title: [In-hospital mortality in HIV-infected patients: 10 years after the implementation of universal access to HAART in Mexico].
abstract: OBJECTIVE
  To establish the characteristics and causes of death of HIV patients who die while hospitalized.
  
  
  METHODS
  We included HIV+ patients who died during hospitalization, in three hospitals in Mexico City between 2010 and 2013. Sociodemographic and clinical data were collected as well as causes of death. We identified preventable deaths (defined as deaths that occurred in patients with less than six months of HAART, or without HAART, with less than 350 CD4 at diagnosis and/or opportunistic events as the cause of hospitalization).
  
  
  RESULTS
  128 deaths were analyzed. The median of CD4 count was 47 cells/mm³; 18% of the patients ignored their HIV status at the time of hospitalization, 51% had less than six months of HAART, 40.5% had never received HAART before. The main causes of death were AIDS defining events, with 65.6%. We identified 70 preventable deaths (57%).
  
  
  CONCLUSIONS
  Despite universal access to HAART, HIV patients in Mexico are still dying of AIDS defining illnesses, an indicator of late diagnosis. It is urgent to implement HIV testing programs to allow earlier diagnosis and make HAART benefit accessible to all.
authors.affiliation: Instituto Nacional de Cancerología, México, Distrito Federal, México.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Martín-Onraet
authors.affiliation: Hospital General Dr. Manuel Gea González, México, Distrito Federal, México.
authors.forename: Alicia
authors.initials: A
authors.lastname: Piñeirua-Menéndez
authors.affiliation: Instituto Nacional de Cancerología, México, Distrito Federal, México.
authors.forename: Diana
authors.initials: D
authors.lastname: Perales-Martínez
authors.affiliation: Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México, Distrito Federal, México.
authors.forename: Raúl
authors.initials: R
authors.lastname: Ortega-Pérez
authors.affiliation: Hospital General Dr. Manuel Gea González, México, Distrito Federal, México.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Barrera-García
authors.affiliation: Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México, Distrito Federal, México.
authors.forename: Juan
authors.initials: J
authors.lastname: Sierra-Madero
authors.affiliation: Instituto Nacional de Cancerología, México, Distrito Federal, México.
authors.forename: Patricia
authors.initials: P
authors.lastname: Volkow-Fernández
mesh_terms: D015492:AIDS Serodiagnosis; D017088:AIDS-Related Opportunistic Infections / Q000401:mortality; D000293:Adolescent; D000328:Adult; D000368:Aged; D023241:Antiretroviral Therapy, Highly Active; D018791:CD4 Lymphocyte Count; D002423:Cause of Death; D057210:Delayed Diagnosis; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000188:drug therapy / Q000401:mortality*; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data; D006786:Hospitals, Urban / Q000706:statistics & numerical data; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D061213:Mortality, Premature; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D062606:Tertiary Care Centers / Q000706:statistics & numerical data; D055815:Young Adult