Pérdida de consultas externas programadas en pacientes con infección por VIH/Sidaprevalencia, motivo fundamental y factores predictivos
- Elías Casado L 1
- Pérez-Elías M.J 1
- Moreno A 1
- Dronda F 1
- Sacristán F 1
- López D 1
- Casado J.L 1
- Quereda C 1
- Pumares M. 1
- Serrano M.J 1
- Hornero I 1
- Martibelda P 1
- Moreno S 1
- Abraira V 2
- Muriel A 2
- Ochoa E 3
- 1 Servicio de Enfermedades Infecciosas
- 2 Servicio de Bioestadística, IRYCIS, Consorcio de Investigación Biomédica en Red Especializado en Epidemiolgoía y Salud Pública (CIBERESP), Hospital Ramón y Cajal
- 3 Servicio de psiquiatría. Grupo de estudio SEAD: Hospital Ramón y Cajal
ISSN: 2340-3365
Any de publicació: 2013
Volum: 1
Número: 1
Pàgines: 22-28
Tipus: Article
Altres publicacions en: Revista Multidisciplinar del Sida
Resum
Introduction: It is not uncommon among patients with HIV infection missing scheduled visits, without justifying them or recovering the appointment in a reasonable time. In our environment, few studies have analyzed or monitored inadequate follow-up, despite its clinical impact. Methods: Between January and June 2006 we prospectively monitored attendance to all scheduled appointments at the outpatient HIV / AIDS clinic; moreover the main reason and the predictors of missing scheduled visits were investigated. Results: The prevalence of non-attendance to scheduled visits was 5.9 % (103 patients). The main reason for missing scheduled appointments was active drug use (31%) and severe bio- psychosocial problems (29%). The strongest predictors of non-attendance to scheduled visits were intravenous drug use as the risk factor for HIV infection, a high HIV RNA level, and recent hospital admission (within 6 months prior to the visit). Conclusions: The lack of attendance to scheduled visits affects a significant number of patients, mainly those with active drug use and other bio psychosocial problems. HIV acquisition through intravenous drug use, a higher HIV-RNA and recent hospital admission (within 6 months prior to the visit) were the stronger predictors of missing visits.