Evidence map›Paper›PMID 22879972›Full record

ArticlePloS one2012

Emergency department use by released prisoners with HIV: an observational longitudinal study.

Jaimie P Meyer, Jingjun Qiu, Nadine E Chen, Gregory L Larkin, Frederick L Altice

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00786396 (Directly Observed Therapy for Community-Released HIV+ Prisoners), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00786396 nacompletednot on this map

Directly Observed Therapy for Community-Released HIV+ Prisoners

TypeinterventionalSponsorYale UniversityRan2004 to 2010Enrolled151ConditionsHIV/AIDS, Substance AbuseArmsDirectly administered antiretroviral therapy
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. A Scoping Review of Current Social Emergency Medicine Research.The western journal of emergency medicine · 2021
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  12. Emergency department use among HIV-infected released jail detainees.Journal of urban health : bulletin of the New York Academy of Medicine · 2015
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  19. Optimizing care for HIV-infected people who use drugs: evidence-based approaches to overcoming healthcare disparities.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2013
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jaimie P MeyerDepartment of Medicine, AIDS Program, Yale University School of Medicine, New Haven, Connecticut, United States of America. jaimie.meyer@yale.edu
Jingjun Qiu
Nadine E Chen
Gregory L Larkin
Frederick L Altice

Funding

INTERDISCIPLINARY HIV PREVENTION TRAINING PROGRAMT32MH020031 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 1999 to 2026
$12.1M
TRAINING IN THE PATHOGENESIS OF INFECTIOUS DISEASEST32AI007517 · NIAID · YALE UNIVERSITY · PI Jaimie Meyer, Albert C Shaw · 1997 to 2026
$6.1M
Interactions Between Anaplasma Phagocytophilum and Ixodes ScapularisR01AI041440 · NIAID · YALE UNIVERSITY · PI FIKRIG, EROL · 1998 to 2014
$5.0M
Direct/Observed Therapy/Community-Released HIV+PrisonersR01DA017059 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2004 to 2008
$3.3M
Enhancing Health Outcomes Among HIV+ Substance AbusersK24DA017072 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2003 to 2012
$1.5M
Evaluating and Improving HIV Outcomes in Community-Based Women who Interface withK23DA033858 · NIDA · YALE UNIVERSITY · PI MEYER, JAIMIE · 2012 to 2016
$821k
NIAID NIH HHS R01 AI041440NIAID NIH HHS T32 AI007517NIDA NIH HHS K23 DA033858NIDA NIH HHS K24 DA017072NIDA NIH HHS R01 DA017059NIMH NIH HHS T32 MH020031
6 · The paper itself

Abstract

backgroundMany people living with HIV access healthcare systems through the emergency department (ED), and increased ED use may be indicative of disenfranchisement with primary HIV care, under-managed comorbid disease, or coincide with use of other healthcare resources. The goal of this study was to investigate ED use by HIV-infected prisoners transitioning to communities.

methodsWe evaluated ED use by 151 HIV-infected released prisoners who were enrolled in a randomized controlled trial of directly administered versus self-administered antiretroviral therapy in Connecticut. Primary outcomes were quantity and type of ED visits and correlates of ED use were evaluated with multivariate models by Poisson regression.

resultsIn the 12 months post-release, there were 227 unique ED contacts made by 85/151 (56%) subjects. ED visits were primarily for acute febrile syndromes (32.6%) or pain (20.3%), followed by substance use issues (19.4%), trauma (18%), mental illness (11%), and social access issues (4.4%). Compared to those not utilizing the ED, users were more likely to be white, older, and unmarried, with less trust in their physician and poorer perceived physical health but greater social support. In multivariate models, ED use was correlated with moderate to severe depression (IRR = 1.80), being temporarily housed (IRR = 0.54), and alcohol addiction severity (IRR = 0.21) but not any surrogates of HIV severity.

conclusionsEDs are frequent sources of care after prison-release with visits often reflective of social and psychiatric instability. Future interventions should attempt to fill resource gaps, engage released prisoners in continuous HIV care, and address these substantial needs.

Indexed as

ConnecticutEmergency Service, HospitalFemaleHIV InfectionsHospitalizationHumansKaplan-Meier EstimateLongitudinal StudiesMaleMiddle AgedModels, StatisticalMultivariate AnalysisPrisoners

Identifiers

PMID22879972
PMCPMC3411742

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.