Evidence map›Paper›PMID 37331214›Full record

ArticleClinics (Sao Paulo, Brazil)2023

COVID-19 outcomes in people living with HIV: Peering through the waves.

Thaís Lorenna Souza Sales, Maíra Viana Rego Souza-Silva, Polianna Delfino-Pereira, João Victor Baroni Neves, Manuela Furtado Sacioto, Vivian Costa Morais de Assis, Helena Duani, Neimy Ramos de Oliveira, Natália da Cunha Severino Sampaio, Lucas Emanuel Ferreira Ramos and 28 more

Abstract readEditorial
In one paragraph

Article in Clinics (Sao Paulo, Brazil), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
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

38 authors.

Thaís Lorenna Souza SalesUniversidade Federal de São João del-Rei, Campus Centro Oeste Dona Lindu, Divinópolis, MG, Brazil; Instituto de Avaliação de Tecnologia em Saúde (IATS), Porto Alegre, RS, Brazil. Electronic address: thaislorennass30@yahoo.com.br.
Maíra Viana Rego Souza-SilvaDepartment of Internal Medicine, Medical School, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Polianna Delfino-PereiraInstituto de Avaliação de Tecnologia em Saúde (IATS), Porto Alegre, RS, Brazil; Department of Internal Medicine, Medical School, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
João Victor Baroni NevesFaculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil.
Manuela Furtado SaciotoHospital Eduardo de Menezes, Belo Horizonte, MG, Brazil.
Vivian Costa Morais de AssisFaculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil.
Helena DuaniDepartment of Internal Medicine, Medical School, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Neimy Ramos de OliveiraHospital Eduardo de Menezes, Belo Horizonte, MG, Brazil.
Natália da Cunha Severino SampaioHospital Eduardo de Menezes, Belo Horizonte, MG, Brazil.
Lucas Emanuel Ferreira RamosDepartment of Statistics, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Alexandre Vargas SchwarzboldHospital Universitário de Santa Maria, Santa Maria, RS, Brazil.
Alzira de Oliveira JorgeHospital Risoleta Tolentino Neves, Belo Horizonte, MG, Brazil.
Ana Luiza Bahia Alves ScottonHospital Regional Antônio Dias, Patos de Minas, MG, Brazil.
Bruno Mateus de CastroHospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Carla Thais Cândida Alves da SilvaHospital Santo Antônio, Curvelo, MG, Brazil.
Carolina Marques RamosFaculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil.
Fernando AnschauHospital Nossa Senhora da Conceição, Porto Alegre, RS, Brazil; Hospital Cristo Redentor, Porto Alegre, RS, Brazil.
Fernando Antonio BotoniHospital Julia Kubitschek, Belo Horizonte, MG, Brazil.
Genna Maira Santos GrizendeHospital Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, MG, Brazil.
Guilherme Fagundes NascimentoHospital UNIMED BH, Belo Horizonte, MG, Brazil.
Karen Brasil RuschelHospital Mãe de Deus, Porto Alegre, RS, Brazil; Hospital Universitário Canoas, Canoas, RS, Brazil.
Luanna Silva Monteiro MenezesHospital Metropolitano Odilon Behrens, Belo Horizonte, MG, Brazil.
Luís César de CastroHospital Bruno Born, Lajeado, RS, Brazil.
Luiz Antônio NasiHospital Moinhos de Vento, Porto Alegre, RS, Brazil.
Marcelo CarneiroHospital Santa Cruz, Santa Cruz do Sul, RS, Brazil.
Mariana Frizzo de GodoyHospital São Lucas PUCRS, Porto Alegre, RS, Brazil.
Matheus Carvalho Alves NogueiraHospitais da Rede Mater Dei, Belo Horizonte, MG, Brazil.
Milton Henriques Guimarães JúniorHospital Márcio Cunha, Ipatinga, MG, Brazil.
Patricia Klarmann ZiegelmannHospital Tacchini, Bento Gonçalves, RS, Brazil.
Rafaela Charão de AlmeidaHospital Nossa Senhora da Conceição, Porto Alegre, RS, Brazil; Hospital Cristo Redentor, Porto Alegre, RS, Brazil.
Saionara Cristina FranciscoHospital Metropolitano Doutor Célio de Castro, Belo Horizonte, MG, Brazil.
Sidney Teodoro Silveira NetoMedical School, Universidade Federal de São João Del-Rei, Divinópolis, MG, Brazil.
Silvia Ferreira AraújoHospital Semper, Belo Horizonte, MG, Brazil.
Thiago Junqueira Avelino-SilvaLaboratório de Investigação Médica em Envelhecimento (LIM-66), Serviço de Geriatria, Hospital das Clínicas HCFMUSP, Medical School, Universidade de São Paulo, São Paulo, SP, Brazil; Faculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Márlon Juliano Romero AlibertiLaboratório de Investigação Médica em Envelhecimento (LIM-66), Serviço de Geriatria, Hospital das Clínicas HCFMUSP, Medical School, Universidade de São Paulo, São Paulo, SP, Brazil; Research Institute, Hospital Sírio-Libanês, São Paulo, SP, Brazil.
Magda Carvalho PiresDepartment of Statistics, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Eduardo Sérgio da SilvaUniversidade Federal de São João del-Rei, Campus Centro Oeste Dona Lindu, Divinópolis, MG, Brazil.
Milena Soriano MarcolinoInstituto de Avaliação de Tecnologia em Saúde (IATS), Porto Alegre, RS, Brazil; Department of Internal Medicine, Medical School, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Telehealth Center, University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate clinical characteristics and outcomes of COVID-19 patients infected with HIV, and to compare with a paired sample without HIV infection.

methodsThis is a substudy of a Brazilian multicentric cohort that comprised two periods (2020 and 2021). Data was obtained through the retrospective review of medical records. Primary outcomes were admission to the intensive care unit, invasive mechanical ventilation, and death. Patients with HIV and controls were matched for age, sex, number of comorbidities, and hospital of origin using the technique of propensity score matching (up to 4:1). They were compared using the Chi-Square or Fisher's Exact tests for categorical variables and the Wilcoxon for numerical variables.

resultsThroughout the study, 17,101 COVID-19 patients were hospitalized, and 130 (0.76%) of those were infected with HIV. The median age was 54 (IQR: 43.0;64.0) years in 2020 and 53 (IQR: 46.0;63.5) years in 2021, with a predominance of females in both periods. People Living with HIV (PLHIV) and their controls showed similar prevalence for admission to the ICU and invasive mechanical ventilation requirement in the two periods, with no significant differences. In 2020, in-hospital mortality was higher in the PLHIV compared to the controls (27.9% vs. 17.7%; p = 0.049), but there was no difference in mortality between groups in 2021 (25.0% vs. 25.1%; p > 0.999).

conclusionsOur results reiterate that PLHIV were at higher risk of COVID-19 mortality in the early stages of the pandemic, however, this finding did not sustain in 2021, when the mortality rate is similar to the control group.

Indexed as

COVID-19HIV InfectionsFemaleHumansIntensive Care UnitsMaleMiddle AgedRetrospective StudiesSARS-CoV-2COVID-19HIVIntensive care unitMechanical ventilationMortality

Identifiers

PMID37331214
PMCPMC10209448

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