Classification of clinical risk in people with AIDS followed up in specialized care

Oriana Deyze Correia Paiva Leadebal, Leidyanny Barbosa de Medeiros, João Agnaldo do Nascimento, Aline Aparecida Monroe, Jordana de Almeida Nogueira
2019 Revista Brasileira de Enfermagem  
Aim: To develop a clinical risk stratification score for people living with AIDS and to analyze its association with clinical and sociodemographic aspects. Method: Cross-sectional study involving 150 adults with AIDS, in outpatient follow-up. A structured instrument was applied and, sequentially, inferential statistical techniques on the developed score. Results: 45.3% of the participants were classified as in high clinical risk. TL-CD4+ <500cel/mm3 count, detectable viral load, presence of
more » ... ad, presence of opportunistic diseases, chronic diseases and clinical manifestations were associated with high clinical risk. There was a significant difference in the mean risk between the categories of variables employment status (p = 0.003) and economic class (p = 0.035). There was a higher risk for brown people (OR = 5.55), unemployed status (OR = 16,51) and belonging to classes C (OR = 20.07) and D (OR = 53,32), and a lower risk for individuals with higher schooling (OR = 0.02). Conclusion: The proposed score quantifies clinical situations and points out sociodemographic aspects that predispose to instability and aggravation of AIDS, supporting the qualification of care.
doi:10.1590/0034-7167-2017-0559 pmid:31531646 fatcat:4xefuwsvfzdynpanje35s6l2z4