Table 2.
Cox proportional hazard models of virologic failure defined as HIV-1 RNA rebound >50 copies/mL, ≥200 copies/mL, or ≥1,000 copies/mL.
Virologic Failure Definition | Factors | Univariate | Multivariable | ||
---|---|---|---|---|---|
| |||||
HR [95% CI] | P-value | HR [95% CI] | P-value | ||
VL>50 copies/mL | Detectable RV1 | 2.08 [1.13–3.81] | 0.02 | 1.58 [0.85–2.93] | 0.15 |
CD4+ cell count2 | 1.05 [0.99–1.11] | 0.10 | 1.05 [0.99–1.12] | 0.11 | |
ART adherence3 | 1.21 [1.12–1.32] | <0.001 | 1.21 [1.11–1.33] | <0.001 | |
Substance abuse4 | 1.83 [1.0–3.35] | 0.049 | 1.57 [0.84–2.93] | 0.16 | |
| |||||
VL ≥200 copies/mL | Detectable RV1 | 1.55 [0.74–3.22] | 0.24 | 1.19 [0.57–2.49] | 0.65 |
CD4+ cell count2 | 1.08 [1.0–1.16] | 0.05 | 1.10 [1.02–1.19] | 0.02 | |
ART adherence3 | 1.14 [1.05–1.23] | 0.003 | 1.19 [1.07–1.31] | <0.001 | |
Substance abuse4 | 2.31 [1.12–4.74] | 0.02 | 1.70 [0.82–3.56] | 0.16 | |
| |||||
VL≥1000 copies/mL | Detectable RV1 | 1.86 [0.78–4.43] | 0.16 | 1.40 [0.58–3.41] | 0.45 |
CD4+ cell count2 | 1.07 [0.99–1.17] | 0.11 | 1.10 [1.00–1.21] | 0.04 | |
ART adherence3 | 1.14 [1.03–1.25] | 0.007 | 1.17 [1.06–1.31] | 0.003 | |
Substance abuse4 | 1.54 [0.66–3.56] | 0.32 | 1.07 [0.45–2.53] | 0.88 |
Detectable residual viremia by the single-copy assay.
Per 50 CD4+ cell/ul decrease.
Average past 2 months, per 5% decrease in adherence.
Any drug use in the past 3 months or hazardous alcohol use in the past month.
Abbreviations: HR, hazard ratio; VL, viral load; RV, residual viremia.