Relationship between HIV serostatus, CD4 count and rehospitalisation: Potential implications for health systems strengthening in South Africa.
Identifieur interne : 000768 ( PubMed/Corpus ); précédent : 000767; suivant : 000769Relationship between HIV serostatus, CD4 count and rehospitalisation: Potential implications for health systems strengthening in South Africa.
Auteurs : Yoshan Moodley ; Andrew TomitaSource :
- Southern African journal of infectious diseases [ 2312-0053 ] ; 2017.
Abstract
Despite three decades of scientific response to HIV/AIDS, the generalised HIV epidemic continues to persist in South Africa. There is growing acknowledgement that health system strengthening will be critical in tackling HIV/AIDS. Patient rehospitalisation is an important quality benchmark of health service delivery, but there is currently limited data on rehospitalisation of patients with HIV/AIDS in South Africa, a setting with a high burden of HIV disease.
DOI: 10.1080/22201181.2016.1201935
PubMed: 28393071
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Relationship between HIV serostatus, CD4 count and rehospitalisation: Potential implications for health systems strengthening in South Africa.</title><author><name sortKey="Moodley, Yoshan" sort="Moodley, Yoshan" uniqKey="Moodley Y" first="Yoshan" last="Moodley">Yoshan Moodley</name><affiliation><nlm:affiliation>Discipline of Anaesthesiology and Critical Care Medicine, University of KwaZulu-Natal, Durban, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Tomita, Andrew" sort="Tomita, Andrew" uniqKey="Tomita A" first="Andrew" last="Tomita">Andrew Tomita</name><affiliation><nlm:affiliation>Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28393071</idno><idno type="pmid">28393071</idno><idno type="doi">10.1080/22201181.2016.1201935</idno><idno type="wicri:Area/PubMed/Corpus">000768</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000768</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Relationship between HIV serostatus, CD4 count and rehospitalisation: Potential implications for health systems strengthening in South Africa.</title><author><name sortKey="Moodley, Yoshan" sort="Moodley, Yoshan" uniqKey="Moodley Y" first="Yoshan" last="Moodley">Yoshan Moodley</name><affiliation><nlm:affiliation>Discipline of Anaesthesiology and Critical Care Medicine, University of KwaZulu-Natal, Durban, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Tomita, Andrew" sort="Tomita, Andrew" uniqKey="Tomita A" first="Andrew" last="Tomita">Andrew Tomita</name><affiliation><nlm:affiliation>Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Southern African journal of infectious diseases</title><idno type="ISSN">2312-0053</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Despite three decades of scientific response to HIV/AIDS, the generalised HIV epidemic continues to persist in South Africa. There is growing acknowledgement that health system strengthening will be critical in tackling HIV/AIDS. Patient rehospitalisation is an important quality benchmark of health service delivery, but there is currently limited data on rehospitalisation of patients with HIV/AIDS in South Africa, a setting with a high burden of HIV disease.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">28393071</PMID><DateCreated><Year>2017</Year><Month>04</Month><Day>10</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2312-0053</ISSN><JournalIssue CitedMedium="Print"><Volume>32</Volume><Issue>1</Issue><PubDate><Year>2017</Year></PubDate></JournalIssue><Title>Southern African journal of infectious diseases</Title><ISOAbbreviation>S Afr J Infect Dis</ISOAbbreviation></Journal><ArticleTitle>Relationship between HIV serostatus, CD4 count and rehospitalisation: Potential implications for health systems strengthening in South Africa.</ArticleTitle><Pagination><MedlinePgn>23-28</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/22201181.2016.1201935</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Despite three decades of scientific response to HIV/AIDS, the generalised HIV epidemic continues to persist in South Africa. There is growing acknowledgement that health system strengthening will be critical in tackling HIV/AIDS. Patient rehospitalisation is an important quality benchmark of health service delivery, but there is currently limited data on rehospitalisation of patients with HIV/AIDS in South Africa, a setting with a high burden of HIV disease.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To determine the relationship between combined HIV serostatus and CD4 count, and rehospitalisation in South Africa.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This study was a retrospective analysis of data from 11,362 non-surgical adult patients who attended the Hlabisa Hospital in South Africa. Data related to patient age, gender, HIV serostatus, CD4 count (for HIV-positive patients) and comorbidity were analysed through univariate (Fisher's Exact or χ(2) tests) and multivariate (Cox regression) statistical methods to determine associations with rehospitalisation within 1 month (acute rehospitalisation) or 12 months (long term rehospitalisation).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">An HIV-positive serostatus with CD4 count < 350 cells/mm(3) or an HIV-positive serostatus with an unknown CD4 count were independently associated with a higher risk of acute (p = 0.010 and p = 0.003) and long term rehospitalisation (p < 0.001 for both categories) when compared with an HIV-negative serostatus group.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">HIV-positive individuals with immune deficiency, or lacking a CD4 count measurement are at risk of rehospitalisation. Strengthening primary healthcare service delivery of these key affected inpatient populations should be a priority.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Moodley</LastName><ForeName>Yoshan</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Discipline of Anaesthesiology and Critical Care Medicine, University of KwaZulu-Natal, Durban, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tomita</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R25 TW009337</GrantID><Acronym>TW</Acronym><Agency>FIC NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>06</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>South Africa</Country><MedlineTA>S Afr J Infect Dis</MedlineTA><NlmUniqueID>101646666</NlmUniqueID><ISSNLinking>2312-0053</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>BMC Infect Dis. 2006 Oct 05;6:146</RefSource><PMID Version="1">17022826</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMJ Open. 2012 Apr 18;2(2):e000428</RefSource><PMID Version="1">22514241</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eur J Intern Med. 2015 Apr;26(3):182-9</RefSource><PMID Version="1">25753935</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Epidemiol. 2008 Oct;37(5):956-62</RefSource><PMID Version="1">17998242</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>HIV Med. 2016 Mar;17 (3):167-77</RefSource><PMID Version="1">26176492</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Qual Health Care. 2008 Jun;20(3):155-61</RefSource><PMID Version="1">18378511</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Med Care. 2005 Nov;43(11):1130-9</RefSource><PMID Version="1">16224307</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2005 Apr;10(4):300-4</RefSource><PMID Version="1">15807792</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Curr HIV/AIDS Rep. 2004 Dec;1(4):181-5</RefSource><PMID Version="1">16091240</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>JAMA. 2011 Oct 19;306(15):1688-98</RefSource><PMID Version="1">22009101</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2016 Apr 1;71(4):407-12</RefSource><PMID Version="1">26505329</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2012;7(7):e42108</RefSource><PMID Version="1">22848722</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2010 Jul;54(3):248-57</RefSource><PMID Version="1">20658748</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>S Afr Med J. 2008 Apr;98(4):291-4</RefSource><PMID Version="1">18637639</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2014 Sep 13;384(9947):1005-70</RefSource><PMID Version="1">25059949</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Public Health Policy. 2011;32 Suppl 1:S30-6</RefSource><PMID Version="1">21730991</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>S Afr Med J. 2008 Jun;98(6):468-72</RefSource><PMID Version="1">18683381</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">CD4 count</Keyword><Keyword MajorTopicYN="N">HIV</Keyword><Keyword MajorTopicYN="N">patient re-admission</Keyword><Keyword MajorTopicYN="N">rehospitalisation</Keyword><Keyword MajorTopicYN="N">serostatus</Keyword></KeywordList><CoiStatement>Conflicts of Interest – None declared.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>4</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>4</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>11</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28393071</ArticleId><ArticleId IdType="doi">10.1080/22201181.2016.1201935</ArticleId><ArticleId IdType="pmc">PMC5384337</ArticleId><ArticleId IdType="mid">NIHMS799675</ArticleId></ArticleIdList><pmc-dir>nihms</pmc-dir>
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