PT  - JOURNAL ARTICLE
AU  - Udaya P Udayaraj
AU  - Alan Tang
AU  - Emma Vaux
AU  - Lindsey Barker
AU  - Ramesh Naik
TI  - HIV-related admissions to a district general hospital in the UK: a single centre study
AID  - 10.7861/clinmedicine.9-4-333
DP  - 2009 Aug 01
TA  - Clinical Medicine
PG  - 333--337
VI  - 9
IP  - 4
4099  - http://www.rcpjournals.org/content/9/4/333.short
4100  - http://www.rcpjournals.org/content/9/4/333.full
SO  - Clin Med2009 Aug 01; 9
AB  - This study evaluates the patient and disease characteristics, potential cost implications and short-term outcomes of 64 adult patients admitted with HIV-related illnesses. The majority (65.6%) were black Africans and 75% were immigrants to the UK. Of the 64 patients, 61% were unaware of their HIV status at admission; 50% had CD4 count <50 cells/μl and 48% had viral load >105 copies/ml. Thirty-eight patients had AIDS and this accounted for 66% of the total 897 inpatient days (equivalent to 16.5–30.2 patient years of highly active antiretroviral therapy (HAART) depending on the type of HAART regimen used). Fifteen (23.8%) died in hospital, and of these 11 had AIDS and a CD4 count <200 cells/μl. Immigrants from countries of high prevalence accounted for the majority of the inpatient HIV caseload. They presented late and had high in-hospital mortality. Screening programmes to allow early diagnosis and treatment should be adapted to reach migrant populations.