High Rate of HIV Among Trauma Patients Participating in Routine Emergency Department Screening.
High Rate of HIV Among Trauma Patients Participating in Routine Emergency Department Screening.
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DOI：
10.1007/s10461-023-04083-3
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发表时间：
2023-11
影响因子：
4.4
通讯作者：
Spiegel, Thomas
中科院分区：
文献类型：
--
作者：
Stanford, Kimberly A.;Eller, Dylan;Schmitt, Jessica;McNulty, Moira;Spiegel, Thomas
有限的已发表数据表明，创伤患者的艾滋病毒感染率可能很高。本研究比较了一级创伤中心急诊科（艾德）的创伤患者和内科患者的HIV筛查和诊断率，并进行了普遍的HIV筛查计划。这是一项回顾性横断面研究，涉及2018年5月1日至2021年5月1日期间所有艾德患者。重复的遭遇，一年内重复检测的遭遇，以及年龄小于18岁或年龄大于65岁的患者被排除在外。卡方分析用于比较人口统计学，艾滋病毒检测率，新的和已知的艾滋病毒感染，以及创伤和医疗患者之间的护理联系。在应用排除标准后，分析了来自91，468名独特患者的147，430次就诊。创伤包括7，497次（5.4%）遭遇。创伤患者比内科患者更不可能接受HIV筛查（18.1% vs 25.6%; OR 0.64; 95%CI，0.61-0.68，p <0.01）。创伤患者的HIV感染率较高（2.2% vs 1.3%; OR 1.78; 95% CI，1.22-2.58，p <0.01）。创伤和医疗患者都将受益于增加筛查的策略。包括创伤患者在常规艾德艾滋病毒筛查应是一个优先事项，以提高诊断率和连接到护理的关键人群。
Limited published data suggest rates of HIV may be high among trauma patients. This study compares rates of HIV screening and diagnosis among trauma and medical patients at a Level 1 trauma center emergency department (ED) with a universal HIV screening program. This is a retrospective cross-sectional study of all ED encounters from May 1, 2018, through May 1, 2021. Duplicate encounters, encounters with repeat testing within one year, and patients younger than 18 or older than 65 were excluded. Chi-squared analysis was used to compare demographics, rates of HIV testing, new and known HIV infections, and linkage to care between trauma and medical patients. After exclusion criteria were applied, 147,430 encounters from 91,468 unique patients were analyzed. Trauma comprised 7,497 (5.4%) encounters. Trauma patients were less likely to be screened for HIV than medical patients (18.1% vs 25.6%; OR 0.64; 95%CI, 0.61–0.68, p < .01). Trauma patients had higher rates of HIV (2.2% vs 1.3%; OR 1.78; 95% CI, 1.22–2.58, p < .01). Both trauma and medical patients would benefit from strategies to increase screening. Including trauma patients in routine ED HIV screening should be a priority to increase diagnosis rate and linkage to care in key populations.
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DOI：
10.1002/emp2.12352
发表时间：
2021-03
影响因子：
2.3
作者：
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发表时间：
2020-08-01
影响因子：
2.3
作者：
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