The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town
| dc.contributor.author | Swarts, Lynne | en_ZA |
| dc.contributor.author | Lahri, Saad | en_ZA |
| dc.contributor.author | Van Hoving, Daniel J. | en_ZA |
| dc.date.accessioned | 2022-01-26T09:01:03Z | |
| dc.date.available | 2022-01-26T09:01:03Z | |
| dc.date.issued | 2021 | |
| dc.description | CITATION: Swarts, L., Lahri, S. & Van Hoving, D. J. 2021. The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town. African Journal of Emergency Medicine, 11(1):165-170, doi:10.1016/j.afjem.2020.09.016. | |
| dc.description | The original publication is available at https://www.sciencedirect.com/journal/african-journal-of-emergency-medicine | |
| dc.description.abstract | Introduction: Many patients present to emergency centres with HIV and tuberculosis related emergencies. Little is known about the influence of HIV and tuberculosis on the resuscitation areas of district-level hospitals. The primary objective was to determine the burden of non-trauma patients with HIV and/or tuberculosis presenting to the resuscitation area of Khayelitsha Hospital, Cape Town. Methods: A retrospective analysis was performed on a prospectively collected observational database. A randomly selected 12-week sample of data from the resuscitation area was used. Trauma and paediatric (<13 years) cases were excluded. Patient demographics, HIV and tuberculosis status, disease category, investigations and pro- cedures undertaken, disposition and in-hospital mortality were assessed. HIV and tuberculosis status were determined by laboratory confirmation or from clinical records. Descriptive statistics are presented and com- parisons were done using the χ2-test or independent t-test. Results: A total of 370 patients were included. HIV prevalence was 38.4% (n = 142; unknown n = 78, 21.1%), tuberculosis prevalence 13.5% (n = 50; unknown n = 233, 63%), and HIV/tuberculosis co-infection 10.8% (n = 40). HIV and tuberculosis were more likely in younger patients (both p < 0.01) and more females were HIV- positive (p < 0.01). Patients with tuberculosis spend 93 min longer in the resuscitation area than those without (p = 0.02). The acuity of patients did not differ by HIV or tuberculosis status. Infectious-related diseases and diseases of the digestive system occurred significantly more in the HIV-positive group, and endocrine-related diseases and diseases of the nervous system in HIV-negative patients. HIV-positive patients received more abdominal ultrasound examinations (p < 0.01), blood cultures (p < 0.01) and intravenous antibiotics (p < 0.01). In-hospital mortality was 17% and was not influenced by HIV status (p = 0.36) or tuberculosis status (p = 0.29). tuberculosis on the resuscitation area of a district level nor tuberculosis status were associated with in-hospital mortality. | en_ZA |
| dc.description.uri | https://www.sciencedirect.com/science/article/pii/S2211419X20301130?via%3Dihub | |
| dc.description.version | Publisher’s version | |
| dc.format.extent | 6 pages | |
| dc.identifier.citation | Swarts, L., Lahri, S. & Van Hoving, D. J. 2021. The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town. African Journal of Emergency Medicine, 11(1):165-170, doi:10.1016/j.afjem.2020.09.016 | |
| dc.identifier.issn | 2211-419X (online) | |
| dc.identifier.other | doi:10.1016/j.afjem.2020.09.016 | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/124142 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Elsevier | |
| dc.rights.holder | Authors retain copyright | |
| dc.subject | HIV-positive persons -- Mortality -- Cape Town (South Africa) | en_ZA |
| dc.subject | AIDS (Disease) -- Patients -- Mortality -- Cape Town (South Africa) | en_ZA |
| dc.subject | Tuberculosis -- Patients -- Mortality -- Cape Town (South Africa) | en_ZA |
| dc.title | The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town | en_ZA |
| dc.type | Article | en_ZA |