Table 2:
Detectable CSF HIV RNA as a predictor of neurocognitive global and domain T-scores. Longitudinal analysis using linear mixed-effects model, adjusted for confounders.
Outcome (T score) | Predictora | Coefficient (95% CI) | P Value |
---|---|---|---|
Global | Detectable HIV RNA, CSF | −0.96 [−1.99, 0.074] | 0.070 |
Integrase Inhibitor Use | 3.89 [1.21, 6.57] | 0.005** | |
Number of drugs failed | −0.48 [−0.84, −0.12] | 0.010* | |
Time since baseline (years) | 0.45 [0.096, 0.80] | 0.013* | |
Recall | Detectable HIV RNA, CSF | −3.04 [−5.46, −0.63] | 0.014* |
Integrase Inhibitor Use | 3.88 [−1.27, 9.03] | 0.14 | |
Duration of all ART (months) | −0.020 [−0.045, 0.0053] | 0.13 | |
Time since baseline (years) | −0.017 [−0.83, 0.79] | 0.97 | |
Motor | Detectable HIV RNA, CSF | −2.50 [−4.92, −0.075] | 0.045* |
Number of drugs failed | −0.75 [−1.27, −0.24] | 0.005** | |
Time since baseline (years) | 0.34 [−0.43, 1.12] | 0.39 | |
Processing speed | Detectable HIV RNA, CSF | −1.40 [−3.05, 0.25] | 0.098 |
Integrase Inhibitor Use | 4.15 [−0.065, 8.37] | 0.055 | |
Number of drugs failed | −0.79 [−1.33, −0.25] | 0.005** | |
Time since baseline (years) | 0.63 [0.071, 1.19] | 0.028* | |
Learning | Detectable HIV RNA, CSF | −1.88 [−4.14, 0.38] | 0.10 |
Integrase Inhibitor Use | 5.09 [0.22, 9.96] | 0.041* | |
Duration of all ART (months) | −0.018 [−0.042, 0.0055] | 0.14 | |
Time since baseline (years) | 0.14 [−0.62, 0.90] | 0.71 | |
Executive Function | Detectable HIV RNA, CSF | 1.78 [−1.04, 4.61] | 0.22 |
Number of drugs failed | −0.52 [−1.03, −0.003] | 0.051 | |
Time since baseline (years) | 2.18 [1.27, 3.10] | <0.001** | |
Working Memory | Detectable HIV RNA, CSF | 0.80 [−0.99, 2.59] | 0.38 |
Time since baseline (years) | 0.25 [−0.31, 0.81] | 0.39 | |
Verbal | Detectable HIV RNA, CSF | 0.034 [−1.78, 1.85] | 0.97 |
Integrase Inhibitor Use | 4.58 [0.37, 8.79] | 0.034* | |
Current CD4+ T-cell Countb | 0.18 [0.0034, 0.36] | 0.047* | |
Duration of all ART (months) | −0.018 [−0.044, 0.0076] | 0.17 | |
Time since baseline (years) | −0.11 [−0.75, 0.52] | 0.73 |
CSF Detectable RNA and time were forced into the linear mixed-effects models, and current/nadir CD4 counts, duration of all ART, integrase inhibitors (IIs), and NRTIs then entered to the models as covariates; the covariates with p-value ≤ 0.2 were retained in the model; CI= confidence interval; CSF= cerebrospinal fluid; RNA=ribonucleic acid; IIs= Integrase inhibitor therapy; CD= cluster of differentiation; ART= antiretroviral therapy; NRTI= nucleoside reverse transcriptase inhibitor;
square-root transformation;
p<0.05;
p<0.01.
For categorical predictors, the coefficient of the linear mixed-effects model is interpreted as difference of mean response (global or domain T-scores) between groups determined by the predictor, all other predictors being held constant.