[Appropriate hospitalization in patients with human immunodeficiency virus infection according to the Appropriateness Evaluation Protocol criteria. Factors related to the inappropriateness].

BASIS: To know the factors associated with the inadequate admissions in patients with human immunodeficiency virus (HIV) infection.

PATIENTS AND

METHODS

The adaptation of 710 hospital admissions of patients with HIV infection through the Appropriateness Evaluation Protocol criteria in two hospitals of the Comunidad Valenciana since 1995 to 1997 was analyzed.

RESULTS

One hundred twenty-eight (18%) admissions were considered inadequate. The proportion of inadequate admissions was significantly higher in patients admitted because of constitutional syndrome (OR: 4.12; CI 95%: 2.11-8.05), or because of digestive symptoms (OR: 2.33; CI 95%: 1.46-3.88), and in patients admitted in facilities without day hospital (OR: 2.38; CI 95%: 1.39-3.89). Furthermore, other situations associated with the inappropriateness were the patients with a disease not related to AIDS (OR: 3.13; CI 95%: 1.93-5.08), the patients with oral or esophageal candidiasis (OR: 6.25; CI 95%: 3.08-12.7), the patients with a hospital stay less than 8 days (OR: 2.55; CI 95%: 1.57-4.01), or the patients who no died (OR: 3.61; IC 95%: 1.20-10.82).

CONCLUSIONS

The reason for the admission and the availability of a day hospital unit had influence in the inadequate hospital admissions in this study.