Le 1998.
Methods | Retrospective cohort | |
Participants | 4977 total subjects in study (230 subjects at KPMC‐SRO, 4747 patients at KMPC‐Others) SRO: mean age 40 age range 22‐72 Others ‐ mean age 39 age range 18‐86 KPMC‐SRO 93.5% Male KPMC‐SRO 6.5% Female KPMC Others 92% Male KPMC Other 7.5% Female KPMC‐SRO Demographics 87.4% white 1.3% Af Am 3.0% Hispanic Others‐ 62.5% White 15% ‐ Black 8% ‐ Hispanic | |
Interventions | MULTIDISCIPLINARY CLINIC: KPMC‐SRO Interdisciplinary team clinical care path (see figure 1 p. 648). Pts of the clinical care path (inter care) had access to: HIV coordinator/manager Nurse practitioner Social Worker Vocational Nurse Nutritionist Psychologist SRO was compared to Others | |
Outcomes | HEALTHCARE UTILIZATION: a)ED Visits: SRO‐69/100 patient years Others‐78/100 patient years (RR = .92; CI .71‐1.16) b)Length of hospital stay per 100 person years all HIV and AIDS pts Days in hospital per 100 person years SRO‐157 Others‐284 Median length of stay per admission: SRO ‐ 3 days (1‐25) Others ‐ 4 days (1‐76) Median total days in hospital per person ‐ SRO ‐ 4 days (136) Others ‐ 7 days (1‐100) Number of hospital admissions: SRO = 21% Others = 24% (OR=.63; CI .46‐.85) Visits to all physicians SRO ‐ 1064 per 100 patient years Others ‐ 1015 per 100 patient years (RR=1.01; CI .89‐1.13) 2) Costs of treating pts ‐ cost of HIV‐related drugs SRO‐$2343 Others‐$3289 | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment? | Unclear risk | D ‐ Not used |