Evidence map›Paper›PMID 30422912›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2019

Medical Intensive Care Unit Admission Among Patients With and Without HIV, Hepatitis C Virus, and Alcohol-Related Diagnoses in the United States: A National, Retrospective Cohort Study, 1997-2014.

Christopher T Rentsch, Janet P Tate, Tessa Steel, Adeel A Butt, Cynthia L Gibert, Laurence Huang, Margaret Pisani, Guy W Soo Hoo, Stephen Crystal, Maria C Rodriguez-Barradas and 9 more

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Hepatitis C Virus Infection and Hospital-Related Outcomes: A Systematic Review.Canadian journal of gastroenterology & hepatology · 2024
    Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Christopher T RentschEpidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Janet P TateVeterans Aging Cohort Study Coordinating Center, VA Connecticut Healthcare System, West Haven, CT.
Tessa SteelInternal Medicine, University of Washington School of Medicine, Seattle, WA.
Adeel A ButtInfectious Diseases, VA Pittsburgh Healthcare System, Pittsburgh, PA.
Cynthia L GibertInfectious Diseases, VA Medical Center, Washington, DC.
Laurence HuangMedicine, University of California, San Francisco, CA.
Margaret PisaniInternal Medicine, Yale School of Medicine, New Haven, CT.
Guy W Soo HooMedicine, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Stephen CrystalCenter for Health Services Research, Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ.
Maria C Rodriguez-BarradasMedicine, Michael E. DeBakey VA Medical Center, Houston, TX.
Sheldon T BrownMedicine, James J. Peters VA Medical Center, New York, NY.
Matthew S FreibergMedicine, Vanderbilt University School of Medicine, Nashville, TN.
Christopher J GraberMedicine, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Joon W KimCritical Care Medicine, James J. Peters VA Medical Center, Bronx, NY.
David RimlandMedicine, Emory University School of Medicine, Atlanta, GA.
Amy C JusticeVeterans Aging Cohort Study Coordinating Center, VA Connecticut Healthcare System, West Haven, CT.
David A FiellinInternal Medicine, Yale School of Medicine, New Haven, CT.
Kristina A CrothersInternal Medicine, University of Washington School of Medicine, Seattle, WA.
Kathleen M AkgünInternal Medicine, Yale School of Medicine, New Haven, CT.

Funding

Alcohol Associated Outcomes Among HIV+/- Aging VeteransU10AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2006 to 2010
$12.7M
Alcohol and Multisubstance Use in the Veterans Aging Cohort StudyU01AA020790 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$7.7M
Sex Disparities in Overall Response to ART Among HIV Infected IndividualsU24AA020794 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$5.5M
Longitudinal Studies of HIV-Associated Lung Infections and ComplicationsR01HL090342 · NHLBI · YALE UNIVERSITY · PI CROTHERS, KRISTINA ANNE · 2007 to 2011
$4.0M
Patient-Oriented Research and Mentoring in PneumocystisK24HL087713 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, LAURENCE · 2006 to 2018
$1.8M
NHLBI NIH HHS K24 HL087713NHLBI NIH HHS R01 HL090342NIAAA NIH HHS U01 AA020790NIAAA NIH HHS U10 AA013566NIAAA NIH HHS U24 AA020794
6 · The paper itself

Abstract

backgroundHIV, hepatitis C virus (HCV), and alcohol-related diagnoses (ARD) independently contribute increased risk of all-cause hospitalization. We sought to determine annual medical intensive care unit (MICU) admission rates and relative risk of MICU admission between 1997 and 2014 among people with and without HIV, HCV, and ARD, using data from the largest HIV and HCV care provider in the United States.

settingVeterans Health Administration.

methodsAnnual MICU admission rates were calculated among 155,550 patients in the Veterans Aging Cohort Study by HIV, HCV, and ARD status. Adjusted rate ratios and 95% confidence intervals (CIs) were estimated with Poisson regression. Significance of trends in age-adjusted admission rates were tested with generalized linear regression. Models were stratified by calendar period to identify shifts in MICU admission risk over time.

resultsCompared to HIV-/HCV-/ARD- patients, relative risk of MICU admission decreased among HIV-mono-infected patients from 61% (95% CI: 1.56 to 1.65) in 1997-2009% to 21% (95% CI: 1.16 to 1.27) in 2010-2014, increased among HCV-mono-infected patients from 22% (95% CI: 1.16 to 1.29) in 1997-2009% to 54% (95% CI: 1.43 to 1.67) in 2010-2014, and remained consistent among patients with ARD only at 46% (95% CI: 1.42 to 1.50). MICU admission rates decreased by 48% among HCV-uninfected patients (P-trend <0.0001) but did not change among HCV+ patients (P-trend = 0.34).

conclusionHCV infection and ARD remain key contributors to MICU admission risk. The impact of each of these conditions could be mitigated with combination of treatment of HIV, HCV, and interventions targeting unhealthy alcohol use.

Indexed as

Intensive Care UnitsAdultAlcohol DrinkingAlcohol-Related DisordersCoinfectionFemaleHepatitis CHIV InfectionsHumansMaleMiddle AgedPatient AdmissionRetrospective StudiesRisk FactorsUnited States

Identifiers

PMID30422912
PMCPMC6701630

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.