Evidence map›Paper›PMID 39901186›Full record

ArticleAIDS research and therapy2025

Hospitalization outcomes in people living with HIV on Dolutegravir-based regimen in Mwanza, Tanzania: a comparative cohort.

Godfrey A Kisigo, Eric Barongo, Benson Issarow, Cody Cichowitz, Bahati Wajanga, Samuel Kalluvya, Robert N Peck

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in AIDS research and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

The trial behind it

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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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Godfrey A Kisigo *Department of Internal Medicine, Weill Bugando School of Medicine, Mwanza, Tanzania. godfrey.kisigo@gmail.com.
Eric Barongo *Department of Internal Medicine, Weill Bugando School of Medicine, Mwanza, Tanzania.
Benson IssarowMwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania.
Cody CichowitzDepartment of Internal Medicine, Weill Bugando School of Medicine, Mwanza, Tanzania.
Bahati WajangaDepartment of Internal Medicine, Weill Bugando School of Medicine, Mwanza, Tanzania.
Samuel KalluvyaDepartment of Internal Medicine, Weill Bugando School of Medicine, Mwanza, Tanzania.
Robert N PeckDepartment of Internal Medicine, Weill Bugando School of Medicine, Mwanza, Tanzania.

Funding

Reducing Post-Hospital Mortality in HIV-Infected Adults in TanzaniaR01MH118107 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI PECK, ROBERT N · 2018 to 2022
$2.7M
Post-Doctoral Fellowship Training in HIV Clinical InvestigationD43TW011826 · FIC · WEILL MEDICAL COLL OF CORNELL UNIV · PI Daniel W Fitzgerald, Saidi Kapiga · 2021 to 2026
$1.9M
Patient-Oriented Research in Global Cardiovascular Diseases and Interactions with HIVK24HL170902 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Robert N Peck · 2023 to 2026
$504k
FIC NIH HHS D43 TW 011826FIC NIH HHS D43 TW011826NHLBI NIH HHS K24 HL170902NIH HHS R01 MH118107NIMH NIH HHS R01 MH118107
6 · The paper itself

Abstract

introductionHospitalized people living with HIV (PLWH) experienced extremely high mortality rates in the first year after an index hospitalization in the pre-Dolutegravir (DTG) era. We conducted a multi-center study in Mwanza, Tanzania to (1) describe causes of hospitalization for PLWH on DTG; (2) determine in-hospital and 3-month post-hospital mortality; (3) examine factors associated with overall mortality; and (4) determine changes in trends and predictors of mortality pre- and post-DTG era.

methodsBetween August 2020 and February 2021, hospitalized PLWH on dolutegravir-based antiretroviral therapy were enrolled and followed for three months after hospitalization. The primary outcome was mortality within 3-months of hospitalization. Cox regression analysis was used to calculate hazard ratios to identify predictors of mortality.

resultsOf the 154 enrolled patients, the median [interquartile range] age was 42 [33-50] years and 57% were female. Suspected immune reconstitution inflammatory syndrome (IRIS) and antiretroviral therapy (ART) non-adherence leading to an HIV-associated admission were common. The overall all-cause mortality was 42%. Male sex, using DTG-based regimen for < 3 months, diagnosis of suspected IRIS, diagnosis of ART side effect, advanced WHO clinical stage, CD4 count < 200 cells/mm

conclusionIn conclusion, the mortality rate of hospitalized PLWH in Africa remains high in the DTG era. Clinical trials are urgently needed to test novel interventions for improving survival in this high-risk group. In the meantime, hospital clinicians should be aware of the very high mortality among PLWH with IRIS and those with ART side effect to ensure that all possible diagnostic and therapeutic options are explored.

Indexed as

Anti-HIV AgentsHeterocyclic Compounds, 3-RingHIV InfectionsHIV Integrase InhibitorsHospitalizationOxazinesPiperazinesPyridonesAdultCohort StudiesDolutegravirFemaleHospital MortalityHumansImmune Reconstitution Inflammatory SyndromeMaleAnti-HIV AgentsDolutegravirHeterocyclic Compounds, 3-RingHIV Integrase InhibitorsOxazinesPiperazinesPyridonesDolutegravirHIVHIV multi-morbidityHospitalizationMortalityTanzania

Identifiers

PMID39901186
PMCPMC11789402

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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.