作者
SW Worm, N Friis-Moller, CA Sabin, A Sjol, JD Lundgren, R Salbol-Brandt, M Rickenbach, P Pezzotti, E Krum, L Gras, E Balestre, A Sundstroem, M Delforge, E Fontas, F Torres, K Petoumenos, J Kjaer, S Collins, S Storpher, G Pearce, R Rode, I Weller
发表日期
2010/6/19
期刊
AIDS
卷号
24
期号
10
页码范围
1537-1548
出版商
LIPPINCOTT WILLIAMS & WILKINS
简介
Objective
To investigate any emerging trends in causes of death amongst HIV-positive individuals in the current cART era, and to investigate the factors associated with each specific cause of death. Design
An observational multicentre cohort study. Methods
All HIV-positive individuals included in one of the cohorts in the Data Collection on Adverse Events of Anti-HIV drugs (D: A: D) Study were included. The association between HIV-specific and non HIV-specific risk factors and death were studied using multivariable Poisson regression. Results
We observed 2482 deaths in 180 176 person-years (PY) on 33 308 individuals [rate/1000 PY= 13.8 (95% CI 13.2-14.3)]. Primary causes of death were: AIDS (n= 743; rate/1000 PY= 4.12), liver-related (341; 1.89), CVD-related (289; 1.60), non-AIDS malignancy (286; 1.59). The overall rate of death fell from 16.9 in 1999/2000 to 9.6/1000 PY in 2007/2008. Smoking was associated with CVD and non-AIDS cancers, HBV and HCV co-infection with liver-related deaths, and hypertension with liver-related and CVD deaths. Diabetes was a risk factor for all specific causes of death except non-AIDS cancers, and higher current HIV RNA for AIDS-related deaths. Lower CD4 cell counts were associated with a higher risk of death from all specific causes of death. Conclusion
Multiple potentially modifiable traditional and HIV-specific risk factors for death of HIV-infected persons were identified. The maximum reduction in mortality in HIV-infected populations will require that each of these factors be appropriately addressed. No trends in terms of emerging causes of unexpected deaths were observed, although monitoring …引用总数
学术搜索中的文章
Data Collection on Adverse Events of Anti-HIV drugs (D … - Aids, 2010