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Enhanced inpatient rounds, appointment reminders, and patient education improved HIV care engagement following hospital discharge.

Authors :
Khawcharoenporn, Thana
Damronglerd, Pansachee
Chunloy, Krongtip
Sha, Beverly E.
Source :
International Journal of STD & AIDS; Jun2018, Vol. 29 Issue 7, p641-649, 9p, 3 Charts
Publication Year :
2018

Abstract

Human immunodeficiency virus (HIV) care engagement post hospital discharge is often suboptimal. Strategies to improve follow-up are needed. A quasi-experimental study was conducted among hospitalized HIV-infected patients between the period from 1 January 2013 to 30 June 2014 (preintervention period) and 1 July 2014 to 31 December 2015 (intervention period). During the intervention period, an HIV care team consisting of an Infectious Diseases physician, a nurse, a pharmacist, a social worker, and an HIV-infected volunteer made daily inpatient rounds. Prior to discharge, patients received a structured HIV education session and an outpatient appointment was scheduled for them with two telephone reminder calls following discharge. There were 240 HIV-infected patients enrolled (120 in each study period), of which the median age was 37 years (interquartile range [IQR] 28-44 years), 58% were male, 39% were newly diagnosed with HIV infection, 46% were hospitalized because of AIDS-related conditions, and the median CD4 cell count on admission was 158 cells/µl (IQR 72-382 cells/µl). The rate of HIV care engagement within 30 days after discharge was significantly higher in the intervention period compared to the preintervention period (95% versus 69%; P < 0.001). Independent factors associated with no care engagement within 30 days were patients in the preintervention period (adjusted odds ratio [aOR] 6.36; P < 0.001) and new diagnosis of HIV infection (aOR 2.77; P = 0.009). The study findings suggest that enhanced inpatient rounds, appointment reminders, and patient education were shown to be associated with improved HIV care engagement after hospital discharge. Patients with a new diagnosis of HIV infection benefit from more intense outreach. ClinicalTrials.gov Identifier: NCT02578654. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09564624
Volume :
29
Issue :
7
Database :
Complementary Index
Journal :
International Journal of STD & AIDS
Publication Type :
Academic Journal
Accession number :
129874395
Full Text :
https://doi.org/10.1177/0956462417749420