Hospitalization for Community-Acquired Pneumonia in Alberta Patients with Human Immunodeficiency Virus Infection: A Case Control Study

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dc.contributor.authorJohnson, David H
dc.contributor.authorCarriere, Keumhee C
dc.contributor.authorHouston, Stan
dc.contributor.authorJin, Yan
dc.contributor.authorPredy, Gerry
dc.contributor.authorGill, John
dc.contributor.authorShafran, Stephen
dc.contributor.authorMarrie, Thomas J
dc.date.accessioned2018-09-27T12:22:45Z
dc.date.available2018-09-27T12:22:45Z
dc.date.issued2003-01-01
dc.date.updated2018-09-27T12:22:44Z
dc.description.abstractBACKGROUND: To determine whether outcomes of pneumonia among human immunodeficiency virus (HIV)-positive persons differed from those among HIV-negative persons.METHODS: Alberta hospital patient abstracts for HIV-positive persons requiring hospitalization for pneumonia from April 1, 1994, until March 31, 1999, were matched by age and sex with four HIV-negative counterparts.RESULTS: Hospitalizations for community-acquired pneumonia decreased for those with HIV (acquired immunodeficiency syndrome [AIDS]) and increased for those with HIV (non-AIDS) during the study period. HIV (AIDS) patients admitted for community-acquired pneumonia (n=130) manifested three times higher odds for a longer length of hospital stay and had three and 10 times higher odds for excess in-hospital and one-year mortality, respectively, than their matched controls. Similarly, HIV (non-AIDS) patients admitted for community-acquired pneumonia (n=46) manifested two times higher odds for a longer length of hospital stay and had four times higher odds for excess one-year mortality than their matched controls. The in-hospital and one-year mortality rates for the HIV (AIDS) patients were 21.2% and 64.3%, respectively, during the first three years, and decreased to 8.7% and 40.7%, respectively, in the last two years of the study.CONCLUSIONS: The outcomes for community-acquired pneumonia were worse for those with HIV (non-AIDS) and HIV (AIDS) compared with non-HIV hospitalized patients matched for age and sex, and controlling for severity of illness and comorbidity. In-hospital and one-year mortality rates for patients with HIV (AIDS) showed a marked decline over the study period.
dc.description.versionPeer Reviewed
dc.identifier.citationDavid H Johnson, Keumhee C Carriere, Stan Houston, et al., “Hospitalization for Community-Acquired Pneumonia in Alberta Patients with Human Immunodeficiency Virus Infection: A Case Control Study,” Canadian Respiratory Journal, vol. 10, no. 5, pp. 265-270, 2003. doi:10.1155/2003/387236
dc.identifier.doihttps://doi.org/10.1155/2003/387236
dc.identifier.urihttp://hdl.handle.net/1880/108589
dc.language.rfc3066en
dc.rights.holderCopyright © 2003 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.titleHospitalization for Community-Acquired Pneumonia in Alberta Patients with Human Immunodeficiency Virus Infection: A Case Control Study
dc.typeJournal Article
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