title: Sepsis risk factors associated with HIV-1 patients undergoing surgery.
abstract: Recent developments in the treatment of HIV-1 have improved the disease prognosis from a terminal disease to a chronic disease. The number of HIV-1-infected patients who require surgery has become more common. The main threat to HIV-1-infected patients following surgery is the development of sepsis. In this study, we collected a large number of clinical recordings of HIV-1-infected patients from two hospitals in China, specializing in HIV-1 treatment in order to summarize the risk indicators of sepsis in HIV-1-infected patients. We compared the significant risk indicators between the sepsis and non-sepsis groups. Using logistic regression based on the indicators of four separate surgery-based diseases, we generally found that low CD4 and hypoalbuminemia counts prior to surgery were the significant risk factors for developing sepsis. The morbidity of sepsis in trauma patients was approximately 10 times higher than the dysfunction group, whereas the tumor and the infection groups were approximately 1.5 and 2 times higher, respectively. Based on the comparison between the sepsis and non-sepsis groups for each surgery-based disease, we found that the severity of trauma is a critical risk factor for trauma patients; therefore, limiting the size of the wound during surgery is crucial. HIV-1-infected patients often develop postoperative sepsis due to immunodeficiency and complications due to the surgery. We hope that this study can help to reduce the risk of developing sepsis due to surgery and improve the survival rate of HIV-1-infected patients.
authors.affiliation: Department of Disaster and Emergency Medicine, Eastern Hospital, Tongji University School of Medicine, Shanghai 200120, China.
authors.forename: Tienan
authors.initials: T
authors.lastname: Feng
authors.affiliation: Department of Surgery, Zhengzhou Sixth Peoples Hospital, Zhengzhou, Henan Provence 450015, China.
authors.forename: Xiuling
authors.initials: X
authors.lastname: Feng
authors.affiliation: Department of Disaster and Emergency Medicine, Eastern Hospital, Tongji University School of Medicine, Shanghai 200120, China.
authors.forename: Chenghua
authors.initials: C
authors.lastname: Jiang
authors.affiliation: Department of Surgery, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, China.
authors.forename: Chaogang
authors.initials: C
authors.lastname: Huang
authors.affiliation: Department of Surgery, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, China.
authors.forename: Baochi
authors.initials: B
authors.lastname: Liu
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000601:surgery; D015497:HIV-1 / Q000302:isolation & purification*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors; D018805:Sepsis / Q000145:classification / Q000453:epidemiology / Q000209:etiology*