Table 4.
CrAg− | CrAg+ | ||||
---|---|---|---|---|---|
Post-baseline clinical outcomes | n/N | % (CI) | n/N | % (CI) | p |
Standard of care lab testing* | |||||
Cryptococcal meningitis diagnosis | |||||
<100 cells/mm3 | 3/259 | 1.2 (0.2–3.5) | 19/21 | 90.5 (69.9–98.6) | <0.001 |
≤200 cells/mm3 | 3/273 | 1.1 (0.2–3.3) | 25/28 | 89.3 (72.0–97.1) | <0.001 |
All-cause hospitalization | |||||
<100 cells/mm3 | 43/259 | 16.6 (12.5–21.6) | 8/21 | 38.1 (20.7–59.2) | 0.033 |
≤200 cells/mm3 | 47/273 | 17.2 (13.2–22.2) | 11/28 | 39.3 (23.5–57.6) | 0.010 |
All-cause mortality | |||||
<100 cells/mm3 | 30/259 | 11.6 (8.2–16.1) | 7/21 | 33.3 (17.1–54.8) | 0.012 |
≤200 cells/mm3 | 35/273 | 12.8 (9.3–17.3) | 10/28 | 35.7 (20.6–54.3) | 0.004 |
Intervention clinic-based testing** | |||||
Cryptococcal meningitis diagnosis | |||||
<100 cells/mm3 | 1/84 | 1.2 (0.0–7.1) | 6/6 | 100.0 (55.7–100.0) | <0.001 |
≤200 cells/mm3 | 1/145 | 0.7 (0.0–4.2) | 9/10 | 90.0 (57.4–100.0) | <0.001 |
All-cause hospitalization | |||||
<100 cells/mm3 | 13/84 | 15.5 (9.1–24.8) | 3/6 | 50.0 (18.8–81.2) | 0.067 |
≤200 cells/mm3 | 16/145 | 11.0 (6.8–17.3) | 4/10 | 40.0 (16.7–68.8) | 0.026 |
All-cause mortality | |||||
<100 cells/mm3 | 11/84 | 13.1 (7.3–22.1) | 4/6 | 66.7 (29.6–90.8) | 0.007 |
≤200 cells/mm3 | 12/145 | 8.3 (4.7–14.0) | 5/10 | 50.0 (23.7–76.3) | 0.002 |
Among patients who were documented receiving a standard of care laboratory-based CrAg test. Includes participants from all three study periods.
Intervention period was clinic-based testing period only.
ART: antiretroviral therapy, CI: 95 % confidence interval, CrAg: Cryptococcal antigen.