence of «advanced» stages of HIV infection, alcoholism and life expectancy with HIV infection, must be taken into account when monitoring HIV-infected patients.
The number of HIV-infected people is increasing every year. These patients, in addition to visiting regional AIDS centers, are referred for emergency care to various healthcare institutions, which became the reason for this study. Reasons of referring for emergency care to the round-the-clock duty hospital in Omsk among HIV-infected persons were analyzed. Reasons of admission via ambulance among HIV-infected people, among which the first place was poisoning, were revealed. It is interesting, that a quarter of the admitted patients did not know about their HIV-positive status. The obtained data will help determine directions for the preventive activities in healthcare institutions of the region.
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