Journal article
U.S. Hospitalization rates and reasons stratified by age among persons with HIV 2014-15
AIDS care, v 32(11), pp 1353-1362
01 Nov 2020
PMID: 31813269
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Persons with HIV (PWH) are aging. The impact of aging on healthcare utilization is unknown. The objective of this study was to evaluate hospitalization rates and reasons stratified by age among PWH in longitudinal HIV care. Hospitalization data from 2014-2015 was obtained on all adults receiving HIV care at 14 diverse sites within the HIV Research Network in the United States. Modified clinical classification software from the Agency for Healthcare Research and Quality assigned primary ICD-9 codes into diagnostic categories. Analysis performed with multivariate negative binomial regression. Among 20,608 subjects during 2014-2015, all cause hospitalization rate was 201/1000PY. Non-AIDS defining infection (non-ADI) was the leading cause for admission (44.2/1000PY), followed by cardiovascular disease (CVD) (21.2/1000PY). In multivariate analysis of all-cause admissions, the incidence rate ratio (aIRR) increased with older age (age 18-29 reference): age 30-39 aIRR 1.09 (0.90,1.32), age 40-49 1.38 (1.16,1.63), age 50-59 1.58 (1.33,1.87), and age ≥ 60 2.14 (1.77,2.59). Hospitalization rates increased significantly with age for CVD, endocrine, renal, pulmonary, and oncology. All cause hospitalization rates increased with older age, especially among non-communicable diseases (NCDs), while non-ADIs remained the leading cause for hospitalization. HIV providers should be comfortable screening for and treating NCDs.
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Details
- Title
- U.S. Hospitalization rates and reasons stratified by age among persons with HIV 2014-15
- Creators
- Julia Fleming - Johns Hopkins MedicineStephen A. Berry - Johns Hopkins MedicineRichard D. Moore - Johns Hopkins MedicineAnk Nijhawan - The University of Texas Southwestern Medical CenterCharurut Somboonwit - University of South FloridaLaura Cheever - Health Resources and Services AdministrationKelly A. Gebo - Johns Hopkins MedicineHIV Res NetworkAmy S Baranoski - MD (Doctor of Medicine) Program
- Publication Details
- AIDS care, v 32(11), pp 1353-1362
- Publisher
- Taylor & Francis
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- MD (Doctor of Medicine) Program
- Web of Science ID
- WOS:000501471400001
- Scopus ID
- 2-s2.0-85093705536
- Other Identifier
- 991019169805604721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Policy & Services
- Psychology, Multidisciplinary
- Public, Environmental & Occupational Health
- Respiratory System
- Social Sciences, Biomedical