Risk factors for death among patients in French Guiana: 1996-2005

Authors: Nacher, M; Huber, F¹; El Guedj, M²; Vaz, T²; Magnien, C²; Djossou, F³; Randrianjohany, A⁴; Alvarez, F⁵; Couppié, P¹

Source: HIV Medicine, Volume 8, Number 7, October 2007 , pp. 472-474(3)

Publisher: Wiley-Blackwell

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Abstract:

Summary

Risk factors for death in an HIV-infected cohort in French Guiana were studied in 1374 patients between 1996 and 2005. Of these patients, 48.5% were male and 76% were immigrants. Covariates were measured at the time of consultation. There were 223 deaths. Addictions [adjusted hazard ratio (HR)=13; 95% confidence interval (CI) 5.5-30.6; P< 0.001], age >60 years (HR=1.5; 95% CI 0.9-2.5; P=0.13), male gender (HR=1.5; 95% CI 1.03-2.5; P=0.03) and CD4 count <50 cells/μL (HR=9.1; 95% CI 5.1-16.3; P<0.001) were independently associated with death. These results suggest that strategies promoting early diagnosis and better follow-up of addicted patients would have a significant impact on mortality.

Keywords: addictions; death; French Guiana; gender; HIV; migrants; risk factors

Document Type: Short communication

DOI: http://dx.doi.org/10.1111/j.1468-1293.2007.00492.x

Affiliations: 1: Service de Dermatologie, and 2: Hôpital de Jour Adultes, 3: Unité des Maladies Infectieuses et Tropicales, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana, 4: Service de Médecine, Centre Hospitalier Frank Joly, Saint Laurent du Maroni, French Guiana, and 5: Service de Médecine, Centre Médico Chirurgical de Kourou, Kourou, French Guiana

Publication date: 2007-10-01