Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 471-479 |
| Number of pages | 9 |
| Journal | Journal of Acquired Immune Deficiency Syndromes |
| Volume | 4 |
| Issue number | 5 |
| Publication status | Published - 1991 |
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Keywords
- HIV infection
- Hospital care
- Hospital days by calendar year
- Total length of hospital stay
- Zidovudine treatment impact
ASJC Scopus subject areas
- Infectious Diseases
- Pharmacology (medical)
- Immunology and Allergy
- Virology
Cite this
Hospital use by hiv patients in italy : A retrospective longitudinal study. / Greco, Donato; Declich, Silvia; Pezzotti, Patrizio; Bellomi, Giorgio; Visco, Giuseppe; Camilli, G.; Chirianni, A.; Colangeli, V.; Girardi, E.; Grossi, P.; Mastroianni, C. M.; Vullo, V.; Milo, D.; Sinicco, A.; Uslenghi, G.
In: Journal of Acquired Immune Deficiency Syndromes, Vol. 4, No. 5, 1991, p. 471-479.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Hospital use by hiv patients in italy
T2 - A retrospective longitudinal study
AU - Greco, Donato
AU - Declich, Silvia
AU - Pezzotti, Patrizio
AU - Bellomi, Giorgio
AU - Visco, Giuseppe
AU - Camilli, G.
AU - Chirianni, A.
AU - Colangeli, V.
AU - Girardi, E.
AU - Grossi, P.
AU - Mastroianni, C. M.
AU - Vullo, V.
AU - Milo, D.
AU - Sinicco, A.
AU - Uslenghi, G.
PY - 1991
Y1 - 1991
N2 - 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.
AB - 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.
KW - HIV infection
KW - Hospital care
KW - Hospital days by calendar year
KW - Total length of hospital stay
KW - Zidovudine treatment impact
UR - http://www.scopus.com/inward/record.url?scp=0025847619&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025847619&partnerID=8YFLogxK
M3 - Article
VL - 4
SP - 471
EP - 479
JO - Journal of Acquired Immune Deficiency Syndromes
JF - Journal of Acquired Immune Deficiency Syndromes
SN - 1525-4135
IS - 5
ER -