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/35155
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
id CRUZ_ea9ec549c254c89e60f56b671c7aeb36
oai_identifier_str oai:www.arca.fiocruz.br:icict/35155
network_acronym_str CRUZ
network_name_str Repositório Institucional da FIOCRUZ (ARCA)
repository_id_str 2135
spelling Coelho, Lara E.Ribeiro, Sayonara R.Japiassu, Andre M.Moreira, Ronaldo I.Lara, Priscila C.Veloso, Valdiléa G.Grinsztejn, BeatrizLuz, Paula M.2019-08-28T13:23:50Z2019-08-28T13:23:50Z2017COELHO, Lara E. et al. Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil. Journal of Acquired Immune Deficiency Syndromes, p. 1-17, Aug. 2017.1525-4135https://www.arca.fiocruz.br/handle/icict/3515510.1097/QAI.0000000000001352engLippincott, Williams & Wilkinshttps://www.arca.fiocruz.br/handle/icict/25821HIVHIVHospitalizationReadmissionHealthcare utilizationLength of stayAntiretroviral therapyThirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação 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 though estimates of 30-day readmission rates are unavailable among HIV infected individuals living in middle/low income settings. Additionally, factors that may increase readmission risk in HIV infected populations are poorly understood. Methods — 30-day readmission rates were estimated for HIV-infected 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%–15.9%). Attending a medical visit within 30 days after discharge (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 post-discharge medical visit would likely reduce 30-day readmission rates in our population.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83104https://www.arca.fiocruz.br/bitstream/icict/35155/1/license.txt79178e5f2a0eb066867a274556814938MD51ORIGINALva_Coelho_Lara_etal_INI_2017.pdfva_Coelho_Lara_etal_INI_2017.pdfapplication/pdf358834https://www.arca.fiocruz.br/bitstream/icict/35155/2/va_Coelho_Lara_etal_INI_2017.pdf0fad02d60c114f46cac55f33c8f00259MD52TEXTva_Coelho_Lara_etal_INI_2017.pdf.txtva_Coelho_Lara_etal_INI_2017.pdf.txtExtracted texttext/plain49676https://www.arca.fiocruz.br/bitstream/icict/35155/3/va_Coelho_Lara_etal_INI_2017.pdf.txtd3888de0137b2a6e8e1a33495d7004b2MD53icict/351552023-04-04 12:56:35.022oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-04-04T15:56:35Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
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.
HIV
HIV
Hospitalization
Readmission
Healthcare utilization
Length of stay
Antiretroviral therapy
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.other.pt_BR.fl_str_mv HIV
topic HIV
HIV
Hospitalization
Readmission
Healthcare utilization
Length of stay
Antiretroviral therapy
dc.subject.en.pt_BR.fl_str_mv HIV
Hospitalization
Readmission
Healthcare utilization
Length of stay
Antiretroviral therapy
description Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
publishDate 2017
dc.date.issued.fl_str_mv 2017
dc.date.accessioned.fl_str_mv 2019-08-28T13:23:50Z
dc.date.available.fl_str_mv 2019-08-28T13:23:50Z
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 E. et al. Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil. Journal of Acquired Immune Deficiency Syndromes, p. 1-17, Aug. 2017.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/35155
dc.identifier.issn.pt_BR.fl_str_mv 1525-4135
dc.identifier.doi.pt_BR.fl_str_mv 10.1097/QAI.0000000000001352
identifier_str_mv COELHO, Lara E. et al. Thirty-day readmission rates in an HIV-infected cohort from Rio de Janeiro, Brazil. Journal of Acquired Immune Deficiency Syndromes, p. 1-17, Aug. 2017.
1525-4135
10.1097/QAI.0000000000001352
url https://www.arca.fiocruz.br/handle/icict/35155
dc.language.iso.fl_str_mv eng
language eng
dc.relation.hasversion.pt_BR.fl_str_mv https://www.arca.fiocruz.br/handle/icict/25821
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Lippincott, Williams & Wilkins
publisher.none.fl_str_mv Lippincott, Williams & Wilkins
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/35155/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/35155/2/va_Coelho_Lara_etal_INI_2017.pdf
https://www.arca.fiocruz.br/bitstream/icict/35155/3/va_Coelho_Lara_etal_INI_2017.pdf.txt
bitstream.checksum.fl_str_mv 79178e5f2a0eb066867a274556814938
0fad02d60c114f46cac55f33c8f00259
d3888de0137b2a6e8e1a33495d7004b2
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv repositorio.arca@fiocruz.br
_version_ 1813009002633625600

Registros relacionados