HIV status and mortality of surgical inpatients in rural Zimbabwe: A retrospective chart review.
Pascal MigaudMichael S SilvermanPaul ThistlePublished in: Southern African journal of HIV medicine (2019)
A 1-year retrospective chart review was undertaken to collect clinical and demographic data for adult (excluding maternity cases) and paediatric surgical inpatients including age, sex, type of surgery, HIV status, CD4+ counts and, if patient was HIV-positive, whether he or she was taking ART.Results and conclusion: Charts for 1510 surgical inpatient stays were reviewed. HIV prevalence among the adults was higher than that in the general population in Zimbabwe in 2016 (23.2% vs. 14.7%). There was no significant difference in inpatient mortality between the HIV-negative group and the HIV-positive group. Within the group of patients with malignancies, people living with HIV were significantly younger than uninfected patients (mean age 50.5 vs. 64.4 years; p < 0.01). There were correlations between HIV and certain malignancies. Thus, in addition to AIDS-defining illnesses, clinicians must be alert to squamous cell carcinoma and oesophageal, anal and penile cancers in HIV-positive patients.
Keyphrases
- hiv positive
- antiretroviral therapy
- men who have sex with men
- hiv infected
- south africa
- hiv testing
- human immunodeficiency virus
- hiv aids
- end stage renal disease
- squamous cell carcinoma
- palliative care
- ejection fraction
- chronic kidney disease
- newly diagnosed
- prostate cancer
- risk factors
- mental health
- electronic health record
- peritoneal dialysis
- cardiovascular events
- cross sectional
- coronary artery disease
- big data
- radiation therapy
- emergency department
- type diabetes
- rectal cancer
- locally advanced
- young adults
- coronary artery bypass