| Titre : | The role of functional status in predicting inpatient mortality with AIDS : A comparison with current predictors. (1996) |
| Auteurs : | A.C. JUSTICE ; L.H. AIKEN ; H.L. Smith ; B.J. TURNER ; Center for Health Services and Policy Research. School of Nursing ; University of Pennsylvania. Philadelphia PA. USA |
| Type de document : | Article |
| Dans : | Journal of clinical epidemiology (vol. 49, n° 2, 1996) |
| Pagination : | 193-202 (9 p.) |
| Langues: | Anglais |
| Mots-clés : | Virose ; Infection ; Hospitalisation ; Mortalité ; Homme ; Activité ; Vie quotidienne ; Soins infirmiers ; Evaluation ; Etude comparée ; Evaluation des connaissances ; Etats Unis ; Amérique ; Maladie autoimmune ; Sida |
| Résumé : | [BDSP. Notice produite par INIST R0xy0I77. Diffusion soumise à autorisation]. To assess the independent prognostic role of functional status, as reflected by a measure of an inpatient's global requirement for nursing assistance with basic activities of daily living (Global ADL), we compared Global ADL with three validated AIDS mortality predictors : the Clinical AIDS Prognostic Staging (CAPS) ; the Severity Classification System for AIDS Hospitalizations-version 2 (SCAH-2) ; and CD4 cell count. Our study sample consisted of 1392 patients with AIDS and a hospital stay of 3 or more days at one of 20 hospitals in 11 U.S. cities with high AIDS incidence. Data were collected from September 1990 through December 1991. Two percent of patients refused participation, and 26% were eliminated due to incomplete data collection, leaving an analytic sample of 1003 patients. Only 30% of patients had a CD4 count measured at any time during hospitalization. Cox regression was used to measure the hazard of inpatient mortality adjusted for length of stay. Overall mortality was 12%. Mortality rates for patients in Global ADL stages I-IV were 3%, 8%, 19%, and 51%, respectively (p<0.0001). Global ADL more effectively discriminated mortality than CAPS (p<0.001), SCAH-2 (p<0.001), or CD4 count (p<0.001). Global ADL also added independent information in analyses adjusted for both CAPS and SCAH-2 : a single stage increase of Global ADL demonstrated a 1.9-fold increased hazard of death (Cl : 1.6,2.3). SCAH-2, assigned at discharge, was not strongly correlated... |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact