Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort

TY - JOUR

T1 - Indicators associated with severity and mortality in hospitalized people with HIV

T2 - A retrospective cohort

AU - Ziani, Jarbas da Silva

AU - Härter, Jenifer

AU - Monteiro, Francielle Liz

AU - Dalcin, Camila Biazus

AU - Padoin, Stela Maris de Mello

AU - Primeira, Marcelo Ribeiro

AU - Corcini, Laís Mara Caetano da Silva

AU - Zamberlan, Cláudia

N1 - Publisher Copyright: © 2024, Associacao Brasileira de Enfermagem. All rights reserved.

PY - 2024

Y1 - 2024

N2 - Objectives: to compare the sociodemographic and clinical severity indicators of hospitalized people with HIV in relation to clinical outcomes and urgent hospital admission. Methods: a retrospective cohort study was conducted with 102 medical records of HIV-infected individuals hospitalized in a hospital in southern Brazil. In addition to descriptive analysis, Fisher’s exact test, Pearson’s Chi-square, and logistic regression were used. Results: the data showed a significant direct effect on severity indicators in the following variables: male sex (p=0.013), skin color (p=0.023), level of education (p=0.000), urgent admissions (p=0.000), late diagnosis (p=0.001), diabetes mellitus (p=0.001), hypertension (p=0.004), kidney disease (p=0.002), high viral load (p=0.006), CD4+ count below 200 (p=0.005), fever (p=0.016), weight loss (p=0.013), co-infection with hepatitis C (p=0.004), and mortality (p=0.007). Conclusions: three sociodemographic and thirteen clinical markers were identified as being associated with the risk of clinical deterioration in hospitalized people with HIV.

AB - Objectives: to compare the sociodemographic and clinical severity indicators of hospitalized people with HIV in relation to clinical outcomes and urgent hospital admission. Methods: a retrospective cohort study was conducted with 102 medical records of HIV-infected individuals hospitalized in a hospital in southern Brazil. In addition to descriptive analysis, Fisher’s exact test, Pearson’s Chi-square, and logistic regression were used. Results: the data showed a significant direct effect on severity indicators in the following variables: male sex (p=0.013), skin color (p=0.023), level of education (p=0.000), urgent admissions (p=0.000), late diagnosis (p=0.001), diabetes mellitus (p=0.001), hypertension (p=0.004), kidney disease (p=0.002), high viral load (p=0.006), CD4+ count below 200 (p=0.005), fever (p=0.016), weight loss (p=0.013), co-infection with hepatitis C (p=0.004), and mortality (p=0.007). Conclusions: three sociodemographic and thirteen clinical markers were identified as being associated with the risk of clinical deterioration in hospitalized people with HIV.

KW - Acquired Immunodeficiency Syndrome

KW - HIV

KW - Hospitalization

KW - Nursing

KW - Risk

UR - https://www.scopus.com/pages/publications/85215936880

U2 - 10.1590/0034-7167-2024-0204

DO - 10.1590/0034-7167-2024-0204

M3 - Article

C2 - 39813525

AN - SCOPUS:85215936880

SN - 0034-7167

VL - 77

JO - Revista brasileira de enfermagem

JF - Revista brasileira de enfermagem

IS - 6

M1 - e20240204

ER -