Differences between post-HIV diagnosis AIDS patients (PHDA patients) and late presenters
PHDA patients (n=54) | Percentage or IQR | Late presenters (n=47) | Percentage or IQR | p Value | |
---|---|---|---|---|---|
Patient characteristics | |||||
Median age | 40 | 36–44 | 40 | 33.5–45 | 0.764 |
Gender | |||||
Male | 43 | 79.6 | 41 | 87.2 | 0.308 |
Ethnicity | |||||
Caucasian | 32 | 59.3 | 32 | 68.1 | 0.477 |
Non-Caucasian | 22 | 40.7 | 15 | 31.9 | |
Migrant or visitor | 29 | 53.7 | 16 | 34.0 | 0.047 |
HIV risk factors | |||||
MSM | 36 | 66.7 | 26 | 55.3 | 0.243 |
Intravenous drug user | 5 | 9.3 | 0 | 0 | 0.032 |
Others | 4 | 7.4 | 4 | 8.5 | 0.564 |
Unknown | 10 | 18.5 | 17 | 36.2 | |
Previous clinical indicator disease | 31 | 57.4 | 6 | 12.8 | 0.000 |
Previous chemoprophylaxis | 13 | 24.1 | 0 | 0 | 0.005 |
Psychiatric comorbidities | 19 | 35.2 | 6 | 12.8 | 0.009 |
Alcohol abuse | 13 | 24.1 | 2 | 4.3 | 0.005 |
Substance abuse | 12 | 22.2 | 1 | 2.1 | 0.003 |
Social Issues | 14 | 25.9 | 0 | 0 | 0.000 |
Median time from diagnosis to AIDS (years) | 7.3 | 4.0–13.3 | 0 | 0–0 | |
Median CD4 at diagnosis (cells/microlitre) | 263 | 125–430 | 43 | 10.5–184.0 | |
Median Viral load at diagnosis (copies/ml) | 45632 | 16384–165750 | 202747 | 77356–188474 | |
Median LTFU period (months) | 11 | 6–19 | |||
Reasons for LTFU recorded | |||||
Travelled abroad | 7 | 13 | |||
Social Issues | 7 | 13 | |||
Transfer of care to other centres | 4 | 7.4 | |||
Treatment avoidance | 3 | 5.6 | |||
Religious views | 2 | 3.7 | |||
Hospitalisation for other medical problems | 2 | 3.7 | |||
Other reasons | 2 | 3.7 | |||
Not LTFU | 6 | 11.1 | |||
Unrecorded | 21 | 38.9 | |||
Number of patients received previous ART | 34 | ||||
Median ART break period (months) | 12 | 4.0–23.0 | |||
Median length of ART before OI (months) | 48 | 33–84 | |||
Reasons for ART break | |||||
Drug side effects | 9 | 26.5 | |||
Incompatible lifestyle | 4 | 11.8 | |||
Religious views | 3 | 8.8 | |||
Negative beliefs about ART | 2 | 5.9 | |||
Travelled abroad | 2 | 5.9 | |||
Social issues | 2 | 5.9 | |||
Alternative medication | 1 | 2.9 | |||
Medical advice | 1 | 2.9 | |||
Others | 2 | 2.9 | |||
Unrecorded | 9 | 26.5 | |||
Patients who did not stop ART | 6 | 17.6 | |||
Last VL on ART | |||||
Undetectable | 15 | 44.1 | |||
>50 copies/ml | 18 | 44.1 | |||
Unrecorded | 1 | 2.9 |
Bold represents a statistically significant difference between the two cohorts (p<0.05). ART, antiretroviral therapy; LTFU, lost to follow-up; MSM, men who have sex with men; OI, opportunistic infection; VL, viral load.