Evidence map›Paper›PMID 33926373›Full record

ArticleBMC infectious diseases2021

Causes of hospitalisation among a cohort of people with HIV from a London centre followed from 2011 to 2018.

Sophia M Rein, Fiona C Lampe, Clinton Chaloner, Adam Stafford, Alison J Rodger, Margaret A Johnson, Jeffrey McDonnell, Fiona Burns, Sara Madge, Alec Miners and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.5field-weighted citation impact, top 32% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 11 citations in OpenAlex.

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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

15 authors at 3 institutions in 1 country.

Sophia M ReinInstitute for Global Health, University College London (UCL), Royal Free Campus, Rowland Hill St, NW3 2PF, London, UK. sophia.rein.17@ucl.ac.uk.ORCID http://orcid.org/0000-0002-5240-4838
Fiona C LampeInstitute for Global Health, University College London (UCL), Royal Free Campus, Rowland Hill St, NW3 2PF, London, UK.
Clinton ChalonerInstitute for Global Health, University College London (UCL), Royal Free Campus, Rowland Hill St, NW3 2PF, London, UK.
Adam StaffordRoyal Free London NHS Foundation Trust, London, UK.
Alison J RodgerInstitute for Global Health, University College London (UCL), Royal Free Campus, Rowland Hill St, NW3 2PF, London, UK.
Margaret A JohnsonRoyal Free London NHS Foundation Trust, London, UK.
Jeffrey McDonnellInstitute for Global Health, University College London (UCL), Royal Free Campus, Rowland Hill St, NW3 2PF, London, UK.
Fiona BurnsInstitute for Global Health, University College London (UCL), Royal Free Campus, Rowland Hill St, NW3 2PF, London, UK.
Sara MadgeRoyal Free London NHS Foundation Trust, London, UK.
Alec MinersLondon School of Hygiene and Tropical Medicine (LSHTM), London, UK.
Lorraine SherrInstitute for Global Health, University College London (UCL), Royal Free Campus, Rowland Hill St, NW3 2PF, London, UK.
Simon CollinsHIV i-Base, London, UK.
Andrew SpeakmanInstitute for Global Health, University College London (UCL), Royal Free Campus, Rowland Hill St, NW3 2PF, London, UK.
Andrew N PhillipsInstitute for Global Health, University College London (UCL), Royal Free Campus, Rowland Hill St, NW3 2PF, London, UK.
Colette J SmithInstitute for Global Health, University College London (UCL), Royal Free Campus, Rowland Hill St, NW3 2PF, London, UK.
The Royal Free Hospital · GBRoyal Free London NHS Foundation Trust · GBLondon School of Hygiene & Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe describe the spectrum of ICD-10 classified causes for hospitalisations occurring between 2011 and 2018 in a cohort of people living with HIV (PLHIV).

methodsThis sub-study includes 798 PLHIV participating in the Antiretroviral, Sexual Transmission Risk and Attitudes (ASTRA) questionnaire study who were recruited from a large London centre. A medical record review identified the occurrence and causes of hospitalisation from the date of questionnaire completion (February-December 2011) until 1 June 2018. Up to five causes were classified by an HIV clinician using the ICD-10 system.

resultsThere were 274 hospitalisations in 153 people (rate = 5.8/100 person-years; 95% CI: 5.1, 6.5). Causes were wide-ranging; the most common were circulatory (16.8%), digestive (13.1%), respiratory (11.7%), infectious diseases (11.0%), injury/poisoning (10.6%), genitourinary diseases (9.9%) and neoplasms (9.1%). A tenth (27/274) of hospitalisations were related to at least one AIDS-defining illness. Median duration of hospitalisation was 5 days (IQR 2-9). At the time of hospitalisation, median CD4 count was high (510 cells/μl; IQR: 315-739), while median CD4 nadir was relatively low (113 cells/μl; IQR: 40-239). At admission, half of individuals (51%) had a previous AIDS-defining illness and 21% had viral load > 50 copies/ml. Individuals admitted for infectious diseases were particularly likely to have unfavourable HIV-related clinical characteristics (low CD4, viral non-suppression, not on antiretroviral therapy (ART), previous AIDS).

conclusionsIn the modern combination antiretroviral therapy era, the spectrum of causes of hospitalisation in PLHIV in the UK is wide-ranging, highlighting the importance of holistic care for PLHIV, including prevention, early detection and treatment of comorbidities.

Indexed as

AdultAnti-Retroviral AgentsCardiovascular DiseasesCD4 Lymphocyte CountCohort StudiesComorbidityDigestive System DiseasesFemaleHIV InfectionsHospitalizationHumansInfectionsLondonMaleMiddle AgedNeoplasmsAnti-Retroviral AgentsAIDSCausesDiagnosesHIVHospitalizationMorbidity

Identifiers

PMID33926373
PMCPMC8082756
OpenAlexW3159894157

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.