Blash R, Sharp V, Steinbock C, Perez G; International Conference on AIDS.
Int Conf AIDS. 1996 Jul 7-12; 11: 378 (abstract no. Tu.C.2656).
St. Clare's Hospital, New York City, NY, USA. Fax: (212) 459 8489.
Objective: To compare the causes of death among the HIV+ inmate population admitted to an inner city inpatient unit in 1990 to the causes of death in 1994. Methods: ICD-9-CM codes and chart review were used to determine cause of death. All HIV+ inmate deaths occurring in 1990 and 1994 were reviewed. Causes of death were classified into four categories: a) AIDS defining illnesses. b) AIDS related illnesses. c) Other. d) Unknown. Fifty two patients died in 1990 out of 315 admissions whereas 62 patients died in 1994 out of 262 admissions. Results: Seventy one percent (71%) of patients who died in 1990 died of AIDS defining illnesses compared to 58% in 1994. AIDS related illness was present in 15.4% of patients in 1990 as compared to 41% in 1994. Other causes of death including GI bleed, other cancers (exceptions - KS and Lymphoma), end stage liver disease, pancreatitis, AAA rupture, and CVA comprised 17.3% of the 1990 group vs. 25% of the 1994 group. AIDS defining illnesses included PCP (About the same number died in each group 10/52 (19%), 9/62 (14%)), CMV, Toxo, crypto, lymphoma, KS and Mycobacterial infections, 5 people died of mycobacterial infections in 1990 as compared to 16 in 1994. In 1990, ten people died of mycobacterial infections; 7 of MAC and 3 of MTB. Of the people who died of TB in 1994, the majority (13/16) died of MAC while only 3 had MTB. Only 1 patient had MDRTB (1/3). Conclusions: Fewer inmates died of AIDS defining illnesses in 1994 than 1990. Of those dying of AIDS defining illness, more are dying of MAI and about the same are dying of PCP. AIDS related illnesses including sepsis and bacterial pneumonias comprise more than double the deaths in 1994 than 1990. About 20% of patients still die of other causes like GI bleeds.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Cause of Death
- Death
- Death Certificates
- HIV Infections
- HIV Seropositivity
- Humans
- Mycobacterium Infections
- Mycobacterium avium-intracellulare Infection
- Tuberculosis
Other ID:
UI: 102218732
From Meeting Abstracts