Table 4. Hospitalization as a predictor of mortality among 842 patients with HIV infection from New South Wales and Western Australia in the Australian HIV Observational Database cohort, 1999–2007.
Person-years | No. of deaths | Mortality rate per 100 person-years (95% CI) | Univariate hazard ratio (95% CI) | p | Multivariatea adjusted hazard ratio (95% CI) | p | Pb | |
---|---|---|---|---|---|---|---|---|
Total | 4547 | 64 | 1.4 (1.1–1.8) | – | – | – | – | |
Hospital admissionsc,d | ||||||||
None | 2600 | 4 | 0.2 (0.1–0.4) | 0.06 (0.02–0.18) | <0.001 | 0.09 (0.03–0.27) | <0.001 | |
1–3 | 1474 | 23 | 1.6 (1.0–2.4) | 1.00 | 1.00 | |||
≥4 | 473 | 37 | 7.8 (5.7–10.8) | 6.67 (3.80–11.70) | <0.001 | 4.37 (2.45–7.78) | <0.001 | |
Age (years)d | ||||||||
<45 | 2403 | 26 | 1.1 (0.7–1.6) | 1.00 | 1.00 | |||
≥45 | 2144 | 38 | 1.8 (1.3–2.4) | 1.59 (0.96–2.65) | 0.073 | 1.88 (1.11–3.19) | 0.019 | |
Sex | ||||||||
Female | 267 | 3 | 1.1 (0.4–3.5) | 1.00 | – | – | – | |
Male | 4280 | 61 | 1.4 (1.1–1.8) | 1.37 (0.42–4.44) | 0.603 | – | – | – |
Hepatitis B virus coinfection | ||||||||
Negative/never tested | 4326 | 61 | 1.4 (1.1–1.8) | 1.00 | – | – | – | |
Positive | 221 | 3 | 1.4 (0.4–4.2) | 0.98 (0.31–3.14) | 0.976 | – | – | – |
Hepatitis C virus coinfection | ||||||||
Negative/never tested | 3997 | 55 | 1.4 (1.1–1.8) | 1.00 | – | – | – | |
Positive | 550 | 9 | 1.6 (0.9–3.2) | 1.19 (0.59–2.41) | 0.623 | – | – | – |
HIV exposure | ||||||||
Homosexual contacte | 3706 | 49 | 1.3 (1.0–1.8) | 1.00 | – | – | – | |
Other | 748 | 14 | 1.9 (1.1–3.2) | 1.37 (0.73–2.58) | 0.325 | – | – | – |
Missing | 93 | 1 | 1.1 (0.2–7.7) | 0.88 (0.12–6.43) | 0.900 | – | – | – |
Time since first positive HIV test (years)d | ||||||||
0–4 | 413 | 3 | 0.7 (0.2–2.3) | 1.00 | – | – | – | |
5–7 | 752 | 5 | 0.7 (0.3–1.6) | 0.97 (0.23–4.12) | 0.964 | – | – | – |
7–12 | 1457 | 27 | 1.9 (1.3–2.7) | 2.76 (0.81–9.42) | 0.105 | – | – | – |
≥12 | 1886 | 29 | 1.5 (1.1–2.2) | 2.29 (0.66–7.95) | 0.191 | – | – | – |
Missing | 40 | 0 | – | – | – | – | – | – |
Prior AIDS | ||||||||
No | 3562 | 43 | 1.2 (0.9–1.6) | 1.00 | 1.00 | |||
Yes | 985 | 21 | 2.1 (1.4–3.3) | 1.77 (1.05–2.98) | 0.033 | 0.87 (0.50–1.51) | 0.614 | |
CD4 cell count (cells/μl)d | ||||||||
>200 | 4125 | 30 | 0.7 (0.5–1.0) | 1.00 | 1.00 | <0.001 | ||
101–200 | 240 | 11 | 4.6 (2.5–8.3) | 6.49 (3.24–12.98) | <0.001 | 3.67 (1.78–7.57) | <0.001 | |
≤100 | 164 | 20 | 12.2 (7.9–18.9) | 18.33 (10.31–32.58) | <0.001 | 6.48 (3.35–12.52) | <0.001 | |
Missing | 18 | 3 | 17.1 (5.5–52.9) | – | – | – | – | |
HIV viral load (per 1 log increase, copies/ml)d | ||||||||
≤400 | 2633 | 24 | 0.9 (0.6–1.4) | 1.00 | 1.00 | 0.012 | ||
401–10 000 | 1052 | 8 | 0.8 (0.4–1.5) | 1.15 (0.50–2.63) | 0.748 | 1.05 (0.45–2.42) | 0.911 | |
≥10 001 | 842 | 29 | 3.5 (2.4–5.0) | 4.92 (2.79–8.68) | <0.001 | 2.01 (1.04–3.87) | 0.038 | |
Missing | 20 | 3 | 14.8 (4.8–45.8) | – | – | – | – | |
Number of drug classes everd | ||||||||
≤1 | 555 | 8 | 1.4 (0.7–2.9) | 1.00 | – | – | – | |
2 | 1777 | 22 | 1.2 (0.8–1.9) | 0.84 (0.37–1.89) | 0.678 | – | – | – |
3 | 2189 | 34 | 1.6 (1.1–2.2) | 1.03 (0.47–2.26) | 0.935 | – | – | – |
4 | 26 | 0 | – | – | – | – | – | – |
AIDS event after baselined | ||||||||
No | 4402 | 54 | 1.2 (0.9–1.6) | 1.00 | 1.00 | |||
Yes | 145 | 10 | 6.9 (3.7–12.9) | 6.13 (2.98–12.62) | <0.001 | 1.12 (0.52–2.39) | 0.771 | |
Calendar yeard | ||||||||
1999–2000f | 465 | 8 | 1.7 (0.9–3.4) | 1.00 | – | – | – | |
2001 | 702 | 10 | 1.4 (0.8–2.6) | 0.56 (0.10–3.17) | 0.511 | – | – | – |
2002 | 686 | 6 | 0.9 (0.4–1.9) | 0.22 (0.03–1.89) | 0.169 | – | – | – |
2003 | 673 | 7 | 1.0 (0.5–2.2) | 0.60 (0.07–5.33) | 0.650 | – | – | – |
2004 | 659 | 13 | 2.0 (1.2–3.4) | 0.43 (0.04–4.40) | 0.480 | – | – | – |
2005 | 633 | 8 | 1.3 (0.6–2.5) | 0.41 (0.04–4.35) | 0.458 | – | – | – |
2006–2007g | 729 | 12 | 1.7 (0.9–2.9) | 0.44 (0.04–4.88) | 0.503 | – | – | – |
CI, confidence interval.
Model stratified by state.
P value for test for homogeneity for nominal, categorical covariates, test for trend for ordinal, categorical covariates.
During period of follow-up.
Time-dependent covariate.
Injecting drug use also reported for some participants in this group.
Includes data from 1 July 1999 to 31 December 2000.
Includes data from 1 January 2006 to 31 March 2007.