The Outcomes of Transition from Pediatrics to Adult Care among Adolescents and Young Adults with HIV at a Tertiary Care Center in Bangkok
Issued Date
2022-01-01
Resource Type
ISSN
23259574
eISSN
23259582
Scopus ID
2-s2.0-85143566815
Pubmed ID
36474457
Journal Title
Journal of the International Association of Providers of AIDS Care
Volume
21
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the International Association of Providers of AIDS Care Vol.21 (2022)
Suggested Citation
Rungmaitree S., Thamniamdee N., Sachdev S., Phongsamart W., Lapphra K., Wittawatmongkol O., Maleesatharn A., Khumcha B., Hoffman R.M., Chokephaibulkit K. The Outcomes of Transition from Pediatrics to Adult Care among Adolescents and Young Adults with HIV at a Tertiary Care Center in Bangkok. Journal of the International Association of Providers of AIDS Care Vol.21 (2022). doi:10.1177/23259582221143673 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85041
Title
The Outcomes of Transition from Pediatrics to Adult Care among Adolescents and Young Adults with HIV at a Tertiary Care Center in Bangkok
Other Contributor(s)
Abstract
Background: Adolescents and young adults with HIV (AYHIV) are at high-risk of loss to follow up and virologic failure, particularly during transition from pediatric to adult clinics. Methods: We reviewed the medical records of AYHIV to characterize retention and virologic suppression following their transition. Results: 101 AYHIV, 97% perinatally infected, were transferred at the median age of 20 (IQR: 19-21) years. At 1-year post-transition, 92.1% were retained in care and 73.3% had viral suppression and at 2-years the retention and viral suppression were 87.1% and 76.7%, respectively. Factors associated with viral suppression were transition at ≥ 20 years of age (aOR 4.38, 95% CI 1.41-13.65) and receiving first-line ART regimen, compared to second- or third-line regimens, at transition (aOR 6.05, 95% CI 1.55-23.58). Conclusion: Transition outcomes of AYHIV in our setting were suboptimal. There is a need for interventions to support AYHIV transition during this vulnerable period.