0090/2015 - Análise do perfil de pacientes com HIV/Aids hospitalizados após introdução da terapia antiretroviral (HAART) Profile analysis of hospitalized patients with HIV/AIDS after the introduction of antiretroviral therapy (HAART)
• ALTACÍLIO APARECIDO NUNES - Nunes,A.A - RIBEIRÃO PRETO, SÃO PAULO - Ribeirão Preto Medical School, University of São Paulo, Social Medicine - <altacilio@fmrp.usp.br>
Coautor(es):
• Luane Marques de Mello - Mello LM - Ribeirão Preto Medical School, University of São Paulo, Social Medicine - <luane@fmrp.usp.br>
• Anderson Soares da Silva - Silva AS - Ribeirão Preto Medical School, University of São Paulo, Social Medicine - <assilva@usp.br>
• Maíra Souza Nunes - Nunes, Maíra Souza - Itajubá Medical School - <maira-n@hotmail.com>
• Lais Scaloni Caliani - Caliani, Lais Scaloni - Hospital das Clínicas da Faculdade de Medina de Ribeirão Preto da Universidade de São Paulo - <la_caliani@yahoo.com.br>
Área Temática:
Epidemiologia
Resumo:
Desde a introdução da terapia antiretroviral altamente ativa (HAART) em 1996, tem se observado em todo o mundo mudanças nas causas de hospitalização em pacientes com HIV/Aids. O objetivo desse artigo foi descrever as e analisar as tendências e características das hospitalizações de pacientes com HIV/AIDS no período de 1997-2012. Trata-se de um estudo transversal que utiliza um banco de dados hospitalares que concentra registros de internações em 31 hospitais, públicos e privados de 26 municípios do interior de São Paulo. Para verificação de associação entre variáveis foi empregado a Razão de Prevalência (RP) e seu intervalo de confiança a 95% (IC 95%). Foram registradas 10.696 internações entre 9797 adultos e crianças, ou 1,09 internações por paciente, sendo 62% do sexo masculino, com faixa etária predominante dos 21 aos 50 anos (63,5%). Considerando-se todas as faixas etárias a mortalidade foi maior entre pacientes do sexo masculino [RP= 1,42 (IC95%: 1,28-1,57); p<0,05]. As doenças infecciosas foram as principais responsáveis pelas hospitalizações, representando 54,5% do total. Notou-se que ainda há predominância de doenças infecciosas (oportunistas ou não), como causas de internação em pacientes com HIV/Aids, mesmo na era pós HAART. Foram constatadas diferenças entre os sexos e idades dos pacientes considerando importantes variáveis como óbito.
Palavras-chave:
HIV/Aids
HAART
Hospitalização
Brasil
Abstract:
Since the introduction of highly active antiretroviral therapy in 1996, it has been observed worldwide changes in the cause of hospitalization in patients with HIV/AIDS. The objective this study was describes the and analyzes the trends and characteristics of hospitalizations of patients with HIV/AIDS for the period 1997-2012. This was a cross-sectional study that uses the database of Center Hospital Data that concentrates all records of hospitalizations in 31 hospitals, public and private, in 26 counties in the São Paulo state/Brazil. To verify the association between variables was employed prevalence ratio (PR) and their confidence intervals at 95% (95%CI). During the study period, 10,696 admissions among 9797 adults and children, or 1.09 hospitalizations per patient were recorded, 62% were male, with predominant age group of 21 to 50 years old (63.5%). Considering all age groups, mortality was higher among male patients [PR 1.42 (95% CI:1.28 to 1.57); p <0.05]. Infectious diseases were the main causes for hospitalizations, representing 54.5% of the total. It was noted that there is still a predominance of infectious diseases (opportunistic or not), as causes of hospitalization in patients with HIV/AIDS, even in the post HAART era. Important differences in variables such as the death between the sexes and ages of the patients were noted.
Profile analysis of hospitalized patients with HIV/AIDS after the introduction of antiretroviral therapy (HAART)
Resumo (abstract):
Since the introduction of highly active antiretroviral therapy in 1996, it has been observed worldwide changes in the cause of hospitalization in patients with HIV/AIDS. The objective this study was describes the and analyzes the trends and characteristics of hospitalizations of patients with HIV/AIDS for the period 1997-2012. This was a cross-sectional study that uses the database of Center Hospital Data that concentrates all records of hospitalizations in 31 hospitals, public and private, in 26 counties in the São Paulo state/Brazil. To verify the association between variables was employed prevalence ratio (PR) and their confidence intervals at 95% (95%CI). During the study period, 10,696 admissions among 9797 adults and children, or 1.09 hospitalizations per patient were recorded, 62% were male, with predominant age group of 21 to 50 years old (63.5%). Considering all age groups, mortality was higher among male patients [PR 1.42 (95% CI:1.28 to 1.57); p <0.05]. Infectious diseases were the main causes for hospitalizations, representing 54.5% of the total. It was noted that there is still a predominance of infectious diseases (opportunistic or not), as causes of hospitalization in patients with HIV/AIDS, even in the post HAART era. Important differences in variables such as the death between the sexes and ages of the patients were noted.
Nunes,A.A, Mello LM, Silva AS, Nunes, Maíra Souza, Caliani, Lais Scaloni. Análise do perfil de pacientes com HIV/Aids hospitalizados após introdução da terapia antiretroviral (HAART). Cien Saude Colet [periódico na internet] (2015/jun). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/analise-do-perfil-de-pacientes-com-hivaids-hospitalizados-apos-introducao-da-terapia-antiretroviral-haart/15157?id=15157
