Variations in intensive care unit utilization for patients with human immunodeficiency virus-related Pneumocystis carinii pneumonia : Importance of hospital characteristics and geographic location.
To determine whether intensive care unit (ICU) use and outcomes for patients with human immunodeficiency virus (HIV) - related Pneumocystis carinii pneumonia vary by hospital characteristics and geographic location.
Retrospective review of the medical records of 2,174 patients with HIV-related P. carinii pneumonia.
Random sample of 73 private, nine public, and 14 Veterans Affairs hospitals in five cities (Chicago, New York, Los Angeles, Miami, and Durham, NC).
Stratified random sample of patients hospitalized with HIV-related P. carinii pneumonia from 1987 to 1990.
Measurements and Main Results
Among the 2,174 patients with P. carinii pneumonia, 398 (18%) patients received care in an ICU.
ICU utilization varied significantly by patient and hospital characteristics, as well by as geographic location.
Non-Hispanic whites, patients with Medicaid, and patients with a prior acquired immunodeficiency syndrome-defining illness were the least likely to receive care in an ICU.
Patients in county-or state-owned hospitals and patients in hospitals with more P. carinii pneumonia-experience were also less likely to be cared for in an ICU.
These differences in ICU utilization persisted when controlling for severity of illness, as well as other patient characteristics.
Significant geographic variation in ICU utilization persisted after controlling for patient and hospital characteristics. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Virus immunodéficience humaine, Lentivirus, Retroviridae, Virus, Pneumonie, Pneumocystis carinii, Fungi Imperfecti, Fungi, Thallophyta, Utilisation, Soin intensif, Survie, Facteur sociodémographique, Etats Unis, Amérique du Nord, Amérique, Variation géographique, Complication, Pronostic, Etude comparative, Homme, Immunopathologie, Immunodéficit, Appareil respiratoire pathologie, Poumon pathologie, Protozoose, Parasitose
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Human immunodeficiency virus, Lentivirus, Retroviridae, Virus, Pneumonia, Pneumocystis carinii, Fungi Imperfecti, Fungi, Thallophyta, Use, Intensive care, Survival, Sociodemographic factor, United States, North America, America, Geographical variation, Complication, Prognosis, Comparative study, Human, Immunopathology, Immune deficiency, Respiratory disease, Lung disease, Protozoal disease, Parasitosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0238185
Code Inist : 002B05C02D. Création : 11/09/1998.