Pérdida de seguimiento y factores asociados en pacientes inscritos el Programa de VIH/SIDA en el Hospital Universitario San Ignacio, Colombia, 2012-2013.

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Title:	Pérdida de seguimiento y factores asociados en pacientes inscritos el Programa de VIH/SIDA en el Hospital Universitario San Ignacio, Colombia, 2012-2013.
Alternate Title:	Lost to follow-up and associated factors in patients enrolled in Program HIV/AIDS in the Hospital University San Ignacio, Colombia, 2012.
Authors:	Támara, José Roberto¹ jrtamara2101@gmail.com, Álvarez, Carlos Arturo², Rodríguez, Jesús³
Source:	Biomédica: Revista del Instituto Nacional de Salud. jun2016, Vol. 36 Issue 2, p2-31. 30p.
Abstract (English):	Introduction: Long-term regular clinic follow up is an important component of HIV care. Objective: To describe the reasons for loss to follow-up of patients enrolled in a HIV/AIDS Program of a University Hospital. Materials and methods: A nested case-control study in a retrospective cohort, between January 1, 2012 to July 31, 2013 controls were evaluated. Results: 45 patients were identified; the incidence density rate of patients lost to follow up was 17.7 per 100 patient years. Unemployment (p = 0.000), alcohol consumption (p = 0.004), time of evolution of the disease in years (p = 0.032), sex (p = 0.027) mean age of 34 years (p = 0.000) were statistically significant lost to follow-up in the bivariate analysis. When adjusting logistic regression for the probability of loss to follow-up evidence the average age of 34 variables p = 0, 019, 95% (0.871 to 0.976), female p = 0.017 (95% CI (1.903 to 31 83), alcohol consumption p = 0.028 95% (from 0.040 to 0.830) and unemployment p = 0.001 (95% CI 4.696 to 464.692) are statistically significant. Conclusions: It is necessary that the programs of HIV/AIDS, establish systems tracking and tracing loss thereof, in order to develop strategies to improve patient retention and thus improves the quality of life in the long term. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción. El seguimiento clínico regular a largo plazo es un componente importante en la atención del VIH. Objetivo. Describir las razones para la pérdida de seguimiento de los pacientes inscritos en el Programa de VIH/SIDA de un hospital universitario. Materiales y métodos. Se realizó un estudio de casos y controles anidado en una cohorte retrospectiva, entre 1 de enero de 2012 a 31 de julio de 2013. Resultados. Se identificaron 45 pacientes, la tasa de densidad de incidencia de pacientes que perdieron el seguimiento fue de 17,7 por 100 pacientes año. Desempleo (p=0,000), consumo de alcohol (p=0,004), tiempo de la evolución de la enfermedad en años (p=0,032), sexo (p= 0,027) edad promedio de 34 años (p=0,000), fueron estadísticamente significativos para la perdida de seguimiento en el análisis bivariado. Al realizar el ajuste de regresión logística para la probabilidad de perdida de seguimiento evidencia que las variables edad promedio de 34 años p= 0, 019, IC 95%( 0,871-0,976), sexo femenino p= 0,017 (IC95%(1,903-31,83), consumo de alcohol p= 0,028 IC95%(0,040-0,830) y desempleo p= 0,001 IC 95%(4,696-464,692) son estadísticamente significativas. Conclusiones. Se hace necesario que los programas de VIH/SIDA, establezcan sistemas de seguimiento y rastreo a la pérdida del mismo, con el fin de establecer estrategias para mejorar la retención de los pacientes y por ende mejora la calidad de vida a largo plazo. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction: Long-term regular clinic follow up is an important component of HIV care. Objective: To describe the reasons for loss to follow-up of patients enrolled in a HIV/AIDS Program of a University Hospital. Materials and methods: A nested case-control study in a retrospective cohort, between January 1, 2012 to July 31, 2013 controls were evaluated. Results: 45 patients were identified; the incidence density rate of patients lost to follow up was 17.7 per 100 patient years. Unemployment (p = 0.000), alcohol consumption (p = 0.004), time of evolution of the disease in years (p = 0.032), sex (p = 0.027) mean age of 34 years (p = 0.000) were statistically significant lost to follow-up in the bivariate analysis. When adjusting logistic regression for the probability of loss to follow-up evidence the average age of 34 variables p = 0, 019, 95% (0.871 to 0.976), female p = 0.017 (95% CI (1.903 to 31 83), alcohol consumption p = 0.028 95% (from 0.040 to 0.830) and unemployment p = 0.001 (95% CI 4.696 to 464.692) are statistically significant. Conclusions: It is necessary that the programs of HIV/AIDS, establish systems tracking and tracing loss thereof, in order to develop strategies to improve patient retention and thus improves the quality of life in the long term. [ABSTRACT FROM AUTHOR]
ISSN:	01204157