The relation between hospital experience and mortality for patients with AIDS
Article Abstract:
AIDS patients treated at hospitals with less experience caring for such patients may be more likely to die in the hospital than those treated at more experienced hospitals. Among 300 AIDS patients, 806 hospitalizations at 40 Massachusetts hospitals took place over a two-year follow-up period. Overall, 13.2% of the patients died in the hospital. The in-hospital mortality rate was nearly twice as high among AIDS patients treated at low-experience hospitals than among those treated at hospitals with more experience (19% and 9.8%, respectively). Patients treated at a hospital with less experience spent more time in the hospital and in the intensive care unit than those treated in a hospital with more experience. With the growth of the AIDS epidemic, more AIDS patients are being admitted to local hospitals with less experience caring for individuals with AIDS.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1992
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The effects of intravenous drug use and gender on the cost of hospitalization for patients with AIDS
Article Abstract:
The cost of hospitalization may be higher for intravenous drug users (IVDUs) with AIDS than for other AIDS patients. Among 291 patients who were diagnosed with AIDS in Massachusetts during 1987, 74 were male IVDUs; 69 were women, including 32 IVDUs, and 148 were men who did not use intravenous drugs. IVDUs with AIDS were hospitalized 42% longer than than male non-IVDU homosexual men with AIDS. The cost for each hospitalization was also 38% higher for IVDUs. The patient's gender did not affect significantly the length of hospital stay or the cost of each hospitalization significantly. IVDUs survived an average of 352 days after diagnosis, compared with an average of 468 days for homosexual men. The incidence of HIV infection increased significantly among IVDUs during the late 1980s, and this is apparently leading to higher AIDS care costs.
Publication Name: Journal of Acquired Immune Deficiency Syndromes
Subject: Health
ISSN: 0894-9255
Year: 1993
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The cost-effectiveness of preventing AIDS-related opportunistic infections
Article Abstract:
Prophylactic treatment can be cost-effective for preventing many opportunistic infections in AIDS patients. Researchers used a mathematical simulation to determine the cost-effectiveness of preventing Pneumocystis carinii pneumonia (PCP), toxoplasmosis, Mycobacterium avium complex (MAC) infection, and cytomegalovirus (CMV) infections in AIDS patients. Patients with very low T cell counts who received no preventive treatment had a quality-adjusted life expectancy (QALY) of 39 months. Preventive treatment for PCP and toxoplasmosis increased QALY and appeared to be cost-effective but this was not true for CMV preventive treatment.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1998
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