• Medicine · Oct 2023

    ART and Serum albumin are influencing factors of the 5-year survival rate of people living with HIV undergoing maintenance hemodialysis caused by HIV: A cohort study.

    • Chunxiong Su, Yuting Ma, Huiping Liang, Aixian Huang, Wenhai Deng, Jia Zhou, and Huaying Liu.
    • Department of Blood Purification, the Fourth People's Hospital of Nanning, Guangxi (Guangxi AIDS Clinical Treatment Center), Nanning, China.
    • Medicine (Baltimore). 2023 Oct 6; 102 (40): e35494e35494.

    AbstractHuman immunodeficiency virus (HIV) infection is one of the most prominent public health problems worldwide. The 5-year survival rate of people living with HIV undergoing maintenance hemodialysis (MHD) and the factors related to the survival rate have not been widely studied. This study calculated the 5-year survival rate of people living with HIV who were undergoing MHD and determined the risk factors that may affect the 5-year survival rate. All enrolled participants were followed up for more than 5 years from the first round of MHD. The survival rate of them was calculated, the Cox proportional hazards model was used for multivariate analysis, the Kaplan-Meier method was used to draw the survival curve, and the log-rank test was used to compare the survival time of different groups. A total of 121 participants were included in the study. Statistical analysis showed that the overall 5-year survival rate was 19.0%. The 6-, 12-, 24-, and 36-month survival rates were 71.90%, 56.20%, 41.32%, and 30.58%, respectively. Infection was the leading cause of death, accounting for 55.37%. The Cox proportional hazards model revealed that antiretroviral therapy (ART) and the serum albumin level after dialysis were independent protective factors for patient survival. The log-rank test showed that there was a significant difference in survival time between the ART and non-ART groups.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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