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

Autor:	Leadebal ODCP; Universidade Federal da Paraíba. João Pessoa, Paraíba, Brazil., Medeiros LB; Universidade Federal da Paraíba. João Pessoa, Paraíba, Brazil., Nascimento JAD; Universidade Federal da Paraíba. João Pessoa, Paraíba, Brazil., Monroe AA; Universidade de São Paulo, Escola de Enfermagem. de Ribeirão Preto. Ribeirão Preto, São Paulo, Brazil., Nogueira JA; Universidade Federal da Paraíba. João Pessoa, Paraíba, Brazil.
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de enfermagem [Rev Bras Enferm] 2019 Sep 16; Vol. 72 (5), pp. 1235-1242. Date of Electronic Publication: 2019 Sep 16.
DOI:	10.1590/0034-7167-2017-0559
Abstrakt:	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/mm3 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.
Databáze:	MEDLINE
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