Tai Miao, Liu Tao, Merchant Roland C
Department of Biostatistics, Center for Statistical Sciences, School of Public Health, Brown University, Providence, RI, USA.
Department of Emergency Medicine, Brown University, Providence, RI, USA Department of Epidemiology, Brown University, Providence, RI, USA
J Int Assoc Provid AIDS Care. 2015 Sep-Oct;14(5):408-14. doi: 10.1177/2325957415570742. Epub 2015 Feb 5.
To estimate trends in hospitalizations and days of care of HIV-infected individuals in US hospitals from 1982 to 2010.
Secondary data analysis of the National Hospital Discharge Survey.
Hospitalizations of HIV-infected individuals increased from 1982 to a peak of 216 086 by 1995, fell 36% by 1997, and then decreased to 118 236 by 2010. Days of care for HIV-uninfected individuals decreased 14.7% from 6.1 days in 1982 to 5.2 days in 2010 yet dropped 62.7% from 17.6 to 7.1 days for HIV-infected individuals. Hospitalized HIV-infected individuals were more likely than uninfected individuals to be male, black, 35 to 44 years old, Medicaid recipients, and be hospitalized in the northeast, in hospitals with more than 500 beds and in government-operated hospitals.
Hospitalizations and days of care for HIV-infected individuals have decreased dramatically in recent years and at rates greater than for HIV-uninfected individuals yet involve some populations and affect certain hospitals disproportionately.
评估1982年至2010年美国医院中感染艾滋病毒个体的住院率及护理天数趋势。
对国家医院出院调查进行二次数据分析。
感染艾滋病毒个体的住院率从1982年开始上升,到1995年达到216086例的峰值,到1997年下降了36%,然后到2010年降至118236例。未感染艾滋病毒个体的护理天数从1982年的6.1天下降了14.7%,至2010年降至5.2天,而感染艾滋病毒个体的护理天数则从17.6天下降了62.7%,至7.1天。与未感染个体相比,感染艾滋病毒的住院患者更可能为男性、黑人、年龄在35至44岁之间、接受医疗补助,且在东北部、拥有500张以上床位的医院以及政府运营的医院住院。
近年来,感染艾滋病毒个体的住院率及护理天数大幅下降,且下降速度高于未感染艾滋病毒的个体,但某些人群和特定医院受到的影响尤为严重。