Health care utilization in HIV-infected patients: assessing the burden of hepatitis C virus coinfection.

Journal Article (Journal Article)

Abstract Health care utilization for HIV-1-infected patients appears to be declining in the United States as a result of highly active antiviral therapy (HAART); yet the opposite appears true in the HIV/hepatitis C virus (HCV) coinfected population. The reasons for this difference are not well understood. We examined the rates and reasons for emergency department visits and hospital admissions at an academic tertiary care medical center for HIV/HCV coinfected patients as compared to HIV-1 monoinfected patients, using a retrospective matched cohort study design. HIV/HCV coinfected patients had higher rates of health care utilization (emergency department visits 43.9 versus 7.1 per 100 person-years; hospital admissions 18.2 versus 6.7 per 100 person-years, for HIV coinfected and monoinfected, respectively). This increase was not solely due to liver related events. Instead, comorbidities such as diabetes, renal disease, and psychiatric/substance abuse played a larger role in the health-care utilization in the HIV/HCV coinfected population.

Full Text

Duke Authors

Cited Authors

  • Norton, BL; Park, L; McGrath, LJ; Proeschold Bell, RJ; Muir, AJ; Naggie, S

Published Date

  • September 2012

Published In

Volume / Issue

  • 26 / 9

Start / End Page

  • 541 - 545

PubMed ID

  • 22860997

Pubmed Central ID

  • PMC3426196

Electronic International Standard Serial Number (EISSN)

  • 1557-7449

Digital Object Identifier (DOI)

  • 10.1089/apc.2012.0170


  • eng

Conference Location

  • United States