Risk factors for death among patients in French Guiana: 1996-2005.
Risk factors for death in an HIV-infected cohort in French Guiana were studied in 1374 patients between 1996 and 2005. Of these patients, 48.5% were male and 76% were immigrants. Covariates were measured at the time of consultation. There were 223 deaths. Addictions [adjusted hazard ratio (HR)=13; 95% confidence interval (CI) 5.5-30.6; P<0.001], age>60 years (HR=1.5; 95% CI 0.9-2.5; P=0.13), male gender (HR=1.5; 95% CI 1.03-2.5; P=0.03) and CD4 count<50 cells/microL (HR=9.1; 95% CI 5.1-16.3; P<0.001) were independently associated with death. These results suggest that strategies promoting early diagnosis and better follow-up of addicted patients would have a significant impact on mortality.
Nacher
M
M
Centre d'Information et de Soins de l'Immunodéficience Humaine (CISIH) de Guyane, and Hôpital de Jour Adultes, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana. m_nacher@lycos.com
Huber
F
F
El Guedj
M
M
Vaz
T
T
Magnien
C
C
Djossou
F
F
Randrianjohany
A
A
Alvarez
F
F
Couppié
P
P
D017088:AIDS-Related Opportunistic Infections / Q000453:epidemiology / Q000401:mortality*; D000328:Adult; D017677:Age Distribution; D002423:Cause of Death; D018562:Disease Transmission, Infectious; D005260:Female; D005500:Follow-Up Studies; D005616:French Guiana / Q000453:epidemiology; D006678:HIV; D015658:HIV Infections / Q000453:epidemiology / Q000401:mortality*; D006801:Humans; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D016016:Proportional Hazards Models; D012307:Risk Factors; D017678:Sex Distribution; D014171:Transients and Migrants