Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort.
Jarbas da Silva Ziani, Jenifer Härter, Francielle Liz Monteiro and 5 others
PMID 39813525WHAT IT FOUND
In 102 hospitalized people with HIV, urgent admission, male sex, high viral load, low CD4, no ART, diabetes, kidney disease, fever, weight loss or asthenia were linked to death.
Key findings
01Men hospitalized with HIV had 14 times higher risk of urgent admission than women, and people admitted urgently had up to four times higher likelihood of death.
02High viral load, CD4 below 200 copies/µl and no ART were associated with death.
03Diabetes, hypertension, chronic kidney disease, fever, weight loss and asthenia were associated with death.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a retrospective record study at one hospital in southern Brazil, so it may not apply to other settings. The sample was 102 people, and the authors say a larger population could change the results. Records with more than 80% missing data were excluded, so incomplete records could have changed the findings. The study looked at associations in records, not at a treatment given by nurses, so it cannot show that any action changed mortality.
The easy way to misread this
Do not read the higher likelihood of death for male sex, Black or mixed-race colour, low education, urgent admission or comorbidities as proof that changing these factors will reduce death. They are associations in 102 hospital records at one site, not tested interventions.