Publication: Causes of Hospitalization and Death among Newly Diagnosed HIV-Infected Adults in Thailand
Issued Date
2020-01-01
Resource Type
ISSN
23259582
23259574
23259574
Other identifier(s)
2-s2.0-85084169893
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the International Association of Providers of AIDS Care. Vol.19, (2020)
Suggested Citation
Sukonthip Chanto, Sasisopin Kiertiburanakul Causes of Hospitalization and Death among Newly Diagnosed HIV-Infected Adults in Thailand. Journal of the International Association of Providers of AIDS Care. Vol.19, (2020). doi:10.1177/2325958220919266 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/56211
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Title
Causes of Hospitalization and Death among Newly Diagnosed HIV-Infected Adults in Thailand
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Abstract
© The Author(s) 2020. More than half of newly diagnosed HIV-infected patients enter to care with a low CD4 count. A retrospective cohort study was conducted among newly diagnosed HIV-infected adults who were hospitalized. Of 148 patients, median (interquartile range [IQR]) age was 39.3 (30.5-47.1) years and 114 (77%) patients were male. Baseline median (IQR) CD4 count was 79 (24-218) cells/mm3. The median (IQR) length of hospital stay was 8 (4-16) days. Half of the patients were hospitalized with AIDS-defining illness (ADI). Common opportunistic infections were Pneumocystis jirovecii pneumonia (20.3%) and tuberculosis (18.9%). CD4 count was statistically significantly associated with hospitalization with ADI (odds ratio: 0.85, per 10 cells/mm3 increased; 95% confidence interval: 0.80-0.90). The mortality was 5.4%. In conclusion, half of newly diagnosed Thai HIV-infected patients were hospitalized with ADI. Early detection of HIV infection leading to early antiretroviral therapy initiation and prevention of serious complications is essential.