Greco D, Declich S, Pezzotti P, Bellomi G, Visco G
AIDS Operational Center, Istituto Superiore di Sanità, Rome, Italy.
J Acquir Immune Defic Syndr (1988). 1991;4(5):471-9.
Hospital-based treatment for HIV patients consumes considerable health care resources, and for planning purposes it is important to know the hospital needs for each stage of infection. In this paper, we report the results of a national study in Italy on hospital stay for cohorts of patients hospitalized for the first time with HIV-related illnesses during the years 1984-86 and 1987-88. Using the Kaplan-Meier survival methods, we demonstrate a substantial decrease in the proportion of time spent in the hospital by patients newly diagnosed with AIDS (from 49% to 25%) in the latter study period. Treatment with zidovudine (ZDV), estimated only for 1988, emphasizes this trend even more. A reduction in hospital use also occurred for AIDS-related complex (ARC) and persistent general lymphadenopathy (PGL) patients. Possible reasons for this decrease in proportion of time spent in the hospital include longer life span of patients and expansion of outpatient care, as has already been reported in the United States.
为艾滋病毒患者提供的住院治疗消耗了大量医疗资源，出于规划目的，了解感染各阶段的医院需求非常重要。在本文中，我们报告了意大利一项全国性研究的结果，该研究针对1984 - 1986年和1987 - 1988年期间首次因与艾滋病毒相关疾病住院的患者队列的住院情况。使用Kaplan - Meier生存方法，我们证明在后面的研究期间，新诊断为艾滋病的患者住院时间所占比例大幅下降（从49%降至25%）。仅对1988年进行估算的齐多夫定（ZDV）治疗更突出了这一趋势。艾滋病相关综合征（ARC）和持续性全身淋巴结病（PGL）患者的住院率也有所降低。住院时间所占比例下降的可能原因包括患者寿命延长和门诊护理的扩大，美国已有相关报道。
