Research Article

Epidemiology and Outcomes in Critically Ill Patients with Human Immunodeficiency Virus Infection in the Era of Combination Antiretroviral Therapy

Table 1

Baseline characteristics and univariate analyses.

VariableAll patientsDeath at 30 days value
NoYes
(100%)(80.5%)(19.5%)(Chi-square)

Age in years (mean, SD)44.2 (9.9)43.8 (10)45.8 (9.3)0.19
Male gender169 (59.9)134 (59.0)35 (63.6)0.11
Ethnicity0.11
 Aboriginal134 (47.5)111 (48.9)23 (41.8)0.35
 Caucasian115 (40.8)90 (39.6)25 (45.5)0.43
 Black17 (6.0)15 (6.6)2 (3.6)0.41
Hospital site0.87
Comorbidities
 HCV coinfection153 (54.4)131 (53.5)32 (58.2)0.54
 HBV coinfection17 (6.0)14 (6.2)3 (5.5)1.00
 HBV/HCV6 (2.1)
 Chronic lung disease57 (20.2)46 (20.3)11 (20.0)0.97
 Malignancy21 (7.4)15 (6.6)6 (10.9)0.26
 Psychiatric disease68 (24.1)57 (25.1)11 (20.0)0.43
 Cirrhosis37 (13.1)25 (11.0)12 (21.8)0.033
 CAD10 (3.5)5 (2.2)5 (9.1)0.027
 Addiction184 (65.2)148 (65.2)36 (65.5)0.97
HIV risk factor
 PWID169 (59.9)137 (60.4)32 (58.2)0.77
 MSM27 (9.6)18 (7.9)9 (16.4)0.056
 Heterosexual186 (66.0)150 (66.1)36 (65.5)0.93
New diagnosis of HIV45 (16.0)41 (18.1)4 (7.3)0.050
Duration of HIV (years, mean, SD)6.0 (5.5)5.5 (5.5)7.9 (5.2)0.003
cART at ICU admission98 (34.8)75 (33.0)23 (41.8)0.22
PI-based regimen53 (18.8)41 (18.1)12 (21.8)0.52
NNRTI-based regimen50 (17.7)39 (17.2)11 (20.0)0.62
PJP prophylaxis at ICU admission40 (14.2)32 (14.1)8 (14.5)0.93
CD4 count, cells/mm3 (median, IQR)125 (30–300)120 (35–306)140 (20–290)0.53
CD4 percentage (median, IQR)15 (6–25)14 (6–24.75)15 (3–26)0.48
HIV viral load, copies/mL (median, IQR)28000 (110–270000)28000 (130–291864)28000 (0–197500)0.40
HIV viral load suppressed78 (28.4)60 (27.1)18 (33.3)0.37
History of OI90 (31.9)68 (30.0)22 (40.0)0.15
Admission diagnosis
 Respiratory failure10 (3.5)9 (4)1 (1.8)0.69
 Sepsis189 (63.8)139 (61.2)41 (74.5)0.065
 Trauma23 (8.2)22 (9.7)1 (1.8)0.057
 Overdose32 (11.3)29 (12.8)3 (5.5)0.13
APACHE II score (mean, SD)22.1 (7.8)20.7 (6.9)27.7 (8.6)<0.001
LDH (median, IQR)292 (187–471)281 (168–456)337 (234–603)0.023
Albumin (mean, SD)24.3 (7.2)25 (7.4)21.8 (5.9)0.004
IMV213 (75.5)167 (73.6)46 (83.6)0.12
Mechanical ventilation days (median, IQR)3 (1–7)3 (1–7)3 (1–6)0.76
Shock133 (47.2)98 (43.2)35 (63.6)0.006
AKI requiring RRT35 (12.4)25 (11)10 (18.2)0.15

HCV, hepatitis C virus; HBV, hepatitis B virus; CAD, coronary artery disease; PWID, people who inject drugs; MSM, men who have sex with men; ARV, antiretroviral; PI, protease inhibitor; NNRTI, nonnucleoside reverse transcriptase inhibitor; PJP, Pneumocystis jirovecii; PVL, plasma viral load; LDH, lactate dehydrogenase; IMV, invasive mechanical ventilation; AKI, acute kidney injury; RRT, renal replacement therapy; ICU, intensive care unit; LOS, length of stay.
Missing data; bold, statistically significant.