AEGiS-14IAC: Impact of AIDS on admissions and mortality in an Internal Medicine Department (1996-2000).

14th International AIDS Conference

Barcelona, Spain - July 7-12, 2002

Impact of AIDS on admissions and mortality in an Internal Medicine Department (1996-2000).

Int Conf AIDS 2002 Jul 7-12; 14:(abstract no. C10717)

Martin-Aspas A, Guerrero F, Tinoco I, Rodriguez C, Gonzalez JA
Hospital, Cadiz, Spain

OBJECTIVE: To analyze the impact of AIDS on admissions and mortality rate in an Internal Medicine Department (MI) of a third level hospital.

METHODS: From 1996 to 2000, a total of 4614 adult patients, 690 of them with HIV infection, were hospitalized in the service under analysis. The impact of HIV infection on admissions and mortality was analyzed using the joint basic minimum data report on hospital discharge. The diagnoses were grouped into the diagnosis-related groups (DRGs).

RESULTS: The proportion and number of patients attended with HIV infection in 1996 and 1997 (22,8 % and 18,6 %, of the total of hospitalized patients -203 and 249 individuals-), before the systematic implementation of highly active antiretroviral treatment (HAART) in our hospital, declined in successive years: 12,1 % - 94 patients-, 8,7 % - 60 patients-, 9,2 % - 84 patients- in 1998, 1999 and 2000, respectively. Likewise, whereas all-cause mortality of hospitalised patients in MI remains stabilized (1996: 20,7 %, 1997: 18,0 %, 1998: 20,0 %, 1999: 17,7 %, 2000: 19,9 %), mortality of HIV-infected patients has decreased ((1996: 23,7 %, 1997: 16,9 %, 1998: 19,2 %, 1999: 13,3 %, 2000: 10,7 %)

CONCLUSIONS: Both the percentage of admissions and mortality of HIV-infected patients in the Internal Medicine Department has decreased from implementation of HAART. These findings should be used for future health planning

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, HIV Infections, Antiretroviral Therapy, Highly Active, Internal Medicine, Hospitals, Human, Adult, mortality

020707
C10717