Health care utilization in HIV-infected patients

Assessing the burden of hepatitis C virus coinfection

Brianna L. Norton, Lawrence Park, Leah J. McGrath, Rae Jean Proeschold Bell, Andrew J. Muir, Susanna Naggie

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Health care utilization for HIV-1-infected patients appears to be declining in the United States as a result of highly active antiviral therapy (HAART); yet the opposite appears true in the HIV/hepatitis C virus (HCV) coinfected population. The reasons for this difference are not well understood. We examined the rates and reasons for emergency department visits and hospital admissions at an academic tertiary care medical center for HIV/HCV coinfected patients as compared to HIV-1 monoinfected patients, using a retrospective matched cohort study design. HIV/HCV coinfected patients had higher rates of health care utilization (emergency department visits 43.9 versus 7.1 per 100 person-years; hospital admissions 18.2 versus 6.7 per 100 person-years, for HIV coinfected and monoinfected, respectively). This increase was not solely due to liver related events. Instead, comorbidities such as diabetes, renal disease, and psychiatric/substance abuse played a larger role in the health-care utilization in the HIV/HCV coinfected population.

Original languageEnglish (US)
Pages (from-to)541-545
Number of pages5
JournalAIDS Patient Care and STDs
Volume26
Issue number9
DOIs
StatePublished - Sep 1 2012
Externally publishedYes

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Patient Acceptance of Health Care
Coinfection
Hepacivirus
HIV
HIV-1
Hospital Emergency Service
Tertiary Care Centers
Population
Substance-Related Disorders
Antiviral Agents
Psychiatry
Comorbidity
Cohort Studies
Kidney
Liver

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Health care utilization in HIV-infected patients : Assessing the burden of hepatitis C virus coinfection. / Norton, Brianna L.; Park, Lawrence; McGrath, Leah J.; Proeschold Bell, Rae Jean; Muir, Andrew J.; Naggie, Susanna.

In: AIDS Patient Care and STDs, Vol. 26, No. 9, 01.09.2012, p. 541-545.

Research output: Contribution to journalArticle

Norton, Brianna L. ; Park, Lawrence ; McGrath, Leah J. ; Proeschold Bell, Rae Jean ; Muir, Andrew J. ; Naggie, Susanna. / Health care utilization in HIV-infected patients : Assessing the burden of hepatitis C virus coinfection. In: AIDS Patient Care and STDs. 2012 ; Vol. 26, No. 9. pp. 541-545.
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