Cardiopulmonary Hospitalizations During Influenza Season in Adults and Adolescents With Advanced HIV Infection
The etiologic role of influenza in hospitalizations and deaths among persons infected with HIV since the introduction of highly active antiretroviral therapy (HAART) is not known. A retrospective cohort study was performed of all persons aged 15 to 50 years with AIDS or advanced HIV infection enroll...
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| Veröffentlicht in: | Journal of acquired immune deficiency syndromes (1999) 2003-11, Vol.34 (3), p.304-307 |
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| container_title | Journal of acquired immune deficiency syndromes (1999) |
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| creator | Neuzil, Kathleen M Coffey, Christopher S Mitchel, Ed F Griffin, Marie R |
| description | The etiologic role of influenza in hospitalizations and deaths among persons infected with HIV since the introduction of highly active antiretroviral therapy (HAART) is not known. A retrospective cohort study was performed of all persons aged 15 to 50 years with AIDS or advanced HIV infection enrolled in the Tennessee Medicaid program from 1995 through 1999, representing 7368 person-years of follow-up. The influenza season was defined based on local virus surveillance, and hospitalizations were measured for acute cardiopulmonary causes and deaths from any cause throughout the year. From 1995 through 1999, cardiopulmonary hospitalization rates in HIV-infected patients declined by 53% and death rates declined by 77%. The influenza-attributable hospitalization rate was 48 (95% confidence interval [CI]16-91) per 1000 persons in 1995 and 5 (95% CI-0.5-11) per 1000 persons per year during 1996 through 1999, after the introduction of HAART. Influenza-associated hospitalizations have declined in patients with HIV infection in the post-HAART era. Rates remain comparable to rates in other high-risk groups for which annual influenza vaccination is recommended, however. |
| doi_str_mv | 10.1097/00126334-200311010-00008 |
| format | Article |
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A retrospective cohort study was performed of all persons aged 15 to 50 years with AIDS or advanced HIV infection enrolled in the Tennessee Medicaid program from 1995 through 1999, representing 7368 person-years of follow-up. The influenza season was defined based on local virus surveillance, and hospitalizations were measured for acute cardiopulmonary causes and deaths from any cause throughout the year. From 1995 through 1999, cardiopulmonary hospitalization rates in HIV-infected patients declined by 53% and death rates declined by 77%. The influenza-attributable hospitalization rate was 48 (95% confidence interval [CI]16-91) per 1000 persons in 1995 and 5 (95% CI-0.5-11) per 1000 persons per year during 1996 through 1999, after the introduction of HAART. Influenza-associated hospitalizations have declined in patients with HIV infection in the post-HAART era. Rates remain comparable to rates in other high-risk groups for which annual influenza vaccination is recommended, however.</description><identifier>ISSN: 1525-4135</identifier><identifier>EISSN: 1944-7884</identifier><identifier>DOI: 10.1097/00126334-200311010-00008</identifier><identifier>PMID: 14600576</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Adult ; AIDS/HIV ; Antiretroviral Therapy, Highly Active ; Biological and medical sciences ; Cohort Studies ; Female ; Fundamental and applied biological sciences. Psychology ; highly active antiretroviral therapy ; HIV Infections - complications ; HIV Infections - pathology ; HIV Infections - virology ; HIV-1 - growth & development ; Hospitalization - trends ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Infectious diseases ; Influenza, Human - complications ; Influenza, Human - pathology ; Influenza, Human - virology ; Male ; Medical sciences ; Microbiology ; Middle Aged ; Miscellaneous ; Orthomyxoviridae - growth & development ; Retrospective Studies ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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A retrospective cohort study was performed of all persons aged 15 to 50 years with AIDS or advanced HIV infection enrolled in the Tennessee Medicaid program from 1995 through 1999, representing 7368 person-years of follow-up. The influenza season was defined based on local virus surveillance, and hospitalizations were measured for acute cardiopulmonary causes and deaths from any cause throughout the year. From 1995 through 1999, cardiopulmonary hospitalization rates in HIV-infected patients declined by 53% and death rates declined by 77%. The influenza-attributable hospitalization rate was 48 (95% confidence interval [CI]16-91) per 1000 persons in 1995 and 5 (95% CI-0.5-11) per 1000 persons per year during 1996 through 1999, after the introduction of HAART. Influenza-associated hospitalizations have declined in patients with HIV infection in the post-HAART era. Rates remain comparable to rates in other high-risk groups for which annual influenza vaccination is recommended, however.</description><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS/HIV</subject><subject>Antiretroviral Therapy, Highly Active</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>highly active antiretroviral therapy</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - pathology</subject><subject>HIV Infections - virology</subject><subject>HIV-1 - growth & development</subject><subject>Hospitalization - trends</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Influenza, Human - complications</subject><subject>Influenza, Human - pathology</subject><subject>Influenza, Human - virology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Orthomyxoviridae - growth & development</subject><subject>Retrospective Studies</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Virology</subject><issn>1525-4135</issn><issn>1944-7884</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkktvEzEURkcIREvhL6DZwG7Ab3uWVXgkUiUWvJbW7fiaGBw72DNU9NfjkEBXCG_80PmurXvcdT0lLygZ9UtCKFOci4ERwikllAykDXOvO6ejEIM2Rtxva8nkICiXZ92jWr-2lBJifNidUaEIkVqdd2kFxYW8X-IuJyg_-3Wu-zBDDLcwh5xq_2opIX3pN8nHBdMt9O8Rak59SP2lW-Jce0iuLXPEOmFq-89h3raDH5AmdP168-kQxulQ7nH3wEOs-OQ0X3Qf37z-sFoPV-_eblaXV8MklDaDAjCgmVDKSXAjYeClZOidMdyZiTA_KRCgifOEgqRaXnvH0Y8CPSqJ_KJ7fqy7L_n7gnW2u9BeFyMkzEu1mnKuR2L-C9KRUUY5aaA5glPJtRb0dl_CrnXMUmIPUuwfKfavFPtbSos-Pd2xXO_Q3QVPFhrw7ARAnSD60joX6h3XNFLCROPEkbvJccZSv8XlBovdIsR5a__1Kfgv5XqlLg</recordid><startdate>20031101</startdate><enddate>20031101</enddate><creator>Neuzil, Kathleen M</creator><creator>Coffey, Christopher S</creator><creator>Mitchel, Ed F</creator><creator>Griffin, Marie R</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><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>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20031101</creationdate><title>Cardiopulmonary Hospitalizations During Influenza Season in Adults and Adolescents With Advanced HIV Infection</title><author>Neuzil, Kathleen M ; Coffey, Christopher S ; Mitchel, Ed F ; Griffin, Marie R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4678-6aa8a72466d5ad902af552efd883d8c02fc6a4a70df01a5175bfd3ef94efe65e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS/HIV</topic><topic>Antiretroviral Therapy, Highly Active</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>highly active antiretroviral therapy</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - pathology</topic><topic>HIV Infections - virology</topic><topic>HIV-1 - growth & development</topic><topic>Hospitalization - trends</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Influenza, Human - complications</topic><topic>Influenza, Human - pathology</topic><topic>Influenza, Human - virology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microbiology</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Orthomyxoviridae - growth & development</topic><topic>Retrospective Studies</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. 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| subjects | Adolescent Adult AIDS/HIV Antiretroviral Therapy, Highly Active Biological and medical sciences Cohort Studies Female Fundamental and applied biological sciences. Psychology highly active antiretroviral therapy HIV Infections - complications HIV Infections - pathology HIV Infections - virology HIV-1 - growth & development Hospitalization - trends Human immunodeficiency virus Human viral diseases Humans Infectious diseases Influenza, Human - complications Influenza, Human - pathology Influenza, Human - virology Male Medical sciences Microbiology Middle Aged Miscellaneous Orthomyxoviridae - growth & development Retrospective Studies Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Virology |
| title | Cardiopulmonary Hospitalizations During Influenza Season in Adults and Adolescents With Advanced HIV Infection |
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