Classification of clinical risk in people with AIDS followed up in specialized care

Correia Paiva Leadebal, Oriana Deyze; de Medeiros, Leidyanny Barbosa; do Nascimento, Joao Agnaldo; Monroe, Aline Aparecida; Nogueira, Jordana de Almeida

Abstract

Aim: To develop a clinical risk stratification score for people living with AIDS and to analyze its association with clinical and sociodemographic aspects. Method: Cross-sectional study involving 150 adults with AIDS, in outpatient follow-up. A structured instrument was applied and, sequentially, inferential statistical techniques on the developed score. Results: 45.3% of the participants were classified as in high clinical risk. TL-CD4+500cel/mm(3) count, detectable viral load, presence of opportunistic diseases, chronic diseases and clinical manifestations were associated with high clinical risk. There was a significant difference in the mean risk between the categories of variables employment status (p = 0.003) and economic class (p = 0.035). There was a higher risk for brown people (OR = 5.55), unemployed status (OR = 16,51) and belonging to classes C (OR = 20.07) and D (OR = 53,32), and a lower risk for individuals with higher schooling (OR = 0.02). Conclusion: The proposed score quantifies clinical situations and points out sociodemographic aspects that predispose to instability and aggravation of AIDS, supporting the qualification of care.

Más información

Título según WOS: ID WOS:000486335500017 Not found in local WOS DB
Título de la Revista: REVISTA BRASILEIRA DE ENFERMAGEM
Volumen: 72
Número: 5
Editorial: ASSOC BRASILEIRA ENFERMAGEM
Fecha de publicación: 2019
Página de inicio: 1243
Página final: 1250
DOI:

10.1590/0034-7167-2017-0559

Notas: ISI