Classification of clinical risk in people with AIDS followed up in specialized care

Abstract

Aim: To develop a clinical risk stratification score for people living with AIDS and to analyze its association with clinical and sociodemographic aspects. Method: Cross-sectional study involving 150 adults with AIDS, in outpatient follow-up. A structured instrument was applied and, sequentially, inferential statistical techniques on the developed score. Results: 45.3% of the participants were classified as in high clinical risk. TL-CD4+ <500cel/mm3 count, detectable viral load, presence of opportunistic diseases, chronic diseases and clinical manifestations were associated with high clinical risk. There was a significant difference in the mean risk between the categories of variables employment status (p = 0.003) and economic class (p = 0.035). There was a higher risk for brown people (OR = 5.55), unemployed status (OR = 16,51) and belonging to classes C (OR = 20.07) and D (OR = 53,32), and a lower risk for individuals with higher schooling (OR = 0.02). Conclusion: The proposed score quantifies clinical situations and points out sociodemographic aspects that predispose to instability and aggravation of AIDS, supporting the qualification of care.

Enfrentamento da condição de saúde na perspectiva de pessoas com HIV que abandonaram o tratamento

“…Embora não haja, na literatura, critérios para estratificação de risco das PVHIV validados, estudo realizado no estado da Paraíba apresenta sugestões que podem ser utilizadas para classificação clínica do risco em PVHIV, como detecção de carga viral, presença de doenças oportunistas, doenças crônicas e manifestações clínicas (32) .…”

Coping with the health condition from the perspective of people with HIV who abandoned treatment

“…Although there are no validated criteria for risk stratification of PLHIV in the literature, a study carried out in the state of Paraíba presents suggestions that can be used for clinical risk classification in PLHIV, such as detection of viral load, presence of opportunistic diseases, chronic diseases and clinical manifestations (32) .…”