Health care utilization and survival among patients with AIDS in Belo Horizonte, Minas Gerais, Brazil
A historical cohort study was conducted in three public AIDS referral services in Belo Horizonte, Minas Gerais, to assess the relationship between health care utilization and patient survival following AIDS diagnosis. A review of medical and laboratory records was performed for HIV-infected patients...
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
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| Series: | Cadernos de Saúde Pública |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X1998000400023&lng=en&tlng=en |
| _version_ | 1818357240971657216 |
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| author | Francisco de Assis Acurcio Cibele Comini Cesar Mark Drew Crosland Guimarães |
| author_facet | Francisco de Assis Acurcio Cibele Comini Cesar Mark Drew Crosland Guimarães |
| author_sort | Francisco de Assis Acurcio |
| collection | DOAJ |
| description | A historical cohort study was conducted in three public AIDS referral services in Belo Horizonte, Minas Gerais, to assess the relationship between health care utilization and patient survival following AIDS diagnosis. A review of medical and laboratory records was performed for HIV-infected patients seeking care for the first time in 1989-92. Among 291 patients initially categorized as "A" [asymptomatic, acute HIV, or persistent generalized lymphadenopathy-PGL] or "B" [symptomatic, non-"A", or AIDS-indicator conditions] (CDC, 1992) and who progressed to AIDS, 57.0% died. Mortality rate was 34.9/1.000 person-months. Overall median survival time following AIDS diagnosis was 14.3 months. Multivariate analysis showed that lack of AZT use (RR = 1.87; 95% CI = 1.34-2.61), advanced initial staging (RR = 1.68; 95% CI = 1.20-2.35), 9 or more inpatient days (RR = 1.55; 95% CI = 1.11-2.17), and intervals between outpatient visits longer than 6 months (RR = 0.30; 95% CI = 0.16-0.56) were associated with death. The analysis suggests that: Patients who used health services more often had poorer prognosis; Patients who received AZT survived longer than those who did not; and Variables used to assess health care utilization actually express the end of a process involving seeking and obtaining care. |
| first_indexed | 2024-12-13T20:09:58Z |
| format | Article |
| id | doaj.art-48b0b6db8e514eadb85be402661be4a2 |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-12-13T20:09:58Z |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-48b0b6db8e514eadb85be402661be4a22022-12-21T23:32:56ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-4464144811820S0102-311X1998000400023Health care utilization and survival among patients with AIDS in Belo Horizonte, Minas Gerais, BrazilFrancisco de Assis Acurcio0Cibele Comini Cesar1Mark Drew Crosland Guimarães2Universidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisA historical cohort study was conducted in three public AIDS referral services in Belo Horizonte, Minas Gerais, to assess the relationship between health care utilization and patient survival following AIDS diagnosis. A review of medical and laboratory records was performed for HIV-infected patients seeking care for the first time in 1989-92. Among 291 patients initially categorized as "A" [asymptomatic, acute HIV, or persistent generalized lymphadenopathy-PGL] or "B" [symptomatic, non-"A", or AIDS-indicator conditions] (CDC, 1992) and who progressed to AIDS, 57.0% died. Mortality rate was 34.9/1.000 person-months. Overall median survival time following AIDS diagnosis was 14.3 months. Multivariate analysis showed that lack of AZT use (RR = 1.87; 95% CI = 1.34-2.61), advanced initial staging (RR = 1.68; 95% CI = 1.20-2.35), 9 or more inpatient days (RR = 1.55; 95% CI = 1.11-2.17), and intervals between outpatient visits longer than 6 months (RR = 0.30; 95% CI = 0.16-0.56) were associated with death. The analysis suggests that: Patients who used health services more often had poorer prognosis; Patients who received AZT survived longer than those who did not; and Variables used to assess health care utilization actually express the end of a process involving seeking and obtaining care.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X1998000400023&lng=en&tlng=enAIDSSobrevidaCuidados de SaúdeHIV |
| spellingShingle | Francisco de Assis Acurcio Cibele Comini Cesar Mark Drew Crosland Guimarães Health care utilization and survival among patients with AIDS in Belo Horizonte, Minas Gerais, Brazil Cadernos de Saúde Pública AIDS Sobrevida Cuidados de Saúde HIV |
| title | Health care utilization and survival among patients with AIDS in Belo Horizonte, Minas Gerais, Brazil |
| title_full | Health care utilization and survival among patients with AIDS in Belo Horizonte, Minas Gerais, Brazil |
| title_fullStr | Health care utilization and survival among patients with AIDS in Belo Horizonte, Minas Gerais, Brazil |
| title_full_unstemmed | Health care utilization and survival among patients with AIDS in Belo Horizonte, Minas Gerais, Brazil |
| title_short | Health care utilization and survival among patients with AIDS in Belo Horizonte, Minas Gerais, Brazil |
| title_sort | health care utilization and survival among patients with aids in belo horizonte minas gerais brazil |
| topic | AIDS Sobrevida Cuidados de Saúde HIV |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X1998000400023&lng=en&tlng=en |
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