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

ABSTRACT 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 hospitalize...

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Main Authors: Jarbas da Silva Ziani, Jenifer Härter, Francielle Liz Monteiro, Camila Biazus Dalcin, Stela Maris de Mello Padoin, Marcelo Ribeiro Primeira, Laís Mara Caetano da Silva Corcini, Cláudia Zamberlan
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2024-12-01
Series:Revista Brasileira de Enfermagem
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672024001000154&lng=en&tlng=en
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author Jarbas da Silva Ziani
Jenifer Härter
Francielle Liz Monteiro
Camila Biazus Dalcin
Stela Maris de Mello Padoin
Marcelo Ribeiro Primeira
Laís Mara Caetano da Silva Corcini
Cláudia Zamberlan
author_facet Jarbas da Silva Ziani
Jenifer Härter
Francielle Liz Monteiro
Camila Biazus Dalcin
Stela Maris de Mello Padoin
Marcelo Ribeiro Primeira
Laís Mara Caetano da Silva Corcini
Cláudia Zamberlan
author_sort Jarbas da Silva Ziani
collection DOAJ
description ABSTRACT 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.
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spelling doaj-art-3fc4ee4b6fbe48b68ad0d2035c7548d42025-08-20T01:58:11ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462024-12-0177610.1590/0034-7167-2024-0204Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohortJarbas da Silva Zianihttps://orcid.org/0000-0002-9325-9390Jenifer Härterhttps://orcid.org/0000-0002-9130-4290Francielle Liz Monteirohttps://orcid.org/0000-0002-4698-9657Camila Biazus Dalcinhttps://orcid.org/0000-0003-1910-3045Stela Maris de Mello Padoinhttps://orcid.org/0000-0003-3272-054XMarcelo Ribeiro Primeirahttps://orcid.org/0000-0001-9735-6502Laís Mara Caetano da Silva Corcinihttps://orcid.org/0000-0001-7596-2333Cláudia Zamberlanhttps://orcid.org/0000-0002-4664-0666ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672024001000154&lng=en&tlng=enAcquired Immunodeficiency SyndromeHIVHospitalizationRiskNursing
spellingShingle Jarbas da Silva Ziani
Jenifer Härter
Francielle Liz Monteiro
Camila Biazus Dalcin
Stela Maris de Mello Padoin
Marcelo Ribeiro Primeira
Laís Mara Caetano da Silva Corcini
Cláudia Zamberlan
Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
Revista Brasileira de Enfermagem
Acquired Immunodeficiency Syndrome
HIV
Hospitalization
Risk
Nursing
title Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
title_full Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
title_fullStr Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
title_full_unstemmed Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
title_short Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
title_sort indicators associated with severity and mortality in hospitalized people with hiv a retrospective cohort
topic Acquired Immunodeficiency Syndrome
HIV
Hospitalization
Risk
Nursing
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672024001000154&lng=en&tlng=en
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