Methods: Retrospective study based on routine records of hospital admissions and ID outpatient visits of HIV-infected adults attended at a public referral hospital between January 2006 and December 2014. The first admission registered during such period was the index hospitalization; early outpatient follow-up was considered within 30 days of hospital discharge and in the absence of early readmission; VS was less than 400copies/mL at 6 months after hospital discharge.
Results: We identified 2984 admissions in 2019 HIV/AIDS cases: 65% (n=1302) were male, with 34 years as median age. Upon admission, 83% (n=1365) had prior HIV diagnosis, and 58% (n=473) had a CD4 count < 200cell/mm3. HAART was started in 33% (n=545) prior index hospitalization, in 13% (n=221) during, in 33% (n=542) after, and in 21% (n=337) it was never initiated. Inpatient mortality in the index hospitalizations was 16% (n=333). Within 30 days of hospital discharge, 52% (n=803) had an infectious diseases outpatient follow-up, 43% (n=652) had antiretroviral treatment dispensed and 9% (n=152) were readmitted. VS was found in 43% (n=345) of those who had an outpatient visit within 30 days of hospital discharge, in 30% (n=103) of those with a later visit and in 18% (n=20) of those with no visit (Figure 1).
Conclusion: High inpatient mortality coupled with low frequencies of outpatient visits within 30 days of hospital discharge and 6 months VS indicate the necessity of strengthening the ambulatory hospitalization care interfaces in HIV/AIDS individuals.
E. Gonzalez, None
D. Hoces, None