Predictors of Linkage to Care for Newly Diagnosed HIV-Positive Adults
Predictors of Linkage to Care for Newly Diagnosed HIV-Positive Adults
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DOI：
10.5811/westjem.2015.4.25345
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发表时间：
2015-07-01
影响因子：
3.1
通讯作者：
Althoff, Amy
中科院分区：
文献类型：
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作者：
Aaron, Erika;Alvare, Tyler;Althoff, Amy
导言：人类免疫缺陷病毒（HIV）诊断后与护理的联系是至关重要的。在美国，只有69%的患者成功地与护理联系起来，这导致抗逆转录病毒治疗的延迟接受，从而导致免疫系统功能障碍和传播给他人的风险。方法：为了确定潜在的干预目标，我们评估了费城一家大型城市医疗保健中心未能与护理联系起来的预测因素。我们在2007年5月至2011年11月期间在医院附属门诊诊所、急诊科（ED）和住院病房进行了一项队列研究，结果：在87名新诊断为艾滋病毒的患者中，63名（72%）与护理有关：23名（96%）来自门诊，40名（63%）来自医院（ED或住院）
Introduction: Linkage to care following a human immunodeficiency virus (HIV) diagnosis is critical. In the U.S. only 69% of patients are successfully linked to care, which results in delayed receipt of antiretroviral therapy leading to immune system dysfunction and risk of transmission to others.Methods: We evaluated predictors of failure to link to care at a large urban healthcare center in Philadelphia in order to identify potential intervention targets. We conducted a cohort study between May 2007 and November 2011 at hospital-affiliated outpatient clinics, emergency departments (EDs), and inpatient units,Results: Of 87 patients with a new HIV diagnosis, 63 (72%) were linked to care: 23 (96%) from the outpatient setting and 40 (63%) from the hospital setting (ED or inpatient) (p