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- Title
Classificação de risco clínico em pessoas com aids acompanhadas na atenção especializada.
- Authors
Correia Paiva Leadebal, Oriana Deyze; Barbosa de Medeiros, Leidyanny; Agnaldo do Nascimento, João; Aparecida Monroe, Aline; de Almeida Nogueira, Jordana
- Abstract
Aim: To develop a clinical risk stratification score for people living with AIDS and to analyze its association with clinical and sociodemographic aspects. Method: Cross-sectional study involving 150 adults with AIDS, in outpatient follow-up. A structured instrument was applied and, sequentially, inferential statistical techniques on the developed score. Results: 45.3% of the participants were classified as in high clinical risk. TL-CD4+ <500cel/mm3 count, detectable viral load, presence of opportunistic diseases, chronic diseases and clinical manifestations were associated with high clinical risk. There was a significant difference in the mean risk between the categories of variables employment status (p = 0.003) and economic class (p = 0.035). There was a higher risk for brown people (OR = 5.55), unemployed status (OR = 16,51) and belonging to classes C (OR = 20.07) and D (OR = 53,32), and a lower risk for individuals with higher schooling (OR = 0.02). Conclusion: The proposed score quantifies clinical situations and points out sociodemographic aspects that predispose to instability and aggravation of AIDS, supporting the qualification of care.
- Subjects
AIDS; AIDS patients; CHRONIC diseases; EMPLOYMENT; OPPORTUNISTIC infections; RISK assessment; SOCIAL classes; UNEMPLOYMENT; VIRAL load; SOCIOECONOMIC factors; CROSS-sectional method; SEVERITY of illness index; DESCRIPTIVE statistics; INFERENTIAL statistics; DISEASE complications; SYMPTOMS
- Publication
Revista Brasileira de Enfermagem, 2019, Vol 72, Issue 5, p1300
- ISSN
0034-7167
- Publication type
Article
- DOI
10.1590/0034-7167-2017-0559