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Hospitalization causes and outcomes in HIV patients in the late antiretroviral era in Colombia / Alicia Inés Hidrón Botero
Título : Hospitalization causes and outcomes in HIV patients in the late antiretroviral era in Colombia Tipo de documento : documento electrónico Autores : Alicia Inés Hidrón Botero, Fecha de publicación : 2017 Títulos uniformes : AIDS Research and Therapy Idioma : Inglés (eng) Palabras clave : Acquired immune defciency syndrome Human immunodefciency virus Hospitalization Opportunistic infections Antiretroviral Adherence Resumen : Background: Antiretroviral therapy (ART) has modifed the natural history of HIV-infection: the incidence of opportunistic nfections (OIs) has decreased and mortality associated to HIV has improved dramatically. The reasons for hospitalization have changed; OIs are no longer the most common reason for admission. This study describes the patient population, admission diagnosis and hospital course of HIV patients in Colombia in the ART era. Methods: Patients admitted with HIV/AIDS at six hospitals in Medellin, Colombia between August 1, 2014 and July 31, 2015 were included. Demographic, laboratory, and clinical data were prospectively collected. Results: 551 HIV-infected patients were admitted: 76.0% were male, the median age was 37 (30–49). A new diagnosis of HIV was made in 22.0% of patients during the index admission. 56.0% of patients of the entire cohort had been diagnosed with HIV for more than 1 year and 68.9% were diagnosed in an advanced stage of the disease. More than 50.0% of patients had CD4 counts less than 200 CD4 cells/μL and viral loads greater than 100,000 copies. The main reasons for hospital admissions were OIs, tuberculosis, esophageal candidiasis and Toxoplasma encephalitis. The median hospital stay was 14 days (IQR 8–23). Admission to the intensive care unit (ICU) was required in 10.3% of patients and 14.3% were readmitted to the hospital; mortality was 5.4%. Conclusions: Similar to other countries in the developing world, in Colombia, the leading cause of hospitalization among HIV-infected patients remain opportunistic infections. However, in-hospital mortality was low, similar to those described for high-income countries. Strategies to monitor and optimize the adherence and retention in HIV programs are fundamental to maximize the beneft of ART. Mención de responsabilidad : María Fernanda Álvarez Barreneche, Carlos Andrés Restrepo Castro, Alicia Hidrón Botero, Juan Pablo Villa Franco, Ivan Mauricio Trompa Romero, Laura Restrepo Carvajal, Alejandro Eusse García, Adriana Ocampo Mesa, Lina María Echeverri Toro, Glenys Patricia Porras Fernández de Castro, Jaime Mauricio Ramírez Rivera, Carlos Andrés Agudelo Restrepo Referencia : AIDS Res Ther. 2017 Nov 13;14(1):60. DOI (Digital Object Identifier) : 10.1186/s12981-017-0186-3 PMID : 29132400 Derechos de uso : CC BY En línea : https://aidsrestherapy.biomedcentral.com/articles/10.1186/s12981-017-0186-3 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4062 Hospitalization causes and outcomes in HIV patients in the late antiretroviral era in Colombia [documento electrónico] / Alicia Inés Hidrón Botero, . - 2017.
Obra : AIDS Research and Therapy
Idioma : Inglés (eng)
Palabras clave : Acquired immune defciency syndrome Human immunodefciency virus Hospitalization Opportunistic infections Antiretroviral Adherence Resumen : Background: Antiretroviral therapy (ART) has modifed the natural history of HIV-infection: the incidence of opportunistic nfections (OIs) has decreased and mortality associated to HIV has improved dramatically. The reasons for hospitalization have changed; OIs are no longer the most common reason for admission. This study describes the patient population, admission diagnosis and hospital course of HIV patients in Colombia in the ART era. Methods: Patients admitted with HIV/AIDS at six hospitals in Medellin, Colombia between August 1, 2014 and July 31, 2015 were included. Demographic, laboratory, and clinical data were prospectively collected. Results: 551 HIV-infected patients were admitted: 76.0% were male, the median age was 37 (30–49). A new diagnosis of HIV was made in 22.0% of patients during the index admission. 56.0% of patients of the entire cohort had been diagnosed with HIV for more than 1 year and 68.9% were diagnosed in an advanced stage of the disease. More than 50.0% of patients had CD4 counts less than 200 CD4 cells/μL and viral loads greater than 100,000 copies. The main reasons for hospital admissions were OIs, tuberculosis, esophageal candidiasis and Toxoplasma encephalitis. The median hospital stay was 14 days (IQR 8–23). Admission to the intensive care unit (ICU) was required in 10.3% of patients and 14.3% were readmitted to the hospital; mortality was 5.4%. Conclusions: Similar to other countries in the developing world, in Colombia, the leading cause of hospitalization among HIV-infected patients remain opportunistic infections. However, in-hospital mortality was low, similar to those described for high-income countries. Strategies to monitor and optimize the adherence and retention in HIV programs are fundamental to maximize the beneft of ART. Mención de responsabilidad : María Fernanda Álvarez Barreneche, Carlos Andrés Restrepo Castro, Alicia Hidrón Botero, Juan Pablo Villa Franco, Ivan Mauricio Trompa Romero, Laura Restrepo Carvajal, Alejandro Eusse García, Adriana Ocampo Mesa, Lina María Echeverri Toro, Glenys Patricia Porras Fernández de Castro, Jaime Mauricio Ramírez Rivera, Carlos Andrés Agudelo Restrepo Referencia : AIDS Res Ther. 2017 Nov 13;14(1):60. DOI (Digital Object Identifier) : 10.1186/s12981-017-0186-3 PMID : 29132400 Derechos de uso : CC BY En línea : https://aidsrestherapy.biomedcentral.com/articles/10.1186/s12981-017-0186-3 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4062 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000662 AC-2017-051 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2017-051.pdfAdobe Acrobat PDF Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study / Sandra Milena Alzate Jaramillo
Título : Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study Tipo de documento : documento electrónico Autores : Sandra Milena Alzate Jaramillo, Fecha de publicación : 2012 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : Nutritional support enteral nutrition parenteral nutrition complications adults hospitalization Resumen : Introduction: Nutritional support generates complications that must be detected and treated on time. Objective: To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity institutions. Methods: Prospective, descriptive and multicentric study in patients with nutritional support; the variables studied were medical diagnosis, nutritional condition, nutritional support duration, approach, kind of formula, and eight complications. Results: A total of 277 patients were evaluated; 83% received enteral nutrition and 17% received parenteral nutrition. Some 69.3% presented risk of malnourishment or severe malnourishment at admittance. About 35.4% of those receiving enteral nutrition and 39.6% of the ones who received parenteral nutrition had complications; no significant difference per support was found (p = 0.363). For the enteral nutrition, the most significant complication was the removal of the catheter (14%), followed by diarrhea (8.3%); an association between the duration of the enteral support with diarrhea, constipation and removal of the catheter was found (p Mención de responsabilidad : Gloria María Agudelo, Nubia Amparo Giraldo, Nora Luz Aguilar, Beatriz Elena Restrepo, Marcela Vanegas, Sandra Alzate, Mónica Martínez, Sonia Patricia Gamboa, Eliana Castaño, Janeth Barbosa, Juliana Román, Angela María Serna, Gloria Marcela Hoyos Referencia : Colomb Med (Cali). 2012 Jun 30;43(2):147-53 DOI (Digital Object Identifier) : 10.25100/cm.v43i2.830 PMID : 24893056 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/830 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3593 Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study [documento electrónico] / Sandra Milena Alzate Jaramillo, . - 2012.
Obra : Colombia Médica
Idioma : Inglés (eng)
Palabras clave : Nutritional support enteral nutrition parenteral nutrition complications adults hospitalization Resumen : Introduction: Nutritional support generates complications that must be detected and treated on time. Objective: To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity institutions. Methods: Prospective, descriptive and multicentric study in patients with nutritional support; the variables studied were medical diagnosis, nutritional condition, nutritional support duration, approach, kind of formula, and eight complications. Results: A total of 277 patients were evaluated; 83% received enteral nutrition and 17% received parenteral nutrition. Some 69.3% presented risk of malnourishment or severe malnourishment at admittance. About 35.4% of those receiving enteral nutrition and 39.6% of the ones who received parenteral nutrition had complications; no significant difference per support was found (p = 0.363). For the enteral nutrition, the most significant complication was the removal of the catheter (14%), followed by diarrhea (8.3%); an association between the duration of the enteral support with diarrhea, constipation and removal of the catheter was found (p Mención de responsabilidad : Gloria María Agudelo, Nubia Amparo Giraldo, Nora Luz Aguilar, Beatriz Elena Restrepo, Marcela Vanegas, Sandra Alzate, Mónica Martínez, Sonia Patricia Gamboa, Eliana Castaño, Janeth Barbosa, Juliana Román, Angela María Serna, Gloria Marcela Hoyos Referencia : Colomb Med (Cali). 2012 Jun 30;43(2):147-53 DOI (Digital Object Identifier) : 10.25100/cm.v43i2.830 PMID : 24893056 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/830 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3593 Reserva
Reservar este documentoEjemplares(1)
Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000163 AC-2012-003 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2012-003.pdfAdobe Acrobat PDF