S3232 Healthcare Utilization and Outcomes in HIV vs Non-HIV Patients With Anal Cancer Admitted for Sepsis: A Retrospective Cohort Study

Objective To compare statin prescribing rates between intermediate-risk people living with human immunodeficiency virus (HIV; PLWH) and intermediate-risk patients without a diagnosis of HIV for primary prevention of atherosclerotic cardiovascular disease (ASCVD). Methods Retrospective cohort study . Electronic health record data were used to identify a cohort of PLWH aged 40–75 years with a calculated 10-year ASCVD risk between 7.5%-19.9% as determined by the Pooled Cohort Equation (PCE). A matched cohort of primary prevention non-HIV patients was identified. The primary outcome was the proportion of PLWH who were prescribed statin therapy compared to patients who were not living with HIV and were prescribed statin therapy Results 81 patients meeting study criteria in the PLWH cohort were matched to 81 non-HIV patients. The proportion of patients prescribed statins was 33.0% and 30.9% in the PLWH and non-HIV cohorts, respectively (p = 0.74). Conclusion and relevance: This study evaluated statin prescribing in PLWH for primary prevention of ASCVD as described in the 2018 AHA/ACC/Multisociety guideline. Rates of statin prescribing were similar, yet overall low, among intermediate-risk primary prevention PLWH compared to those not diagnosed with HIV.

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Healthcare utilization at the end of life in people dying from amyotrophic lateral sclerosis: A retrospective cohort study using linked administrative data

Journal of the Neurological Sciences ◽

10.1016/j.jns.2019.116444 ◽

2019 ◽

Vol 406 ◽

pp. 116444 ◽

Cited By ~ 1

Author(s):

Arno Maetens ◽

Luc Deliens ◽

Jan De Bleecker ◽

Augusto Caraceni ◽

Mark De Ridder ◽

...

Keyword(s):

Amyotrophic Lateral Sclerosis ◽

Cohort Study ◽

End Of Life ◽

Healthcare Utilization ◽

Administrative Data ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Linked Administrative Data ◽

Lateral Sclerosis

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Outcomes and Determinants of Treatment Adherence among HIV Patients on Art: Evidence from a Retrospective Cohort Study in Selected Clinics in Windhoek, Namibia

TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH ◽

10.21522/tijph.2013.07.02.art009 ◽

2019 ◽

Vol 7 (2) ◽

pp. 72-81

Author(s):

Ntumba A

Keyword(s):

Cohort Study ◽

Treatment Adherence ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Hiv Patients

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Healthcare utilization and mortality outcomes in patients with pre-existing psychiatric disorders after intensive care unit discharge: A population-based retrospective cohort study

Journal of Critical Care ◽

10.1016/j.jcrc.2021.08.009 ◽

2021 ◽

Vol 66 ◽

pp. 67-74

Author(s):

Brianna K. Rosgen ◽

Stephana J. Moss ◽

Andrea Soo ◽

Henry T. Stelfox ◽

Scott B. Patten ◽

...

Keyword(s):

Intensive Care Unit ◽

Cohort Study ◽

Intensive Care ◽

Psychiatric Disorders ◽

Healthcare Utilization ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Intensive Care Unit Discharge ◽

Population Based ◽

Unit Discharge

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Incidence and predictors of loss to follow-up among HIV-positive adults in northwest Ethiopia: a retrospective cohort study

Tropical Medicine and Health ◽

10.1186/s41182-020-00266-z ◽

2020 ◽

Vol 48 (1) ◽

Author(s):

Molla Yigzaw Birhanu ◽

Cheru Tesema Leshargie ◽

Animut Alebel ◽

Fasil Wagnew ◽

Melkamu Siferih ◽

...

Keyword(s):

Cohort Study ◽

Incidence Rate ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Cell Phone ◽

Stage Iv ◽

Rural Residence ◽

Hiv Patients ◽

Loss To Follow Up

Abstract Background Despite the rapid expansion of antiretroviral therapy services, ‘loss to follow-up’ is a significant public health concern globally. Loss to follow-up of individuals from ART has a countless negative impact on the treatment outcomes. There is, however, limited information about the incidence and predictors of loss to follow-up in our study area. Thus, this study aimed to determine the incidence rate and predictors of loss to follow-up among adult HIV patients on ART. Methods A retrospective cohort study was undertaken using 484 HIV patients between January 30, 2008, and January 26, 2018, at Debre Markos Referral Hospital. All eligible HIV patients who fulfilled the inclusion criteria were included in this study. Data were entered into Epi-data Version 4.2 and analyzed using STATATM Version 14.0 software. The Nelson-Aalen cumulative hazard estimator was used to estimate the hazard rate of loss to follow-up, and the log-rank test was used to compare the survival curve between different categorical variables. Both bivariable and multivariable Cox-proportional hazard regression models were fitted to identify predictors of LTFU. Results Among a cohort of 484 HIV patients at Debre Markos Referral Hospital, 84 (17.36%) were loss their ART follow-up. The overall incidence rate of loss to follow-up was 3.7 (95% CI 3.0, 5.0) per 100 adult-years. The total LTFU free time of the participants was 2294.8 person-years. In multivariable Cox-regression analysis, WHO stage IV (AHR 2.8; 95% CI 1.2, 6.2), having no cell phone (AHR 1.9; 95% CI 1.1, 3.4), and rural residence (AHR 0.6; 95% CI 0.37, 0.99) were significant predictors of loss to follow-up. Conclusion The incidence of loss to ART follow-up in this study was low. Having no cell phone and WHO clinical stage IV were causative predictors, and rural residence was the only protective factor of loss to follow-up. Therefore, available intervention modalities should be strengthened to mitigate loss to follow-up by addressing the identified risk factors.

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