Loss of follow-up and associated factors in patients enrolled in the HIV/AIDS program of the Hospital Universitario San Ignacio, Colombia, 2012-2013
Abstract
Introduction: Regular long-term clinical follow-up is an important component of HIV care. Objective: To describe the reasons for follow-up loss among patients enrolled in the HIV/AIDS program of a university hospital. Materials and methods: A nested case-control study was carried out on a retrospective cohort between January 1st, 2012 and July 31st, 2013. Results: A group of 45 patients was selected; the incidence density rate of patients lost to follow-up was 17.7 per 100 patient/years. The following variables were significantly linked to follow-up loss in the bivariate analysis: Unemployment (p=0.000); alcohol consumption (p=0.004); number of years of evolution of the disease (p=0.032); gender (p=0.027), and mean age of 34 years (p=0.000). When logistic regression was adjusted for the probability of follow-up loss the significant variables were: Mean age of 34 years (p=0.019, 95% CI: 0.871-0.976); female (p=0.017, 95% CI: 1.903-31.83); alcohol consumption (p=0.028, 95% CI: 0.040-0.830), and unemployment (p=0.001, 95% CI: 4.696-464.692). Conclusions: HIV/AIDS programs need to establish follow-up systems and means to trace any losses in order to establish strategies to improve patient retention and, thus, their long-term quality of life.
Downloads
References
Castillo M, Ortega FB, Ruiz J. Mejora de la forma física como terapia antienvejecimiento. Med Clin. 2005;124:146-55. http://dx.doi.org/10.1157/13071011
Reuben DB, Rubenstein LV, Hirsch SH. Value of functional status as a predictor of mortality: Results of a prospective study. Am J Med. 1992;93:663-9.
Rittweger J, Kwiet A, Felsenberg D. Physical performance in aging elite athletes challenging the limits of physiology. J Musculoskelet Neuronal Interact. 2004;4:159-60.
Morley JE, Baumgartner RN, Roubenoff R, Mayer J, Nair KS. Sarcopenia. J Lab Clin Med. 2001;137:231-43. http://dx.doi.org/10.1067/mlc.2001.113504
Janssen I, Heymsfield SB, Wang ZM, Ross R. Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr. J Appl Physiol. 2000;89:81-8.
Clark BC, Manini TM. Maximal voluntary force (strength) production declines with age and contributes to physical dependence and mortality. J Gerontol A Biol Sci Med Sci. 2008;63:829-34.
Clark BC, Manini TM. What is dynapenia? Nutrition. 2012; 28:495-503. http://dx.doi.org/10.1016/j.nut.2011.12.002
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al . Sarcopenia: European Consensus on definition and diagnosis. Age Ageing. 2010;39:412-23. http://dx.doi.org/10.1093/ageing/afq034
Lauretani F, Russo CR, Bandinelli S, Bartali B, Cavazzini C, Di Iorio A, et al . Age-associated changes in skeletal muscles and their effect on mobility: An operational diagnosis of sarcopenia. J Appl Physiol. 2003;95:1851-60. http://dx.doi.org/10.1152/japplphysiol.00246.2003
Metter EJ, Talbot LA, Schrager M, Conwit R. Skeletal muscle strength as a predictor of all-cause mortality in healthy men. J Gerontol. 2002;57:359-65. http://dx.doi.org/10.1093/gerona/57.10.B359
Mitchell WK, Williams J, Atherton P, Larvin M, Lund J, Narici M. Sarcopenia, dynapenia, and the impact of advancing age on human skeletal muscle size and strength; a quantitative review. Front Physiol. 2012;3:1-19. http://dx.doi.org/10.3389/fphys.2012.00260
Schaap LA, Koster A, Visser M. Adiposity, muscle mass, and muscle strength in relation to functional decline in older persons. Epidemiol Rev. 2013;35:51-65. http://dx.doi.org/10.1093/epirev/mxs006
Barbat-Artigas S, Rolland Y, Cesari M, Abellan van Kan G, Vellas B, Aubertin-Leheudre M. Clinical relevance of different muscle strength indexes and functional impairment in women aged 75 years and older. J Gerontol A Biol Sci Med Sci . 2013;68:811-9. http://dx.doi.org/10.1093/gerona/gls254
Hicks GE, Shardell M, Alley DE, Miller RR, Bandinelli S, Guralnik J, et al . Absolute strength and loss of strength as predictors of mobility decline in older adults: The InCHIANTI study. J Gerontol A Biol Sci Med Sci . 2012;67:66-73. http://dx.doi.org/10.1093/gerona/glr055
Takata Y, Ansai T, Soh I, Awano S, Yoshitake Y, Kimura Y, et al . Quality of life and physical fitness in an 85-year-old population. Arch Gerontol Geriatr. 2010;50:272-6. http://dx.doi.org/10.1016/j.archger.2009.04.005
Baztán JJ, Pérez del Molino J, Alarcón T, San Cristóbal E, Izquierdo G, Manzarbeitia J. Índice de Barthel, instrumento válido para la valoración funcional de pacientes con enfermedad cerebrovascular. Rev Esp Geriatr Gerontol. 1993;128:32-40.
Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index, a reliability study. Int Disabil Stud. 1988;10:61-3. http://dx.doi.org/10.3109/09638288809164103
De Abajo S, Larriba R, Márquez S. Validity and reliability of the Yale Physical Activity Survey in Spanish elderly. J Sports Med Phys Fitness. 2001;41:479-85.
Harada ND, Chiu V, King AC, Stewart AL. An evaluation of three self-report physical activity instruments for older adults. Med Sci Sports Exerc. 2001;33:962-70. http://dx.doi.org/10.1097/00005768-200106000-00016
Schuler PB, Richardson MT, Ochoa P, Wang MQ. Accuracy and repeatability of the Yale Physical Activity Survey in assessing physical activity of older adults. Percept Mot Skills. 2001;93:163-77. http://dx.doi.org/10.2466/pms.2001.93.1.163
Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999;70:113-9. http://dx.doi.org/10.1080/02701367.1999.10608028
Garatachea N, Lucía A. Genes, physical fitness and ageing. Ageing Res Rev. 2013;12:90-102. http://dx.doi.org/10.1016/j.arr.2012.09.003
Bean JF, Leveille SG, Kiely DK, Bandinelli S, Guralnik JM, Ferrucci L. A comparison of leg power and leg strength within the InCHIANTI study: Which influences mobility more? J Gerontol A Biol Sci Med Sci. 2003;58:728-33. http://dx.doi.org/10.1093/gerona/58.8.M728
Foldvari M, Clark M, Laviolette LC, Bernstein MA, Kaliton D, Castañeda C, et al . Association of muscle power with functional status in community dwelling elderly women. J Gerontol A Biol Sci Med Sci. 2000;55:192-9. http://dx.doi.org/10.1093/gerona/55.4.M192
Yoon BK, Kim CH, Lim HJ, Kim Y, Im J, Paik II, et al . Association of physical performance and health-related factors among elderly Koreans. International Sport Med Journal. 2009;10:205-15.
Hairi NN, Cumming RG, Naganathan V, Handelsman DJ, Le Couteur DG, Creasey H, et al . Loss of muscle strength, mass (sarcopenia), and quality (specific force) and its relationship with functional limitation and physical disability: The Concord Health and Ageing in Men Project. J Am Geriatr Soc. 2010;58:2055-62. http://dx.doi.org/10.1111/j.1532-5415.2010.03145.x
Bouchard DR, Heroux M, Janssen I. Association between muscle mass, leg strength, and fat mass with physical function in older adults: Influence of age and sex. J Aging Health. 2011;23:313-28. http://dx.doi.org/10.1177/0898264310388562
Visser M, Goodpaster BH, Kritchevsky SB, Newman AB, Nevitt M, Rubin SM, et al . Muscle mass, muscle strength, and muscle fat infiltration as predictors of incident mobility limitations in well-functioning older persons. J Gerontol A Biol. 2005;60:324-33. http://dx.doi.org/10.1093/gerona/60.3.324
Palacios-Ceña D, Alonso-Blanco C, Jiménez-García R, Hernández-Barrera V, Carrasco-Garrido P, Pileño-Martínez E, et al . Time trends in leisure time physical activity and physical fitness in elderly people: 20 year follow-up of the Spanish population national health survey (1987-2006). BMC Public Health. 2011;11:799. http://dx.doi.org/10.1186/1471-2458-11-799
Sims J, Birrell CL, Hunt S, Browning C, Burns RA, Mitchell P. Prevalence of physical activity behaviour in older people: Findings from the Dynamic Analyses to Optimise Ageing (DYNOPTA) project and Australian national survey data. Australas J Ageing. 2014;33:105-13. http://dx.doi.org/10.1111/j.1741-6612.2012.00648.x
Abellán-García A, Esparza-Catalán C, Pérez-Díaz J. Evolución y estructura de la población en situación de dependencia. Cuad Relac Laborales. 2011;29:93-123.
Abellán A, Esparza C, Castejón P, Pérez J. Epidemiología de la discapacidad y la dependencia de la vejez en España. Gaceta Sanitaria. 2011; 25:5-11.
Some similar items:
- Marcela Varona, Gloria Lucía Henao, Sonia Díaz, Angélica Lancheros, Álix Murcia, Nelcy Rodríguez, Víctor Hugo Álvarez, Effects of aerial applications of the herbicide,glyphosate and insecticides on human health , Biomedica: Vol. 29 No. 3 (2009)
- Flor de María Cáceres, Luis Carlos Orozco, Incidence of and factors for non-compliance to antituberculous treatment , Biomedica: Vol. 27 No. 4 (2007)
- Ricardo Sánchez, Gerardo Téllez, Luis Eduardo Jaramillo, Age of onset symptoms and gender in schizophrenic spectrum disorders , Biomedica: Vol. 32 No. 2 (2012)
- Yiby Forero, Gina E. Morales, Edgar Benítez, Comparison of two methodologies used for determining metabolic syndrome in adult population , Biomedica: Vol. 33 No. 2 (2013)
- Carolina Guerra, Carlos Santiago Uribe, Alejandro Guerra, Olga H. Hernández, Bickerstaff brain encephalitis: case report and review , Biomedica: Vol. 33 No. 4 (2013)
- Pablo Enrique Chaparro, Ingrid García, Martha Inírida Guerrero, Clara Inés León, Situation of tuberculosis in Colombia, 2002. , Biomedica: Vol. 24 (2004): Suplemento 1
- Mónica Alejandra Bernal-Vargas, Jorge Alberto Cortés, Ricardo Sánchez, Cross-cultural adaptation of the community-acquired pneumonia score questionnaire in patients with mild-to-moderate pneumonia in Colombia , Biomedica: Vol. 37 No. 1 (2017)
- Claudia Lucía Figueroa, Margarita Gélvez, Jürg Niederbacher, Regulators of endothelial integrity as severity predictors in dengue , Biomedica: Vol. 36 (2016): Suplemento 2, Enfermedades virales
- Marcela Hernández, Gabriel Tribiño, Carlos Bustamante, Characterization of potential drug-drug interactions in patients hospitalized in the intensive care unit of a tertiary hospital in Bogotá , Biomedica: Vol. 38 No. 3 (2018)
- Claudia Castro, Alba Ricardo, Angie Zabaleta, Claudia Llerena, Gloria Puerto, Characterization of clinical isolates of Mycobacterium tuberculosis from HIV positive individuals in Colombia, 2012 , Biomedica: Vol. 37 No. 1 (2017)
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
