ArticleAnnals of emergency medicine2015
HIV Care Continuum for HIV-Infected Emergency Department Patients in an Inner-City Academic Emergency Department.
Article in Annals of emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- A systematic review of emergency department based HIV testing and linkage to care initiatives in low resource settings.PloS one · 2017Pooled it
- Factors associated with low HIV testing rate among people aged 15 to 65 years in Maroua 1 Health District, Far North Region of Cameroon.BMC public health · 2025Article
- "How much more on the nurse?:" a qualitative analysis of inpatient nurses' perspectives on offering HIV testing.BMC nursing · 2025Article
- Evaluating Patient Perceptions on PrEP Screening and Referral in the Acute Care Setting.AIDS and behavior · 2023Article
- The geography of emergency department-based HIV testing in South Africa: Can patients link to care?EClinicalMedicine · 2021Article
- Health-Related Social Needs Among Emergency Department Patients with HIV.AIDS and behavior · 2021Article
- Interprofessional collaboration associated with frequency of life-saving links to HIV continuum of care services in the urban environment of Newark, New Jersey.BMC health services research · 2020Article
- Care Continuum and Postdischarge Outcomes Among HIV-Infected Adults Admitted to the Hospital in Zambia.Open forum infectious diseases · 2019Article
- A Window Into the HIV Epidemic from a South African Emergency Department.AIDS research and human retroviruses · 2019Article
- Missed Opportunities for Engagement in the Prevention Continuum in a Predominantly Black and Latino Community in New York City.AIDS patient care and STDs · 2018Article
- The Facility-Level HIV Treatment Cascade: Using a Population Health Tool in Health Care Facilities to End the Epidemic in New York State.Open forum infectious diseases · 2018Article
- Shifting the HIV Paradigm from Care to Cure: Proceedings from the Caribbean Expert Summit in Barbados, August 2017.AIDS research and human retroviruses · 2018Article
- Which Patients in the Emergency Department Should Receive Preexposure Prophylaxis? Implementation of a Predictive Analytics Approach.AIDS patient care and STDs · 2018Article
- Undiagnosed HIV and HCV Infection in a New York City Emergency Department, 2015.American journal of public health · 2018Article
- Article
- Implementing emergency department-based HIV testing in a low-resource setting: The value of a structured feasibility assessment tool.Southern African journal of HIV medicine · 2018Article
- Trends and Comparisons of Utilization of Emergency Departments Due to Traumatic or Non-Traumatic Causes among the HIV-Positive Population in Taiwan, 2006-2011.International journal of environmental research and public health · 2017Article
- Factors associated with patients who prefer HIV self-testing over health professional testing in an emergency department-based rapid HIV screening program.International journal of STD & AIDS · 2017Article
- Parallel declines in HIV and hepatitis C virus prevalence, but not in herpes simplex virus type 2 infection: A 10-year, serial cross-sectional study in an inner-city emergency department.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2016Article
- Evaluation of the Centers for Disease Control and Prevention Recommendations for Hepatitis C Virus Testing in an Urban Emergency Department.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
STUDY
objectiveThe recently released HIV Care Continuum Initiative is a cornerstone of the National AIDS Strategy and a model for improving care for those living with HIV. To our knowledge, there are no studies exploring the entirety of the HIV Care Continuum for patients in the emergency department (ED). We determine gaps in the HIV Care Continuum to identify potential opportunities for improved care for HIV-infected ED patients.
methodsA mixed-methods approach was used in 1 inner-city ED in 2007. Data elements were derived from an identity-unlinked HIV seroprevalence study, an ongoing nontargeted HIV screening program, and a structured survey of known HIV-positive ED patients.
resultsIdentity-unlinked testing of 3,417 unique ED patients found that 265 (7.8%) were HIV positive. Of patients testing HIV positive, 73% had received a previous diagnosis (based on self-report, chart review, or presence of antiretrovirals in serum), but only 61% were recognized by the clinician as being HIV infected (based on self-report or chart review). Of patients testing positive, 43% were linked to care, 39% were retained in care, 27% were receiving antiretrovirals, 26% were aware of their receiving antiretroviral treatment, 22% were virally suppressed, and only 9% were self-aware of their viral suppression.
conclusionTo our knowledge, this study is the first to quantify gaps in HIV care for an ED patient population, with the HIV Care Continuum as a framework. Our findings identified distinct phases (ie, testing, provider awareness of HIV diagnosis, and linkage to care) in which the greatest opportunities for intervention exist, if appropriate resources were allocated. This schema could serve as a model for other indolent treatable diseases frequently observed in EDs, where continuity of care is critical.
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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.