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13th International AIDS ConferenceDurban, South Africa - July 9-July 14, 2000 |
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. MoOrB121)
Asuncion H, Federico P, Jose M. P, Juan C. A, Juan GG, Rafael R
H. Asuncion, Universidad Europea de Madrid, c/ Islas Virgenes 14, 28909 Getafe Madrid, Spain, Tel.: +34 91 684 87 21, Fax: +34 91 390 86 14, E-mail: fpulido@jazzcyber.com
BACKGROUND: Day care units have become an usual way of medical care for aids patients. However, their influence on the incidence of hospital admissions has not been evaluated.
METHODS: Observational and longitudinal study of a cohort of 308 patients with aids diagnosed between 1990 and 1994 and followed-up to June 1996 in two tertiary hospitals in Madrid, Spain. The incidence of hospital admissions according to the hospital of follow-up (with or without day care unit) was analyzed. A multivariate analysis of the number of hospital admissions was performed using a regression model adjusted to a distribution of Poisson.
RESULTS: After aids diagnosis, the incidence of hospital admissions was 108 per 100 patient-years of follow up (21 days as inpatient per patient-year). Those patients controlled in the hospital with day care unit have less hospital admissions (Relative risk after adjusting by CD4+ cells count and type of diagnostic disease: 0,64; CI95% 0,55-0,76), and less days as inpatient through their follow-up (11 to 31 days less). There was no difference in survival among patients followed in both hospitals.
CONCLUSIONS: A day care unit decrease the incidence of hospital admissions in aids patients. This positive impact is more evident in patients with lesser CD4+ cell counts.
Copyright © 2000 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.
