Summary
Has there been a change in the duration of periods of hospitalization during the first two years after diagnosis of AIDS between patients diagnosed before 1988, compared with patients diagnosed since 1988? A cohort of 212 AIDS patients was studied. They were diagnosed before December 31, 1990 and were hospitalized between January 1, 1981 and March 31, 1993 in the University Hospital of Geneva, Switzerland. Overall, the duration of hospitalization did not seem to differ according to the year of AIDS diagnosis, though the more recently diagnosed patients were hospitalized with a more advanced level of immunosuppression. However, the pattern of hospitalization was slightly different. The periods of hospitalization for subjects diagnosed before 1988 were relatively longer soon after the AIDS diagnosis and at a late stage in the course of the disease, whereas for the more recent patients the lengths of hospital stays were more uniform during the whole course of the disease.
Zusammenfassung
Ist die Aufenthaltsdauer im Spital bei Patienten mit AIDS unterschiedlich, wenn die Diagnose vor 1988 oder seit 1988 gestellt wurde? Bei 212 Patienten dieser Kohorte wurde AIDS vor dem 31. 12. 1990 diagnostiziert, und sie waren zwischen Januar 1981 und März 1993 im Genfer Universitätsspital hospitalisiert. Insgesamt hat sich die Aufenthaltsdauer im Spital seit 1988 nicht geändert, aber Patienten, die seit 1988 diagnostiziert worden waren, werden mit schwerer Immunsuppression hospitalisiert. Bei den Patienten, die vor 1988 diagnostiziert worden waren, war die Aufenthaltsdauer im Spital länger: sofort nach der Diagnose von AIDS und auch später im Lauf der Krankheit. Bei den seit 1988 diagnostizierten Patienten findet man diese Variationen bei der Aufenthaltsdauer nicht.
Résumé
Y a-t-il eu un changement dans la durée d'hospitalisation des patients chez quí un SIDA a été diagnostiqué avant 1988 ou depuis 1988? Les 212 patients de cette cohorte ont eu un SIDA diagnostiqué avant le 31. 12. 1990 et ont tous été hospitalisés entre janvier 1981 et mars 1993 à l'Hôpital cantonal universitaire de Genève. Au total, les durée d'hospitalisations ne sont pas differentes selon l'année du diagnostic de SIDA, mais les patients les plus récents ont été hospitalisés à un stade d'immunosuppression plus avancé. Pour les plus anciens patients, les durées de séjour hospitaliers ont été plus longues immédiatement après le diagnostic de SIDA et plus tard au cours de l'évolution de la maladie alors que les durées d'hospitalisations des patients diagnostiqués après 1988 restaient constantes au cours du temps.
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Vanhems, P., Morabia, A., Pechère, M. et al. Duration of hospitalization during the first two years after AIDS diagnosis: A descriptive study. Soz Präventivmed 42, 314–319 (1997). https://doi.org/10.1007/BF01592328
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DOI: https://doi.org/10.1007/BF01592328