The Severity Classification System for Acquired Immunodeficiency Syndrome Hospitalizations: Association with Survival after Discharge and Inpatient Resource Use

Medical Care

Volumn 34, Issue 2, 1996, Pages 178-189

  Friedman, Lisa Aronson ^a,c   Hidalgo, Julia ^a   Bartnyska, Linda M ^a   Turner, Barbara J ^b  

^a AIDS Administration   (United States)

^b THOMAS JEFFERSON UNIVERSITY   (United States)

^c NONE   (United States)

Author keywords

AIDS; Disease staging; Severity of illness; Survival

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADOLESCENT; ADULT; AGED; ARTICLE; CLASSIFICATION; CROSS-SECTIONAL STUDY; FEMALE; HEALTH SERVICES RESEARCH; HOSPITAL CHARGE; HOSPITALIZATION; HUMAN; LENGTH OF STAY; LONGITUDINAL STUDY; MALE; MIDDLE AGED; MORTALITY; PREDICTION AND FORECASTING; STATISTICS; SURVIVAL; UNITED STATES;

ACQUIRED IMMUNODEFICIENCY SYNDROME; ADOLESCENT; ADULT; AGED; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH SERVICES RESEARCH; HOSPITAL CHARGES; HOSPITAL MORTALITY; HOSPITALIZATION; HUMANS; LENGTH OF STAY; LONGITUDINAL STUDIES; MALE; MARYLAND; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; SEVERITY OF ILLNESS INDEX; SURVIVAL ANALYSIS;

EID: 0030075505     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-199602000-00009     Document Type: Article

References (32)

1. Turner BJ, Kelly JV, Ball JK. A severity classification system for AIDS hospitalizations. Med Care 1989;27:423.
2. Kelly JV, Ball JK, Turner BJ. Duration and costs of AIDS hospitalizations in New York: Variations by patient severity of illness and hospital type. Med Care 1989;27:1085.
3. Gonnella JS, Hornbrook MC, Louis DZ. Staging of disease: A case-mix measurement. JAMA 1984;251:637.
4. + lymphocyte cell enumeration for prediction of clinical course of human immunodeficiency virus disease: A review. J Infect Dis 1992;165:352.
5. Moss AR, Bacchetti P, Osmond D, et al. Seropositivity for HIV and the development of AIDS and AIDS-related condition: Three-year follow up of the San Francisco General Hospital cohort. BMJ 1988;296:745.
6. 2-microglobulin are early predictors of acquired immunodeficiency syndrome. Monogr Virol 1990;18:61.
7. Goedert JJ, Kessler CM, Aledort LM, et al. A prospective study of human immunodeficiency virus type I infection and the development of AIDS in subjects with hemophilia. N Engl J Med 1989;321:1141.
8. Donegan E, Stuart M, Niland JC, et al. Infection with human immunodeficiency virus type I (HIV-I) among recipients of antibody-positive blood donations. Ann Intern Med 1990;113:733.
9. Phillips AN, Lee CA, Elford J, et al. Serial CD4 lymphocyte counts and development of AIDS. Lancet 1991;337:389.
10. Masur H, Ognibene FP, Yarchoan R, et al. CD4 counts as predictors of opportunistic pneumonias in human immunodeficiency virus (HIV) infection. Ann Intern Med 1989;111:223.
11. Phair J, Muñoz A, Detels R, et al. The risk of Pneumocystis carinii pneumonia among men infected with human immunodeficiency virus type I. N Engl J Med 1990;322:161.
12. Farizo KM, Buehler JW, Chamberland ME. Spectrum of disease in persons with human immunodeficiency virus infection in the United States. JAMA 1992;267:1798.
13. Iezzoni LI, Shwartz M, Restuccia J. The role of severity information in health policy debates: A survey of state and regional concerns. Inquiry 1991;28:117.
14. Stone VE, Seage GF, Hertz T, Epstein AM. The relation between hospital experience and mortality for patients with AIDS. JAMA 1992;268:2655.
15. Bennett CL, Adams J, Gertler P, et al. Relation between hospital experience and in-hospital mortality for patients with AIDS-related Pneumocystis carinii pneumonia: Experience from 3,126 cases in New York City in 1987. J Acquir Immune Defic Syndr 1992;5:856.
16. Stitt FW, Lu Y, Dickinson GM, Klimas NG. Automated severity classification of AIDS hospitalizations. Med Decis Making 1991;11(suppl):S41.
17. Moore RD, Hidalgo J, Sugland BW, Chaisson RE. Zidovudine and the natural history of the acquired immunodeficiency syndrome. N Engl J Med 1991;324:1412.
18. Hidalgo J. Development of a model longitudinal data base to measure outcomes and quality of care among persons with AIDS. Q Rev Biol 1990;16:355.
19. Moore RD, Hidalgo J, Bareta J, Chaisson RE. Zidovudine treatment in health resource utilization in AIDS. J Acquir Immune Defic Syndr 1994;7:349.
20. SAS Institute. SAS Technical Report P-217. SAS/STAT Software: The PHREG Procedure. Cary, NC: SAS Institute, Inc. 1991.
21. Cox DR. Regression models and life tables. J R Stat Soc 1972;34:187.
22. Katz MH, Hauck WW. Proportional hazards (Cox) regression. J Gen Intern Med 1993;8:702.
23. Graham NMH, Zeger SL, Kuo V, He Y, Kingsley LA. Zidovudine use in AIDS-free HIV-1 seropositive homosexual men in the Multicenter AIDS Cohort Study (MACS) 1987-1989. J Acquir Immune Defic Syndr 1991;4:267.
24. Saah AJ, Hoover DR, He Y, Kingsley LA. Factors influencing survival after AIDS: report from the Multicenter AIDS Cohort Study (MACS). J Acquir Immune Defic Syndr 1994;7:287.
25. Turner BJ, Markson LE, McKee L, et al. The AIDS defining diagnosis and subsequent complications: A survival-based severity index. J Acquir Immune Defic Syndr 1991;4:1059.
26. Hidalgo J, Bareta J, Beardsley R, Chaisson R, Moore R. Application of an AIDS information system to measure use of prescribed drugs by persons with AIDS. FDA Final Report. Baltimore, MD: Department of Health and Mental Hygiene, 1992.
27. Seage GR, Landers S, Lamb GA, Epstein AM. Effect of changing patterns of care and duration of survival on the cost of treating the acquired immunodeficiency syndrome (AIDS). Am J Public Health 1990;80:835.
28. Quesenberry CP, Fireman B, Hiatt RA, Selby JV. A survival analysis of hospitalization among patients with acquired immunodeficiency syndrome. Am J Public Health 1989;78:1643.
29. Shwartz M, Ash AS. Risk adjustment of measuring health care outcomes. Ann Arbor, MI: Health Administration Press, 1994.
30. Hoover DR, Graham MH, Chen B, et al. Effect of CD4+ cell count measurement variability on staging HIV-1 infection. J Acquir Immune Defic Syndr 1992;6:794.
31. Justice AC, Feinstein AR, Wells CK. A new prognostic staging system for the acquired immunodeficiency syndrome. N Engl J Med 1989;320:1388.
32. Turner BJ, Markson LE, McKee L, Houchens R, Fanning T. The AIDS-defining diagnosis and subsequent complications: A survival-based severity index. J Acquir Immune Defic Syndr 1991;4:1059.