Outcomes of Patients Living with HIV Hospitalized due to COVID-19: A 3-Year Nationwide Study (2020–2022).

Scientific reports on the association between human immunodeficiency virus (HIV) in patients with COVID-19 and mortality have not been in agreement. In this nationwide study, we described and analyzed the demographic and clinical characteristics of people living with HIV (PLWH) and established that...

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Publicado en:AIDS & Behavior Vol. 28; no. 9; pp. 3093 - 3103
Autores principales: Garcia-Carretero, Rafael, Vazquez-Gomez, Oscar, Rodriguez-Maya, Belen, Gil-Prieto, Ruth, Gil-de-Miguel, Angel
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2024
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Outcomes of Patients Living with HIV Hospitalized due to COVID-19: A 3-Year Nationwide Study (2020–2022).
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          Garcia-Carretero, Rafael
          Vazquez-Gomez, Oscar
          Rodriguez-Maya, Belen
          Gil-Prieto, Ruth
          Gil-de-Miguel, Angel
        affil: https://ror.org/01v5cv687 Department of Internal Medicine, Mostoles University Hospital, Rey Juan Carlos University (Madrid), Madrid, Spain
      sug:
        subj:
          HIV-Positive Persons
          COVID-19
          Comorbidity
          Hospitalization
          Outcomes (Health Care)
          HIV Infections Complications
          Mortality Risk Factors
          Risk Assessment
          Human
          Funding Source
          Inpatients
          Comparative Studies
          Logistic Regression
          Multivariate Analysis
          Bivariate Statistics
          Machine Learning
          Algorithms
          Odds Ratio
          Confidence Intervals
          Adult
          Middle Age
          Aged
          Male
          Female
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Scientific reports on the association between human immunodeficiency virus (HIV) in patients with COVID-19 and mortality have not been in agreement. In this nationwide study, we described and analyzed the demographic and clinical characteristics of people living with HIV (PLWH) and established that HIV infection is a risk factor for mortality in patients hospitalized due to COVID-19. We collected data from the National Hospital Data Information System at Hospitalization between 2020 and 2022. We included patients admitted to the hospital with a diagnosis of COVID-19. We established a cohort of patients with PLWH and compared them to patients without HIV (non-PLWH). For multivariate analyses, we performed binary logistic regression, using mortality as the dependent variable. To improve the interpretability of the results we also applied penalized regression and random forest, two well-known machine-learning algorithms. A broad range of comorbidities, as well as sex and age data, were included in the final model as adjusted estimators. Our data of 1,188,160 patients included 6,973 PLWH. The estimated hospitalization rate in this set was between 1.43% and 1.70%, while the rate among the general population was 0.83%. Among patients with COVID-19, HIV infection was a risk factor for mortality with an odds ratio (OR) of 1.25 (95% CI, 1.14–1.37, p < 0.001). PLWH are more likely to be hospitalized due to COVID-19 than are non-PLWH. PLWH are 25% more likely to die due to COVID-19 than non-PLWH. Our results highlight that PLWH should be considered a population at risk for both hospitalization and mortality.
      pubtype: Academic Journal
      doctype:
        research
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        Journal Article
      ougenre: Article
    language: English
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