Lack of prior antiretroviral therapy is associated with increased mortality among hospitalized patients with AIDS in São Paulo, Brazil
The death rate in adults with acquired immune deficiency syndrome (AIDS) at the Institute of Infectious Diseases "Emilio Ribas" in São Paulo City has decreased significantly from 29% in 1995 to 19.8% in 1999, and hospitalization time has been reduced by 4 days in the period from 1998 to 19...
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Veröffentlicht in: | AIDS patient care and STDs 2001-05, Vol.15 (5), p.271-275 |
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creator | Casseb, J Orrico, G S Feijo, R D Guaracy, L Medeiros, L A |
description | The death rate in adults with acquired immune deficiency syndrome (AIDS) at the Institute of Infectious Diseases "Emilio Ribas" in São Paulo City has decreased significantly from 29% in 1995 to 19.8% in 1999, and hospitalization time has been reduced by 4 days in the period from 1998 to 1999. Lack of antiretroviral treatment (ART) before hospitalization was associated with death during hospitalization (odds ratio [OR] = 3.8), and survival was associated with previous use of three or more antiretrovirals (OR = 0.15). Therefore, we recommend an aggressive campaign for human immunodeficiency virus (HIV) antibody screening among the at-risk populations in Brazil to assure that ART is provided when necessary. |
doi_str_mv | 10.1089/10872910152050793 |
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Lack of antiretroviral treatment (ART) before hospitalization was associated with death during hospitalization (odds ratio [OR] = 3.8), and survival was associated with previous use of three or more antiretrovirals (OR = 0.15). Therefore, we recommend an aggressive campaign for human immunodeficiency virus (HIV) antibody screening among the at-risk populations in Brazil to assure that ART is provided when necessary.</description><identifier>ISSN: 1087-2914</identifier><identifier>EISSN: 1557-7449</identifier><identifier>DOI: 10.1089/10872910152050793</identifier><identifier>PMID: 11530768</identifier><identifier>CODEN: APACEF</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Acquired immune deficiency syndrome ; Acquired Immunodeficiency Syndrome - drug therapy ; Acquired Immunodeficiency Syndrome - mortality ; Adult ; AIDS ; Anti-HIV Agents - administration & dosage ; antiretroviral therapy ; Brazil - epidemiology ; Brazil, Sao Paulo ; Chi-Square Distribution ; Confidence Intervals ; Drug therapy ; Female ; Hospital Mortality ; Hospitalization ; Hospitals, Teaching ; Human immunodeficiency virus ; Humans ; Incidence ; Length of Stay - statistics & numerical data ; Male ; Mortality ; Odds Ratio ; Risk Factors ; Urban Population</subject><ispartof>AIDS patient care and STDs, 2001-05, Vol.15 (5), p.271-275</ispartof><rights>Copyright Mary Ann Liebert Inc. 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Lack of antiretroviral treatment (ART) before hospitalization was associated with death during hospitalization (odds ratio [OR] = 3.8), and survival was associated with previous use of three or more antiretrovirals (OR = 0.15). Therefore, we recommend an aggressive campaign for human immunodeficiency virus (HIV) antibody screening among the at-risk populations in Brazil to assure that ART is provided when necessary.</description><subject>Acquired immune deficiency syndrome</subject><subject>Acquired Immunodeficiency Syndrome - drug therapy</subject><subject>Acquired Immunodeficiency Syndrome - mortality</subject><subject>Adult</subject><subject>AIDS</subject><subject>Anti-HIV Agents - administration & dosage</subject><subject>antiretroviral therapy</subject><subject>Brazil - epidemiology</subject><subject>Brazil, Sao Paulo</subject><subject>Chi-Square Distribution</subject><subject>Confidence Intervals</subject><subject>Drug therapy</subject><subject>Female</subject><subject>Hospital Mortality</subject><subject>Hospitalization</subject><subject>Hospitals, Teaching</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Incidence</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Mortality</subject><subject>Odds Ratio</subject><subject>Risk Factors</subject><subject>Urban Population</subject><issn>1087-2914</issn><issn>1557-7449</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkUtOHDEQhq0IFB7JAdhEFous6ODn2F7yTJBGCtLMvlW03YxJd7tju4mGC3CQHIWLYTQjISUb2-X6_lJV_QgdUfKNEm1Oy6GYoYRKRiRRhn9A-1RKVSkhzE55l3xVALGHDlJ6IIRoJslHtEep5ETN9D56nkPzC4cWj9GHiGHIProcw6OP0OG8chHGNfYJQ0qh8ZCdxX98XmE_NNFBKmEfYobO5zWGPgz3eBXS6N9-nkpyhOzdkNNGdHZzuShKvHj5G_AtTF04wecRnnz3Ce220CX3eXsfouX11fLiRzX_-f3m4mxeNZyJXBlZxrMCqLbKuFbRlrfWUkFnkgBwwYAyI61VnGktFEitODjRWHHHeNvyQ_R1U3aM4ffkUq57nxrXdTC4MKWaKm3KLk0Bj_8BH8IUh9JazdhMK8K5LBDdQE0MKUXX1mWLPcR1TUn95lD9n0NF82VbeLrrnX1XbC3hr0OfjRU</recordid><startdate>20010501</startdate><enddate>20010501</enddate><creator>Casseb, J</creator><creator>Orrico, G S</creator><creator>Feijo, R D</creator><creator>Guaracy, L</creator><creator>Medeiros, L A</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T2</scope><scope>7T5</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope></search><sort><creationdate>20010501</creationdate><title>Lack of prior antiretroviral therapy is associated with increased mortality among hospitalized patients with AIDS in São Paulo, Brazil</title><author>Casseb, J ; 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subjects | Acquired immune deficiency syndrome Acquired Immunodeficiency Syndrome - drug therapy Acquired Immunodeficiency Syndrome - mortality Adult AIDS Anti-HIV Agents - administration & dosage antiretroviral therapy Brazil - epidemiology Brazil, Sao Paulo Chi-Square Distribution Confidence Intervals Drug therapy Female Hospital Mortality Hospitalization Hospitals, Teaching Human immunodeficiency virus Humans Incidence Length of Stay - statistics & numerical data Male Mortality Odds Ratio Risk Factors Urban Population |
title | Lack of prior antiretroviral therapy is associated with increased mortality among hospitalized patients with AIDS in São Paulo, Brazil |
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