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Risk scores for predicting early antiretroviral therapy mortality in sub-Saharan Africa to inform who needs intensification of care: a derivation and external validation cohort study.

Andrew F AuldKatherine FieldingTefera AgizewAlice MaidaAnikie MathomaRosanna BoydAnand DateSherri L PalsGeorge BicegoYuliang LiuRay W ShiraishiPeter EhrenkranzChristopher SerumolaUnami MathebulaHeather AlexanderSalome CharalambousCourtney EmersonGoabaone Rankgoane-PonoPontsho PonoAlyssa FinlayJames C ShepherdCharles HolmesTedd V EllerbrockAlison D Grant
Published in: BMC medicine (2020)
Sensitivity of the CD4-independent score was nearly twice that of WHO stage in predicting 6-month mortality and could be used in settings lacking CD4 testing to inform ART care intensification. The CD4-dependent score improved specificity versus WHO EC. Both scores should be considered for scale-up in SSA.
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