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Titolo:
Psychosocial factors are associated with prolonged hospitalization in a population with advanced HIV
Autore:
Cheng, AC; Mijch, AM; Hoy, JF; Wesselingh, SL; Fairley, CK;
Titolo Testata:
INTERNATIONAL JOURNAL OF STD & AIDS
fascicolo: 5, volume: 12, anno: 2001,
pagine: 302 - 306
SICI:
0956-4624(200105)12:5<302:PFAAWP>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
LYMPHOCYTE COUNTS; RNA LEVELS; INFECTION; THERAPY; PROGRESSION; IMPACT;
Keywords:
HIV infections; acquired immunodeficiency syndrome; mental disorders; social environment; hospitalization; substance-related disorders; morbidity; mortality;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Cheng, AC Duke Univ, Med Ctr, Div Infect Dis, Box 3824, Durham, NC 27710 USA Duke Univ Box 3824 Durham NC USA 27710 824, Durham, NC 27710 USA
Citazione:
A.C. Cheng et al., "Psychosocial factors are associated with prolonged hospitalization in a population with advanced HIV", INT J STD A, 12(5), 2001, pp. 302-306

Abstract

Our aim was to define a subgroup of patients with HIV at risk of adverse outcomes in terms of psychosocial factors in order to improve the targeting of hospital resources. The International Classification of Diseases, 9th Revision (ICD-9) coded discharges of all inpatients with HIV discharged from a tertiary hospital between July 1996 and March 1999 were matched against variables in the HIV/AIDS database. A 'prolonged hospitalization' subgroup was defined as those patients whose cumulative length of stay exceeded 90 days in the 33-month period. There were 2778 non-day stay discharges (n=757 patients) constituting 21,286 bed-days. The prolonged hospitalization group (n=62) accounted for 44.3% of the bed-days. Psychosocial co-diagnoses were associated with prolonged hospitalization in both crude and adjusted logistic analyses. These included psychiatric diagnoses such as mania, psychosis and anxiety, HIV dementia, housing issues and the need for social work interventions. In conclusion, a small group of individuals at risk of adverse outcomes has been defined by markers of psychosocial dysfunction. Increased understanding of this group should enable the development of programmes directed at morbidity and mortality.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 00:10:59