Comparing short‐term mortality between people with and without HIV admitted to the intensive care unit: A single‐centre matched cohort study (2000–2019)
Article Swipe
Nicholas Bakewell
,
Tanmay Kanitkar
,
Oshani Dissanayake
,
Michael Symonds
,
Stephanie Rimmer
,
A Adlakha
,
Marc Lipman
,
Sanjay Bhagani
,
Banwari Agarwal
,
Robert F. Miller
,
Caroline Sabin
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/hiv.13737
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/hiv.13737
Objectives The survival rate of people with HIV admitted to intensive care units (ICUs) is approaching that of people without HIV. We conducted a matched‐cohort study of people with and without HIV admitted to ICU at a large hospital to compare short‐term mortality, during 2000–2019. Methods People with HIV were matched to people without HIV (1:2) on age, sex, admission year and Acute Physiology and Chronic Health Evaluation (APACHE)‐II score. Applying logistic regression models fitted using independence estimating equations, we describe population‐averaged associations of HIV with short‐term (in‐ICU, in‐hospital) mortality during a patient's first admission to ICU, and explore whether these varied by year. Results A total of 177 people with HIV were matched to 354 people without HIV (71.2% vs. 71.2% male; median age: 47 vs. 48 years, median APACHE‐II: 18 vs. 17, median admission year: 2013 vs. 2013). Among people with HIV, 73.4% were on antiretroviral therapy, 51.2% had HIV‐RNA ≤50 copies/mL and median CD4 T‐cell count was 132 cells/L. People with HIV had higher in‐ICU (24.3% vs. 15.3%) and in‐hospital (31.6% vs. 20.1%) mortality. People with HIV had 1.69‐fold higher odds (95% confidence interval: 1.03–2.76) of in‐ICU mortality and 1.86 (1.19–2.91) higher odds of in‐hospital mortality than people without HIV, adjusted for age, sex, year and APACHE‐II. There was no evidence that these associations varied by year ( p ‐interaction‐in‐ICU = 0.90; p ‐interaction‐in‐hospital = 0.46). Conclusions Our findings suggest that although outcomes have improved over time, people with HIV continue to have higher short‐term in‐ICU and in‐hospital mortality following ICU admission compared with people without HIV with similar characteristics.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/hiv.13737
- OA Status
- hybrid
- Cited By
- 1
- References
- 35
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4404533503
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4404533503Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/hiv.13737Digital Object Identifier
- Title
-
Comparing short‐term mortality between people with and without
HIV admitted to the intensive care unit: A single‐centre matched cohort study (2000–2019)Work title - Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-11-20Full publication date if available
- Authors
-
Nicholas Bakewell, Tanmay Kanitkar, Oshani Dissanayake, Michael Symonds, Stephanie Rimmer, A Adlakha, Marc Lipman, Sanjay Bhagani, Banwari Agarwal, Robert F. Miller, Caroline SabinList of authors in order
- Landing page
-
https://doi.org/10.1111/hiv.13737Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1111/hiv.13737Direct OA link when available
- Concepts
-
Medicine, Intensive care unit, Odds ratio, Confidence interval, Cohort, Logistic regression, Population, Mortality rate, Cohort study, Human immunodeficiency virus (HIV), Pediatrics, Intensive care, Internal medicine, Intensive care medicine, Immunology, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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35Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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