AIDS
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Comparative Study
Impact of HAART advent on admission patterns and survival in HIV-infected patients admitted to an intensive care unit.
Several studies found increased survival times and decreased hospitalization rates since the introduction of highly active antiretroviral therapy (HAART). ⋯ HAART had little impact on ICU utilization by HIV-infected patients. After the introduction of HAART AIDS-related conditions decreased and sepsis increased as reasons for ICU admission. Whereas ICU survival was dependent on usual prognostic markers, long-term survival was clearly dependent on HIV disease stage and HAART availability. In both study periods, at least a half of the HIV infected patients were not on anti-retroviral treatment at the time of ICU admission.