Outcomes of Intensive Care for Patients With Human Immunodeficiency Virus Infection

Nickas, Gigi; Wachter, Robert M.

doi:10.1001/archinte.160.4.541

Cited by 102 publications

(121 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These factors suggest that patients who died during hospitalization were more likely to present with poor performance status and more advanced and severe disease, leading to death early in their hospital stay. Even though CD4 counts ≤ 200cells/mm 3 were predictive of death in our cohort, some studies have reported contrary findings [23,24].…”

Section: Discussioncontrasting

confidence: 84%

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

Agaba

Digin

Makai

et al. 2011

J Infect Dev Ctries

View full text Add to dashboard Cite

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]

show abstract

Section: Discussioncontrasting

confidence: 84%

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

Agaba

Digin

Makai

et al. 2011

J Infect Dev Ctries

View full text Add to dashboard Cite

show abstract

“…The prognostic factors of mortality in HIV-infected patients admitted to the ICU are acute illness severity, poor functional status, low albumin rate, and respiratory failure requiring mechanical ventilation [47][48][49][50][51][52][53]. However, specific HIV characteristics (CD4 cell count, plasma HIV-RNA load, HIV-related diagnosis, or antiretroviral therapy) have not been clearly identified as predictors of ICU mortality [4,15,37,38,[49][50][51][52][54][55][56][57][58][59], although some reports have associated CD4…”

Section: Discussionmentioning

confidence: 99%

Mortality of patients infected with HIV in the intensive care unit (2005-2010): significant role of chronic hepatitis C and severe sepsis

Medrano¹,

Álvaro-Meca²,

Boyer³

et al. 2014

Critical Care

View full text Add to dashboard Cite

“…Until the mid-90 ties, respiratory failure associated predominantly with Pneumocystis pneumonia (PCP) was the main reason for ICU hospitalization of HIV patients associated with high mortality [5,6]. Further studies, connected with the introduction of HAART, have demonstrated improved survival, even amongst PCP patients [7,8]. At present, respiratory failure is still the most common indication for ICU admission [9,10], although PCP as a cause of respiratory failure is substantially less common.…”

Section: Discussionmentioning

confidence: 99%

Przyczyny hospitalizacji chorych zakażonych wirusem HIV na oddziale intensywnej terapii — jednoośrodkowe badanie obserwacyjne

Łojko¹,

Piechota²

2015

Anaesthesiol Intensive Ther

View full text Add to dashboard Cite

Background: There are no Polish data regarding the reasons for and incidence of ICU hospitalisations of HIV-infected patients. The aim of the study was to determine the reasons for and incidence of hospitalisations of HIV-infected patients in the Department of Anaesthesiology and Intensive Therapy of the Dr W. Biegański Regional Specialist Hospital in Łódź in the years 2010−2014. Methods: Preliminary research enabled to identify all the patients with laboratory-confirmed HIV, including those hospitalised in the ICU. Patients` medical records were analysed. Analysis involved epidemiological data, underlying diagnosis, coexisting diseases and conditions, as well as biochemical, hematologic, virusologic, bacteriologic, mycologic and immunologic tests. Results: In the years 2010−2014, new HIV infections were diagnosed in 224 individuals; 8 of them required ICU hospitalization (10 hospitalisations) -5 men (62.5%) and 3 women (37.5%). The age of patients ranged from 24 to 46 years. All the patients were diagnosed with AIDS. Three of them died. The patients with HIV constituted 1.30% of all patients hospitalised in the ICU over the period of 5 years. Conclusions: Low number of HIV-infected patients hospitalised in the ICU in the years 2010−2014 was associated with low HIV incidence rates in the Łódź province and generally available modern antiretroviral therapy rather than restrictive admission policy. Reasons for admission as well as coexisting diseases and conditions, including opportunistic infections, of patients hospitalised in the ICU in 2010−2014 are similar to those in West European countries and the United Stated.

show abstract

Outcomes of Intensive Care for Patients With Human Immunodeficiency Virus Infection

Cited by 102 publications

References 31 publications

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

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

Mortality of patients infected with HIV in the intensive care unit (2005-2010): significant role of chronic hepatitis C and severe sepsis

Przyczyny hospitalizacji chorych zakażonych wirusem HIV na oddziale intensywnej terapii — jednoośrodkowe badanie obserwacyjne

Contact Info

Product

Resources

About