Inpatient Health Services Utilization Among HIV-Infected Adult Patients in Care 2002–2007
OBJECTIVE:This study examines the frequency of inpatient hospitalization, the number of inpatient days, and factors associated with inpatient utilization in a multistate HIV cohort between 2002 and 2007. DESIGN:A prospective cohort study of HIV-infected adults in care at 11 US HIV primary and specia...
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| Veröffentlicht in: | Journal of acquired immune deficiency syndromes (1999) 2010-03, Vol.53 (3), p.397-404 |
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| container_title | Journal of acquired immune deficiency syndromes (1999) |
| container_volume | 53 |
| creator | Yehia, Baligh R Fleishman, John A Hicks, Perrin L Ridore, Michelande Moore, Richard D Gebo, Kelly A |
| description | OBJECTIVE:This study examines the frequency of inpatient hospitalization, the number of inpatient days, and factors associated with inpatient utilization in a multistate HIV cohort between 2002 and 2007.
DESIGN:A prospective cohort study of HIV-infected adults in care at 11 US HIV primary and specialty care sites located in different geographic regions.
METHODS:Demographic, clinical, and resource utilization data were collected from medical records for the years 2002-2007. Rates of resource use were calculated for number of hospital admissions, total inpatient days, and mean length of stay per admission.
RESULTS:Annual inpatient hospitalization rates significantly decreased from 35 to 27 per 100 persons from 2002 to 2007. The number of inpatient days per year significantly decreased over time, whereas mean length of stay per admission was stable. Women, patients 50 years or older, blacks, injection drug users, and patients without private insurance had higher hospitalization rates than their counterparts. Admission rates were lower for patients with high CD4 counts and low HIV-1 RNA levels.
CONCLUSIONS:Inpatient hospitalization rates and number of inpatient days decreased for HIV patients in this multistate cohort between 2002 and 2007. Sociodemographic disparities in inpatient utilization persist. |
| doi_str_mv | 10.1097/QAI.0b013e3181bcdc16 |
| format | Article |
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DESIGN:A prospective cohort study of HIV-infected adults in care at 11 US HIV primary and specialty care sites located in different geographic regions.
METHODS:Demographic, clinical, and resource utilization data were collected from medical records for the years 2002-2007. Rates of resource use were calculated for number of hospital admissions, total inpatient days, and mean length of stay per admission.
RESULTS:Annual inpatient hospitalization rates significantly decreased from 35 to 27 per 100 persons from 2002 to 2007. The number of inpatient days per year significantly decreased over time, whereas mean length of stay per admission was stable. Women, patients 50 years or older, blacks, injection drug users, and patients without private insurance had higher hospitalization rates than their counterparts. Admission rates were lower for patients with high CD4 counts and low HIV-1 RNA levels.
CONCLUSIONS:Inpatient hospitalization rates and number of inpatient days decreased for HIV patients in this multistate cohort between 2002 and 2007. Sociodemographic disparities in inpatient utilization persist.</description><identifier>ISSN: 1525-4135</identifier><identifier>EISSN: 1944-7884</identifier><identifier>DOI: 10.1097/QAI.0b013e3181bcdc16</identifier><identifier>PMID: 19841589</identifier><identifier>CODEN: JDSRET</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Adults ; AIDS/HIV ; Biological and medical sciences ; Cohort Studies ; Demographics ; Female ; Fundamental and applied biological sciences. Psychology ; Health Services - utilization ; HIV ; HIV Infections - therapy ; Hospitalization ; Hospitalization - statistics & numerical data ; Human immunodeficiency virus ; Human immunodeficiency virus 1 ; Human viral diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Microbiology ; Middle Aged ; Miscellaneous ; Patient admissions ; Patients ; Primary care ; Prospective Studies ; United States ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Virology ; Young Adult</subject><ispartof>Journal of acquired immune deficiency syndromes (1999), 2010-03, Vol.53 (3), p.397-404</ispartof><rights>2010 Lippincott Williams & Wilkins, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Mar 1, 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5415-2e7b89c983e186874bf3235ebd6d75b239235cc48d771ee59174281b579244323</citedby><cites>FETCH-LOGICAL-c5415-2e7b89c983e186874bf3235ebd6d75b239235cc48d771ee59174281b579244323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00126334-201003010-00015$$EHTML$$P50$$Gwolterskluwer$$H</linktohtml><link.rule.ids>230,314,777,781,882,4595,27905,27906,65212</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22530393$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19841589$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yehia, Baligh R</creatorcontrib><creatorcontrib>Fleishman, John A</creatorcontrib><creatorcontrib>Hicks, Perrin L</creatorcontrib><creatorcontrib>Ridore, Michelande</creatorcontrib><creatorcontrib>Moore, Richard D</creatorcontrib><creatorcontrib>Gebo, Kelly A</creatorcontrib><creatorcontrib>HIV Research Network</creatorcontrib><title>Inpatient Health Services Utilization Among HIV-Infected Adult Patients in Care 2002–2007</title><title>Journal of acquired immune deficiency syndromes (1999)</title><addtitle>J Acquir Immune Defic Syndr</addtitle><description>OBJECTIVE:This study examines the frequency of inpatient hospitalization, the number of inpatient days, and factors associated with inpatient utilization in a multistate HIV cohort between 2002 and 2007.
DESIGN:A prospective cohort study of HIV-infected adults in care at 11 US HIV primary and specialty care sites located in different geographic regions.
METHODS:Demographic, clinical, and resource utilization data were collected from medical records for the years 2002-2007. Rates of resource use were calculated for number of hospital admissions, total inpatient days, and mean length of stay per admission.
RESULTS:Annual inpatient hospitalization rates significantly decreased from 35 to 27 per 100 persons from 2002 to 2007. The number of inpatient days per year significantly decreased over time, whereas mean length of stay per admission was stable. Women, patients 50 years or older, blacks, injection drug users, and patients without private insurance had higher hospitalization rates than their counterparts. Admission rates were lower for patients with high CD4 counts and low HIV-1 RNA levels.
CONCLUSIONS:Inpatient hospitalization rates and number of inpatient days decreased for HIV patients in this multistate cohort between 2002 and 2007. Sociodemographic disparities in inpatient utilization persist.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>AIDS/HIV</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Demographics</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Health Services - utilization</subject><subject>HIV</subject><subject>HIV Infections - therapy</subject><subject>Hospitalization</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Human immunodeficiency virus 1</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Patient admissions</subject><subject>Patients</subject><subject>Primary care</subject><subject>Prospective Studies</subject><subject>United States</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Virology</subject><subject>Young Adult</subject><issn>1525-4135</issn><issn>1944-7884</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNks1u1DAQxyMEoqXwBghZSIhTij9j-4K0WgEbqRIgKBcOluNMui7ZZGsnreDEO_CGPAkDuyqlJy4e2_Ob8X88UxSPGT1m1OoX7xf1MW0oEyCYYU1oA6vuFIfMSllqY-Rd3CuuSsmEOige5HxOKauktPeLA2aNZMrYw-JzPWz9FGGYyAp8P63JB0iXMUAmp1Ps4zd0jgNZbMbhjKzqT2U9dBAmaMminfuJvNsFZxIHsvQJCKeU__z-A41-WNzrfJ_h0d4eFaevX31crsqTt2_q5eKkDApVlBx0Y2ywRgAzldGy6QQXCpq2arVquLB4CkGaVmsGoCzTkmPFSlsuJaJHxctd3u3cbKANqCf53m1T3Pj01Y0-un89Q1y7s_HScSMYoxUmeL5PkMaLGfLkNjEH6Hs_wDhnp2XFBSr7D1KIylb4s0g-vUWej3Ma8B8cR0haYQRCcgeFNOacoLsWzaj73WWHXXa3u4xhT24W_Ddo31YEnu0Bn4Pvu-SHEPM1x7kSVNgb71-N_QQpf-nnK0hu_WcSHM4Lr4SQJaeMUoFLSfFOiV_WuL7u</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Yehia, Baligh R</creator><creator>Fleishman, John A</creator><creator>Hicks, Perrin L</creator><creator>Ridore, Michelande</creator><creator>Moore, Richard D</creator><creator>Gebo, Kelly A</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</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>7T2</scope><scope>7T5</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20100301</creationdate><title>Inpatient Health Services Utilization Among HIV-Infected Adult Patients in Care 2002–2007</title><author>Yehia, Baligh R ; Fleishman, John A ; Hicks, Perrin L ; Ridore, Michelande ; Moore, Richard D ; Gebo, Kelly A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5415-2e7b89c983e186874bf3235ebd6d75b239235cc48d771ee59174281b579244323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>AIDS/HIV</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Demographics</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Health Services - utilization</topic><topic>HIV</topic><topic>HIV Infections - therapy</topic><topic>Hospitalization</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Human immunodeficiency virus</topic><topic>Human immunodeficiency virus 1</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microbiology</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Patient admissions</topic><topic>Patients</topic><topic>Primary care</topic><topic>Prospective Studies</topic><topic>United States</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Virology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yehia, Baligh R</creatorcontrib><creatorcontrib>Fleishman, John A</creatorcontrib><creatorcontrib>Hicks, Perrin L</creatorcontrib><creatorcontrib>Ridore, Michelande</creatorcontrib><creatorcontrib>Moore, Richard D</creatorcontrib><creatorcontrib>Gebo, Kelly A</creatorcontrib><creatorcontrib>HIV Research Network</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yehia, Baligh R</au><au>Fleishman, John A</au><au>Hicks, Perrin L</au><au>Ridore, Michelande</au><au>Moore, Richard D</au><au>Gebo, Kelly A</au><aucorp>HIV Research Network</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inpatient Health Services Utilization Among HIV-Infected Adult Patients in Care 2002–2007</atitle><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle><addtitle>J Acquir Immune Defic Syndr</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>53</volume><issue>3</issue><spage>397</spage><epage>404</epage><pages>397-404</pages><issn>1525-4135</issn><eissn>1944-7884</eissn><coden>JDSRET</coden><abstract>OBJECTIVE:This study examines the frequency of inpatient hospitalization, the number of inpatient days, and factors associated with inpatient utilization in a multistate HIV cohort between 2002 and 2007.
DESIGN:A prospective cohort study of HIV-infected adults in care at 11 US HIV primary and specialty care sites located in different geographic regions.
METHODS:Demographic, clinical, and resource utilization data were collected from medical records for the years 2002-2007. Rates of resource use were calculated for number of hospital admissions, total inpatient days, and mean length of stay per admission.
RESULTS:Annual inpatient hospitalization rates significantly decreased from 35 to 27 per 100 persons from 2002 to 2007. The number of inpatient days per year significantly decreased over time, whereas mean length of stay per admission was stable. Women, patients 50 years or older, blacks, injection drug users, and patients without private insurance had higher hospitalization rates than their counterparts. Admission rates were lower for patients with high CD4 counts and low HIV-1 RNA levels.
CONCLUSIONS:Inpatient hospitalization rates and number of inpatient days decreased for HIV patients in this multistate cohort between 2002 and 2007. Sociodemographic disparities in inpatient utilization persist.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>19841589</pmid><doi>10.1097/QAI.0b013e3181bcdc16</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1525-4135 |
| ispartof | Journal of acquired immune deficiency syndromes (1999), 2010-03, Vol.53 (3), p.397-404 |
| issn | 1525-4135 1944-7884 |
| language | eng |
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| source | Freely Accessible Journals; MEDLINE; Journals@Ovid LWW Legacy Archive; Journals@Ovid Ovid Autoload |
| subjects | Adolescent Adult Adults AIDS/HIV Biological and medical sciences Cohort Studies Demographics Female Fundamental and applied biological sciences. Psychology Health Services - utilization HIV HIV Infections - therapy Hospitalization Hospitalization - statistics & numerical data Human immunodeficiency virus Human immunodeficiency virus 1 Human viral diseases Humans Infectious diseases Male Medical sciences Microbiology Middle Aged Miscellaneous Patient admissions Patients Primary care Prospective Studies United States Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Virology Young Adult |
| title | Inpatient Health Services Utilization Among HIV-Infected Adult Patients in Care 2002–2007 |
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