Table 4.
Cox proportional hazards analysis of all-cause mortality for HIV-TB co-infected patients (N=768)
Variable | Follow up in person- years |
Deaths | Unadjusted HR |
P-value | Adjusted HR |
95 % CI |
P-value |
---|---|---|---|---|---|---|---|
Age at ART initiation, years | |||||||
≤30 | 854 | 19 | 1 | 1 | |||
30–41 | 1463 | 31 | 0.96 | 0.886 | 1.14 | (0.63, 2.04) |
0.667 |
>41 | 657 | 20 | 1.38 | 0.311 | 1.62 | (0.84, 3.15) |
0.151 |
Sex | |||||||
Male | 2332 | 61 | 1 | 1 | |||
Female | 641 | 9 | 0.53 | 0.075 | 0.52 | (0.25, 1.06) |
0.072 |
Reported exposure route of HIV infection |
|||||||
Heterosexual contact | 2235 | 44 | 1 | 1 | |||
Homosexual contact | 290 | 4 | 0.70 | 0.503 | 0.55 | (0.19, 1.53) |
0.252 |
Injecting drug use | 311 | 17 | 2.27 | 0.005 | 1.96 |
(1.05, 3.66) |
0.035 |
Other/unknown | 136 | 5 | 1.72 | 0.252 | 1.42 | (0.56, 3.61) |
0.464 |
Prior AIDS diagnosis at ART initiation | |||||||
No | 2547 | 57 | 1 | 1 | |||
Yes | 426 | 13 | 1.39 | 0.284 | 1.68 | (0.90, 3.12) |
0.102 |
Hepatitis B co-infection | |||||||
No | 1804 | 30 | 1 | 1 | |||
Yes | 187 | 5 | 1.64 | 0.306 | 1.47 | (0.57, 3.83) |
0.425 |
Not tested | 982 | 35 | 2.17 | 0.002 | 2.60 |
(1.58, 4.28) |
<0.001 |
Hepatitis C co-infection | |||||||
No | 1304 | 23 | 1 | 1 | |||
Yes | 320 | 10 | 1.47 | 0.310 | 0.70 | (0.28, 1.71) |
0.431 |
Not tested | 1349 | 37 | 1.51 | 0.118 | 1.05 | (0.47, 2.38) |
0.902 |
CD4 T-cell count (cells/µL) at TB diagnosis |
|||||||
≤100 | 716 | 22 | 1 | 1 | |||
>101 | 893 | 15 | 0.55 | 0.076 | 0.69 | (0.35, 1.36) |
0.282 |
Missing | 1364 | 33 | 0.89 | 0.679 | 0.96 | (0.55, 1.67) |
0.890 |
HIV viral load (copies/ml) at TB diagnosis |
|||||||
<500 | 113 | 4 | 1 | 1 | |||
≥500 | 26 | 1 | 1.17 | 0.886 | 1.52 | (0.17, 13.74) |
0.707 |
Missing | 2833 | 65 | 0.74 | 0.552 | 0.84 | (0.30, 2.32) |
0.733 |
Type of TB | |||||||
Pulmonary | 1116 | 36 | 1 | 1 | |||
Extrapulmonary | 730 | 21 | 0.94 | 0.825 | 1.02 | (0.57, 1.84) |
0.937 |
Both | 255 | 5 | 0.59 | 0.269 | 0.65 | (0.25, 1.65) |
0.360 |
Not tested or reported | 871 | 8 | 0.32 | 0.003 | 0.31 |
(0.14, 0.70) |
0.005 |
Time intervals between initiation of TB therapy and ART initiation |
|||||||
TB diagnosed while on ART | 611 | 23 | 1 | 1.00 | |||
ART not yet started | 441 | 13 | 0.63 | 0.197 | 0.80 | (0.39, 1.66) |
0.551 |
Early ART after TB therapy | 896 | 19 | 0.61 | 0.114 | 0.69 | (0.37, 1.28) |
0.239 |
Delayed ART after TB therapy | 1025 | 15 | 0.51 | 0.050 | 0.57 | (0.29, 1.12) |
0.101 |
TB, tuberculosis; ART, antiretroviral therapy.
Bold text denotes adjusted hazard ratios with significant p values; TB, tuberculosis; ART, antiretroviral therapy.