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Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic
BACKGROUND: The COVID-19 pandemic has affected the care of patients with other diseases. Difficulty in access to healthcare during these months has been especially relevant for persons with HIV infection (PWH). This study therefore sought to ascertain the clinical outcomes and effectiveness of the m...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. Published by Elsevier España, S.L.U.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977934/ https://www.ncbi.nlm.nih.gov/pubmed/36870732 http://dx.doi.org/10.1016/j.eimce.2021.07.011 |
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author | Quirós-González, Víctor Rubio, Rafael Pulido, Federico Rial-Crestelo, David Martín-Jurado, Carlos Hernández-Ros, María Ángeles López-Jiménez, Elena Ana Ferrari, José Miguel Caro-Teller, José Manuel Pinar, Óscar Pedrera-Jiménez, Miguel García-Barrio, Noelia Serrano, Pablo Bernal, José Luis |
author_facet | Quirós-González, Víctor Rubio, Rafael Pulido, Federico Rial-Crestelo, David Martín-Jurado, Carlos Hernández-Ros, María Ángeles López-Jiménez, Elena Ana Ferrari, José Miguel Caro-Teller, José Manuel Pinar, Óscar Pedrera-Jiménez, Miguel García-Barrio, Noelia Serrano, Pablo Bernal, José Luis |
author_sort | Quirós-González, Víctor |
collection | PubMed |
description | BACKGROUND: The COVID-19 pandemic has affected the care of patients with other diseases. Difficulty in access to healthcare during these months has been especially relevant for persons with HIV infection (PWH). This study therefore sought to ascertain the clinical outcomes and effectiveness of the measures implemented among PWH in a region with one of the highest incidence rates in Europe. METHODS: Retrospective, observational, pre-post intervention study to compare the outcomes of PWH attended at a high-complexity healthcare hospital from March to October 2020 and during the same months across the period 2016–2019. The intervention consisted of home drug deliveries and preferential use of non face-to-face consultations. The effectiveness of the measures implemented was determined by reference to the number of emergency visits, hospitalisations, mortality rate, and percentage of PWH with viral load >50 copies, before and after the two pandemic waves. RESULTS: A total of 2760 PWH were attended from January 2016 to October 2020. During the pandemic, there was a monthly mean of 106.87 telephone consultations and 2075 home deliveries of medical drugs dispensed to ambulatory patients. No statistically significant differences were found between the rate of admission of patients with COVID-HIV co-infection and that of the remaining patients (1172.76 admissions/100,000 population vs. 1424.29, p = 0.401) or in mortality (11.54% vs. 12.96%, p = 0.939). The percentage of PWH with viral load >50 copies was similar before and after the pandemic (1.20% pre-pandemic vs. 0.51% in 2020, p = 0.078). CONCLUSION: Our results show that the strategies implemented during the first 8 months of the pandemic prevented any deterioration in the control and follow-up parameters routinely used on PWH. Furthermore, they contribute to the debate about how telemedicine and telepharmacy can fit into future healthcare models. |
format | Online Article Text |
id | pubmed-9977934 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. Published by Elsevier España, S.L.U. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99779342023-03-02 Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic Quirós-González, Víctor Rubio, Rafael Pulido, Federico Rial-Crestelo, David Martín-Jurado, Carlos Hernández-Ros, María Ángeles López-Jiménez, Elena Ana Ferrari, José Miguel Caro-Teller, José Manuel Pinar, Óscar Pedrera-Jiménez, Miguel García-Barrio, Noelia Serrano, Pablo Bernal, José Luis Enferm Infecc Microbiol Clin (Engl Ed) Original Article BACKGROUND: The COVID-19 pandemic has affected the care of patients with other diseases. Difficulty in access to healthcare during these months has been especially relevant for persons with HIV infection (PWH). This study therefore sought to ascertain the clinical outcomes and effectiveness of the measures implemented among PWH in a region with one of the highest incidence rates in Europe. METHODS: Retrospective, observational, pre-post intervention study to compare the outcomes of PWH attended at a high-complexity healthcare hospital from March to October 2020 and during the same months across the period 2016–2019. The intervention consisted of home drug deliveries and preferential use of non face-to-face consultations. The effectiveness of the measures implemented was determined by reference to the number of emergency visits, hospitalisations, mortality rate, and percentage of PWH with viral load >50 copies, before and after the two pandemic waves. RESULTS: A total of 2760 PWH were attended from January 2016 to October 2020. During the pandemic, there was a monthly mean of 106.87 telephone consultations and 2075 home deliveries of medical drugs dispensed to ambulatory patients. No statistically significant differences were found between the rate of admission of patients with COVID-HIV co-infection and that of the remaining patients (1172.76 admissions/100,000 population vs. 1424.29, p = 0.401) or in mortality (11.54% vs. 12.96%, p = 0.939). The percentage of PWH with viral load >50 copies was similar before and after the pandemic (1.20% pre-pandemic vs. 0.51% in 2020, p = 0.078). CONCLUSION: Our results show that the strategies implemented during the first 8 months of the pandemic prevented any deterioration in the control and follow-up parameters routinely used on PWH. Furthermore, they contribute to the debate about how telemedicine and telepharmacy can fit into future healthcare models. Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. Published by Elsevier España, S.L.U. 2023-03 2023-03-02 /pmc/articles/PMC9977934/ /pubmed/36870732 http://dx.doi.org/10.1016/j.eimce.2021.07.011 Text en © 2021 Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. Published by Elsevier España, S.L.U. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Original Article Quirós-González, Víctor Rubio, Rafael Pulido, Federico Rial-Crestelo, David Martín-Jurado, Carlos Hernández-Ros, María Ángeles López-Jiménez, Elena Ana Ferrari, José Miguel Caro-Teller, José Manuel Pinar, Óscar Pedrera-Jiménez, Miguel García-Barrio, Noelia Serrano, Pablo Bernal, José Luis Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic |
title | Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic |
title_full | Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic |
title_fullStr | Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic |
title_full_unstemmed | Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic |
title_short | Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic |
title_sort | healthcare outcomes in patients with hiv infection at a tertiary hospital during the covid-19 pandemic |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977934/ https://www.ncbi.nlm.nih.gov/pubmed/36870732 http://dx.doi.org/10.1016/j.eimce.2021.07.011 |
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