Risk factors for death among patients in French Guiana:: 1996-2005

被引:11
|
作者
Nacher, M. [1 ]
Huber, F.
El Guedj, M.
Vaz, T.
Magnien, C.
Djossou, F.
Randrianjohany, A.
Alvarez, F.
Couppie, P.
机构
[1] Ctr Hosp Andree Rosemon, Ctr Informat & Soins Immunodeficience Humaine, Cayenne 97306, French Guiana
[2] Ctr Hosp Andree Rosemon, Hop Jour Adultes, Cayenne, French Guiana
[3] Ctr Hosp Andree Rosemon, Serv Dermatol, Cayenne, French Guiana
[4] Ctr Hosp Andree Rosemon, Unite Malad Infectieuses & Trop, Cayenne, French Guiana
[5] Ctr Hosp Frank Joly, Med Serv, St Laurens Du Maroni, French Guiana
[6] Ctr Med Chirurg Kourou, Med Serv, Kourou, French Guiana
关键词
addictions; death; French Guiana; gender; HIV; migrants; risk factors;
D O I
10.1111/j.1468-1293.2007.00492.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Risk factors for death in an HIV-infected cohort in French Guiana were studied in 1374 patients between 1996 and 2005. Of these patients, 48.5% were male and 76% were immigrants. Covariates were measured at the time of consultation. There were 223 deaths. Addictions [adjusted hazard ratio (HR)=13; 95% confidence interval (CI) 5.5-30.6; P < 0.001], age > 60 years (HR=1.5; 95% CI 0.9-2.5; P=0.13), male gender (HR=1.5; 95% CI 1.03-2.5; P=0.03) and CD4 count < 50 cells/mu L (HR=9.1; 95% CI 5.1-16.3; P < 0.001) were independently associated with death. These results suggest that strategies promoting early diagnosis and better follow-up of addicted patients would have a significant impact on mortality.
引用
收藏
页码:472 / 474
页数:3
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