Missed opportunities for earlier diagnosis of HIV in patients who presented with advanced HIV disease: a retrospective cohort study.

ABSTRACT:

Objective

To quantify and characterise missed opportunities for earlier HIV diagnosis in patients diagnosed with advanced HIV.

Design

A retrospective observational cohort study.

Setting

A central tertiary medical centre in Israel.

Measures

The proportion of patients with advanced HIV, the proportion of missed opportunities to diagnose them earlier, and the rate of clinical indicator diseases (CIDs) in those patients.

Results

Between 2010 and 2015, 356 patients were diagnosed with HIV, 118 (33.4%) were diagnosed late, 57 (16%) with advanced HIV disease. Old age (OR=1.45 (95% CI 1.16 to 1.74)) and being heterosexual (OR=2.65 (95% CI 1.21 to 5.78)) were significant risk factors for being diagnosed late. All patients with advanced disease had at least one CI

SUBMITTER: Levy I 

PROVIDER: S-EPMC5129188 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature