Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil

Detalhes bibliográficos
Autor(a) principal: Coelho, Lara E.
Data de Publicação: 2017
Outros Autores: Ribeiro, Sayonara R., Japiassu, Andre M., Moreira, Ronaldo I., Lara, Priscila C., Veloso, Valdiléa G., Grinsztejn, Beatriz, Luz, Paula M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/25821
Resumo: 2018-12-31
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spelling Coelho, Lara E.Ribeiro, Sayonara R.Japiassu, Andre M.Moreira, Ronaldo I.Lara, Priscila C.Veloso, Valdiléa G.Grinsztejn, BeatrizLuz, Paula M.2018-04-12T16:09:40Z2018-04-12T16:09:40Z2017COELHO, Lara, et al. Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil. Journal of Acquired Immune Deficiency Syndromes, v. 75, n. 4, p. 90-98, 2017.0894-9255https://www.arca.fiocruz.br/handle/icict/2582110.1097/QAI.0000000000001352enghttps://www.arca.fiocruz.br/handle/icict/35155Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2018-12-31Fundação Oswaldo Cruz.Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz.Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz.Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz.Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz.Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz.Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz.Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz.Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Background: The 30-day readmission rate is an indicator of the quality of hospital care and transition to the outpatient setting. Recent studies suggest HIV infection might increase the risk of readmission although estimates of 30-day readmission rates are unavailable among HIV-infected individuals living in middle/lowincome settings. Additionally, factors that may increase readmission risk in HIV-infected populations are poorly understood. Methods: Thirty-day readmission rates were estimated for HIVinfected adults from the Instituto Nacional de Infectologia Evandro Chagas/Fiocruz cohort in Rio de Janeiro, Brazil, from January 2007 to December 2013. Cox regression models were used to evaluate factors associated with the risk of 30-day readmission. Results: Between January 2007 and December 2013, 3991 patients were followed and 1861 hospitalizations were observed. The estimated 30-day readmission rate was 14% (95% confidence interval: 12.3 to 15.9). Attending a medical visit within 30 days after discharge (adjusted hazard ratio [aHR] = 0.73, P = 0.048) and being hospitalized in more recent calendar years (aHR = 0.89, P = 0.002) reduced the risk of 30 day readmission. In contrast, low CD4 counts (51–200 cells/mm³: aHR = 1.70, P = 0.024 and # 50 cells/mm³: aHR = 2.05, P = 0.003), time since HIV infection diagnosis $10 years (aHR = 1.58, P = 0.058), and leaving hospital against medical advice (aHR = 2.67, P = 0.004) increased the risk of 30-day readmission. Conclusions: Patients with advanced HIV/AIDS are most at risk of readmission and should be targeted with prevention strategies to reduce this risk. Efforts to reduce discharge against medical advice and to promote early postdischarge medical visit would likely reduce 30-day readmission rates in our population.HospitalizationReadmissionPatient acceptance of health careLength of stayAntiretroviral therapyHospitalizaçãoAceitação pelo paciente de cuidados de saúdeTempo de internaçãoTerapia antirretroviral de alta atividadeinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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dc.title.pt_BR.fl_str_mv Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil
title Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil
spellingShingle Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil
Coelho, Lara E.
Hospitalization
Readmission
Patient acceptance of health care
Length of stay
Antiretroviral therapy
Hospitalização
Aceitação pelo paciente de cuidados de saúde
Tempo de internação
Terapia antirretroviral de alta atividade
title_short Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil
title_full Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil
title_fullStr Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil
title_full_unstemmed Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil
title_sort Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil
author Coelho, Lara E.
author_facet Coelho, Lara E.
Ribeiro, Sayonara R.
Japiassu, Andre M.
Moreira, Ronaldo I.
Lara, Priscila C.
Veloso, Valdiléa G.
Grinsztejn, Beatriz
Luz, Paula M.
author_role author
author2 Ribeiro, Sayonara R.
Japiassu, Andre M.
Moreira, Ronaldo I.
Lara, Priscila C.
Veloso, Valdiléa G.
Grinsztejn, Beatriz
Luz, Paula M.
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Coelho, Lara E.
Ribeiro, Sayonara R.
Japiassu, Andre M.
Moreira, Ronaldo I.
Lara, Priscila C.
Veloso, Valdiléa G.
Grinsztejn, Beatriz
Luz, Paula M.
dc.subject.en.pt_BR.fl_str_mv Hospitalization
Readmission
Patient acceptance of health care
Length of stay
Antiretroviral therapy
topic Hospitalization
Readmission
Patient acceptance of health care
Length of stay
Antiretroviral therapy
Hospitalização
Aceitação pelo paciente de cuidados de saúde
Tempo de internação
Terapia antirretroviral de alta atividade
dc.subject.decs.pt_BR.fl_str_mv Hospitalização
Aceitação pelo paciente de cuidados de saúde
Tempo de internação
Terapia antirretroviral de alta atividade
description 2018-12-31
publishDate 2017
dc.date.issued.fl_str_mv 2017
dc.date.accessioned.fl_str_mv 2018-04-12T16:09:40Z
dc.date.available.fl_str_mv 2018-04-12T16:09:40Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv COELHO, Lara, et al. Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil. Journal of Acquired Immune Deficiency Syndromes, v. 75, n. 4, p. 90-98, 2017.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/25821
dc.identifier.issn.pt_BR.fl_str_mv 0894-9255
dc.identifier.doi.none.fl_str_mv 10.1097/QAI.0000000000001352
identifier_str_mv COELHO, Lara, et al. Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil. Journal of Acquired Immune Deficiency Syndromes, v. 75, n. 4, p. 90-98, 2017.
0894-9255
10.1097/QAI.0000000000001352
url https://www.arca.fiocruz.br/handle/icict/25821
dc.language.iso.fl_str_mv eng
language eng
dc.relation.isversionof.none.fl_str_mv https://www.arca.fiocruz.br/handle/icict/35155
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/25821/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/25821/2/ve_Lara_Coelho_Sayonara_Ribeiro_etal_INI_Lapclin_2017.pdf
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