Belete, Mulatu (2013) Risk Factors of Mortality among HIV/TB Co-Infected Patients under Art: A Case Study in Chagni Health Center, Northwest Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
HIV infection is a major risk factor for the development of tuberculosis (TB). Tuberculosis is a cause of significant morbidity and mortality in patients with AIDS. The objective of this study was to identify risk factors of mortality among HIV/TB co-infected patients in Chagni Health Center, Awi zone in Amhara Regional State, northwest Ethiopia. This is a retrospective study based on 510 cases of HIV-infected TB patients of age 15 years and above who received anti-TB treatment between September 1, 2010 and April 30, 2013 and were followed until July 31, 2013. The Kaplan-Meier method was used to estimate survival time and Cox’s regression model was employed to identify covariates that have statistical significant effects on the survival of HIV/TB co-infected patients. The descriptive analysis showed that out of 510 patients, 200 (39%) patients died during ART and anti-TB treatment period, of these 113 (56.5%) were females. 303 (59.4%) patients had ܦܥ4 ܿ≤ ݐ݊ݑ 200 ݈݈ܿ݁݉݉/ݏଷ, 272 (53.3%) patients were in the age group (15 − 30), 265 (52.2%) patients were under-weight ( ≤ ܫܯܤ18.5) and 234 (45.9%) patients started treatment on D4T-based drug regimens. The results of the multivariate PH Cox regression analysis showed that having ܦܥ4 ܿ ≤ ݐ݊ݑ200 ݈݈ܿ݁݉݉/ݏଷ at the start of ART, presence of extra-pulmonary TB, being bedridden and WHO stage IV were associated with higher risk of mortality. On the other hand, those patients who took AZT-based drug regimens and having normal-weight (18.5 ݇݃kg/m2 < BMI< 25 ݇݃kg/m2 ) experienced lower risk of mortality.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | H Social Sciences > H Social Sciences (General) H Social Sciences > HA Statistics R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine |
| Divisions: | Africana |
| Depositing User: | Selom Ghislain |
| Date Deposited: | 11 Sep 2018 12:56 |
| Last Modified: | 11 Sep 2018 12:56 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5219 |
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