Mortality & clinical characteristics of hospitalized adult patients with HIV in Pune, India

Ramona Sobhani, Anita Basavaraj, Amita Gupta, Ashok S. Bhave, Dilip B. Kadam, Shashikala A. Sangle, Haridas B. Prasad, Joline Choi, Joshua Jospehs, Kelly Gebo, Shweta N. Morde, Robert C Bollinger, Arjun L. Kakrani

Research output: Contribution to journalArticle

Abstract

Background & objectives: In India, data regarding mortality and clinical characteristics of hospitalized HIV-infected patients are sparse, which may limit the effectiveness of new hospital-based HIV programmes providing antiretroviral therapy (ART). The objective of our study was to determine mortality and clinical characteristics of hospitalized HIV-infected individuals in a high HIV prevalence region of India. Methods: A retrospective chart review was done of known HIV-infected adults admitted to the Medical Service of a large, public hospital in Pune, India, from January 2002 to November 2003. Results: A total of 655 HIV-infected patients wme identified; 489 (74.7%) were male and 4 (0.6%) were on ART. The most common illnesses reported were tuberculosis (55.8%), diarrhoea (4.2%), and alcoholic liver disease (3.7%). The inpatient mortality was 172 (26.3%). The most common causes of death of the 172 people were tuberculosis (52.9%) and cryptococcal meningitis (7.6%). In multivariate analysis, factors associated with increased mortality were male sex (adjusted odds ratio (AOR) 1.92, 95% CI: 1.08-3.41), haemoglobin level <7 g/dl (AOR 2.75, 95% CI:1.23-6.14), length of stay <2 days (OR 5.78, 95%, CI: 1.8-18.4), and cryptococcal meningitis (OR 4.44, 95% CI:1.19-16.6). Interpretation & conclusion: In the era prior to widespread ART, a high inpatient mortality of 26 percent was found among hospitalized HIV-infected individuals. Thus, while hospitalization is an important access and referral point for HIV care and treatment, earlier identification of HIV-infected persons must occur to ensure they will optimally benefit from the government's ART programme.

Original languageEnglish (US)
Pages (from-to)116-121
Number of pages6
JournalIndian Journal of Medical Research
Volume126
Issue number2
StatePublished - Aug 2007

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India
HIV
Mortality
Liver
Hemoglobins
Cryptococcal Meningitis
Inpatients
Point-of-Care Systems
Odds Ratio
Therapeutics
Alcoholic Liver Diseases
Meningeal Tuberculosis
Public Hospitals
Cause of Death
Diarrhea
Length of Stay
Tuberculosis
Hospitalization
Referral and Consultation
Multivariate Analysis

Keywords

  • HIV/AIDS
  • India
  • Inpatient mortality
  • Length of hospital stay
  • Mortality
  • Retrospective study
  • Tuberculosis

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Sobhani, R., Basavaraj, A., Gupta, A., Bhave, A. S., Kadam, D. B., Sangle, S. A., ... Kakrani, A. L. (2007). Mortality & clinical characteristics of hospitalized adult patients with HIV in Pune, India. Indian Journal of Medical Research, 126(2), 116-121.

Mortality & clinical characteristics of hospitalized adult patients with HIV in Pune, India. / Sobhani, Ramona; Basavaraj, Anita; Gupta, Amita; Bhave, Ashok S.; Kadam, Dilip B.; Sangle, Shashikala A.; Prasad, Haridas B.; Choi, Joline; Jospehs, Joshua; Gebo, Kelly; Morde, Shweta N.; Bollinger, Robert C; Kakrani, Arjun L.

In: Indian Journal of Medical Research, Vol. 126, No. 2, 08.2007, p. 116-121.

Research output: Contribution to journalArticle

Sobhani, R, Basavaraj, A, Gupta, A, Bhave, AS, Kadam, DB, Sangle, SA, Prasad, HB, Choi, J, Jospehs, J, Gebo, K, Morde, SN, Bollinger, RC & Kakrani, AL 2007, 'Mortality & clinical characteristics of hospitalized adult patients with HIV in Pune, India', Indian Journal of Medical Research, vol. 126, no. 2, pp. 116-121.
Sobhani, Ramona ; Basavaraj, Anita ; Gupta, Amita ; Bhave, Ashok S. ; Kadam, Dilip B. ; Sangle, Shashikala A. ; Prasad, Haridas B. ; Choi, Joline ; Jospehs, Joshua ; Gebo, Kelly ; Morde, Shweta N. ; Bollinger, Robert C ; Kakrani, Arjun L. / Mortality & clinical characteristics of hospitalized adult patients with HIV in Pune, India. In: Indian Journal of Medical Research. 2007 ; Vol. 126, No. 2. pp. 116-121.
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abstract = "Background & objectives: In India, data regarding mortality and clinical characteristics of hospitalized HIV-infected patients are sparse, which may limit the effectiveness of new hospital-based HIV programmes providing antiretroviral therapy (ART). The objective of our study was to determine mortality and clinical characteristics of hospitalized HIV-infected individuals in a high HIV prevalence region of India. Methods: A retrospective chart review was done of known HIV-infected adults admitted to the Medical Service of a large, public hospital in Pune, India, from January 2002 to November 2003. Results: A total of 655 HIV-infected patients wme identified; 489 (74.7{\%}) were male and 4 (0.6{\%}) were on ART. The most common illnesses reported were tuberculosis (55.8{\%}), diarrhoea (4.2{\%}), and alcoholic liver disease (3.7{\%}). The inpatient mortality was 172 (26.3{\%}). The most common causes of death of the 172 people were tuberculosis (52.9{\%}) and cryptococcal meningitis (7.6{\%}). In multivariate analysis, factors associated with increased mortality were male sex (adjusted odds ratio (AOR) 1.92, 95{\%} CI: 1.08-3.41), haemoglobin level <7 g/dl (AOR 2.75, 95{\%} CI:1.23-6.14), length of stay <2 days (OR 5.78, 95{\%}, CI: 1.8-18.4), and cryptococcal meningitis (OR 4.44, 95{\%} CI:1.19-16.6). Interpretation & conclusion: In the era prior to widespread ART, a high inpatient mortality of 26 percent was found among hospitalized HIV-infected individuals. Thus, while hospitalization is an important access and referral point for HIV care and treatment, earlier identification of HIV-infected persons must occur to ensure they will optimally benefit from the government's ART programme.",
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