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Predictors of AIDS-related death among adult HIV-infected inpatients in Kisangani, the Democratic Republic of Congo.
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- Author(s): Tepungipame AT;Tepungipame AT;Tepungipame AT; Tonen-Wolyec S; Tonen-Wolyec S; Tonen-Wolyec S; Kalla GC; Kalla GC; Longembe EB; Longembe EB; Atike RO; Atike RO; Likwela JL; Likwela JL; Mbopi-Kéou FX; Mbopi-Kéou FX; Mbopi-Kéou FX; Bélec L; Bélec L; Batina-Agasa S; Batina-Agasa S
- Source:
The Pan African medical journal [Pan Afr Med J] 2020 Oct 08; Vol. 37, pp. 144. Date of Electronic Publication: 2020 Oct 08 (Print Publication: 2020).- Publication Type:
Journal Article; Multicenter Study; Observational Study- Language:
English - Source:
- Additional Information
- Source: Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE
- Publication Information: Original Publication: Kampala, Uganda : African Field Epidemiology Network
- Subject Terms: AIDS-Related Opportunistic Infections/*mortality ; Acquired Immunodeficiency Syndrome/*mortality ; HIV Infections/*mortality; AIDS-Related Opportunistic Infections/epidemiology ; Acquired Immunodeficiency Syndrome/drug therapy ; Adolescent ; Adult ; Antiretroviral Therapy, Highly Active ; Democratic Republic of the Congo/epidemiology ; Economic Factors ; Female ; HIV Infections/drug therapy ; Hospitalization ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Socioeconomic Factors ; Young Adult
- Abstract: Introduction: Human Immunodeficiency Virus (HIV) infection continues to be a major public health concern in sub-Saharan Africa. We aimed to evaluate potential factors associated with AIDS-related death among adult HIV-infected inpatients in Kisangani, the Democratic Republic of the Congo (DRC).
Methods: this is a hospital-based retrospective, observational analysis carried out between 1 st January 2019 and 31 st March 2020 among inpatients HIV, at 12 facilities integrating the HIV prevention and care packages in Kisangani. Factors associated with AIDS-related death were analyzed using the logistic regression models.
Results: a total of 347 HIV-infected inpatients were included. Among those, the rate of AIDS-related death was 25.1% (95% CI: 20.8-29.9). The rates of AIDS-related death were lower among patients with a university education (aOR: 0.03 [95% CI: 0.00-1.0]) and higher among patients in WHO clinical stage 4 (aOR: 15.4 [6.8-27.8]), patients with poor highly active antiretroviral therapy (HAART) observance (aOR: 14.5 [2.3-40.4), and patients suffering from opportunistic infections (aOR: 9.3 [95% CI: 3.4-25.1]), including cryptococcal meningitis (aOR: 27 [95% CI: 6.0-125.7]) and viral infections associated with zona and Kaposi sarcoma (aOR: 4.8 [95% CI: 2.2-10.4]).
Conclusion: in our retrospective study on a large sample of inpatients hospitalized in Kisangani, classic causes of death were found. The association with the low level of education suggests that the economic level of the patients who die is a determining factor, difficult to correct. The identification of a limited number of other factors will allow a better medical management.
Competing Interests: The authors declare no competing interests.
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Clin Infect Dis. 2020 Jul 27;71(3):525-531. (PMID: 31504335) - Contributed Indexing: Keywords: AIDS-related death; Democratic Republic of the Congo; HIV; HIV-infected inpatients; predictors
- Publication Date: Date Created: 20210111 Date Completed: 20210119 Latest Revision: 20220419
- Publication Date: 20240628
- Accession Number: PMC7757268
- Accession Number: 10.11604/pamj.2020.37.144.25802
- Accession Number: 33425177
- Source:
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