AEGiS-05IAC: Diagnosis and mortality trends in an outpatient AIDS clinic.

5th International AIDS Conference

Montreal, Quebec, Canada — Jun 4-9, 1989

Diagnosis and mortality trends in an outpatient AIDS clinic.

Int Conf AIDS 1989 Jun 4-9; 5:174 (abstract no. A.584)
Keyes C, Kelly J, Marte C; Bellevue Hospital Center/Community Health Project NY, NY USA

OBJECTIVE: To review trends in diseases of diagnosis and death in a community based primary care AIDS clinic population as a basis for improved management.

METHODS: All cases (169) of AIDS diagnosed from 1/1/86 to 1/1/89 in a primary care out-patient AIDS clinic were reviewed for index diagnosis, year of diagnosis, diagnosis of death and year of death.

RESULTS: Trends in diseases of diagnosis and diseases of death over three years are as follows: TABULAR DATA, SEE ABSTRACT VOLUME.

CONCLUSION: With the advent of PCP prophylaxis and improved management, mortality from PCP has decreased while the incidence of PCP has not changed significantly in our clinic population. More aggressive PCP prophylaxis may reduce the incidence of PCP as an index diagnosis. Mortality from pulmonary KS has increased, although KS has been less frequently diagnosed overall in these patients. The increasing number of AIDS diagnoses based on other diseases suggests that one should be alert to subgroups who would benefit from earlier diagnosis and treatment. Of special concern are the increased deaths from unknown causes. Perhaps more aggressive work-up might have elicited a definite diagnosis amenable to treatment, e.g., extrapulmonary pneumocystis.

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, Incidence, Ambulatory Care Facilities, Survival Rate, Cause of Death, CD4 Lymphocyte Count, Death, Prognosis, Human, diagnosis, mortality, trends, ICA5

890604
A584