       Document 0696
 DOCN  M9490696
 TI    Inpatient health care utilization for patients with HIV and AIDS in the
       Edinburgh City Hospital.
 DT    9411
 AU    Brettle RP; Willcocks L; Cowan FM; Richardson AM; Infectious Disease
       Unit, City Hospital, Edinburgh, UK.
 SO    Int J STD AIDS. 1994 May-Jun;5(3):194-201. Unique Identifier : AIDSLINE
       MED/94339223
 AB    A retrospective analysis of HIV-positive patients admitted to the City
       Hospital, Edinburgh by 31st December 1992, 7 years after the inception
       of the HIV clinic, revealed that 373 patients, 72% of them injection
       drug users (IDUs), had required 2069 admissions (5.5/admitted patient,
       3.3/clinic patient or 0.5/clinic patient/year) and had utilized 21,934
       bed days (59 bed days/admitted patient, 35 days/clinic patient or 5 bed
       days/clinic patient/year). The average length of stay (ALOS) was
       significantly longer for AIDS than HIV (non-AIDS) admissions (14.0 vs
       9.5, P < 0.0001) as it was for admissions with a CD200 diagnosis (a CD4
       count below 200 cells per mm3 on two consecutive occasions) compared to
       those without (12.1 vs 10.0 days, P = 0.004). There was no gender effect
       on ALOS but there was a significant effect of risk activity;
       homo/bisexuals had a significantly longer ALOS than drug users (P <
       0.0001). Homo/bisexual patients with AIDS or a CD200 diagnosis had
       longer ALOS than drug users (15.7 vs 13 days and 15.8 vs 10.8). By 1992
       each member of the clinic was on average utilizing one admission per
       year and 11.6 bed days per year. The number of admissions in that year
       for patients without a CD200 or AIDS diagnosis was however low (0.5 and
       0.75 admissions/patient/year) compared to patients with an AIDS or CD200
       diagnosis (2.6 and 1.6 admissions/patient/year). The annual number of
       occupied bed days/living patient was greatest for those with AIDS (60 vs
       5 days) or with a CD200 diagnosis (23.5 vs 4.1 days).(ABSTRACT TRUNCATED
       AT 250 WORDS)
 DE    *Acquired Immunodeficiency Syndrome/IMMUNOLOGY  Adult  Female  Great
       Britain  Health Resources/*UTILIZATION  Homosexuality
       Hospitalization/*STATISTICS & NUMER DATA  Hospitals,
       Municipal/STATISTICS & NUMER DATA/*UTILIZATION  Human  *HIV
       Infections/IMMUNOLOGY  Length of Stay/STATISTICS & NUMER DATA  Male
       Middle Age  Patient Admission/STATISTICS & NUMER DATA  Retrospective
       Studies  Sex Factors  Substance Abuse, Intravenous  Support, Non-U.S.
       Gov't  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

