Survival Analysis of the Human Immunodeficiency Virus in Iranian Patients: A Multistate Model

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AMIRI FATEMEH; ROSHANAEI GHODRAT; Olfati Far Meysam; Najafi Rasoul; POOROLAJAL JALAL

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Journal Paper

Paper Information

Journal: Journal of Arak University Medical Sciences Year:2021 | Volume:24 | Issue:2 (150) Page(s): 180-183

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Information Journal Paper

Title

Survival Analysis of the Human Immunodeficiency Virus in Iranian Patients: A Multistate Model

Author(s)

Keywords

Multistate model

Intermediate state

Human Immunodeficiency Virus (HIV)

Acquired Immunodeficiency Syndrome (AIDS)

Tuberculosis

Abstract

Background and Aim Acquired Immunodeficiency Syndrome (AIDS) caused by Human Immunodeficiency Virus (HIV), is a chronic and potentially life-threatening disease. Numerous factors affect its development and progression. Therefore, the present study attempted to identify characteristics impacting the prognosis and progression of AIDS using Multistate models. Methods & Materials The present retrospective study consisted of 2185 patients affected with HIV referring to Behavioral Disease Counseling Centers in Tehran City, Iran, from 2004 to 2013. We considered multiple states of AIDS, Tuberculosis, and Tuberculosis/AIDS in the natural history of the disease (from the onset of HIV disease until death occurred). Then, we applied the Multistate models, to examine the effect of contextual demographic and clinical variables on survival time; subsequently, the transition probabilities of HIV. Ethical Considerations This study was approved by the Research Ethics Committee of Hamadan University of Medical Sciences (Code: IR. UMSHA. REC. 1396. 117). Results HIV-Related deaths in individuals with an incarnation history were 2. 40 times higher than in those without the prison history. Death risk was also 1. 70 and 1. 80 times higher in those aged 25-44 and 44 years, respectively, compared to the individuals aged less than 25 years. An inverse relationship was also found between CD4 levels and the risk of death in our participants. Conclusion Antiretroviral therapy, CD4 count, age, and history of imprisonment were the main factors in the progression of the disease and subsequent death in HIV patients. Thus, preventing the further spread of the disease to the community and controlling the disease in the patients requires targeted educational and therapeutic interventions; accordingly, the community will be familiarized with transmission routes and the preventing principle of disease. Furthermore, we can encourage patients to visit the healthcare centers early.

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APA: Copy

AMIRI, FATEMEH, ROSHANAEI, GHODRAT, Olfati Far, Meysam, Najafi, Rasoul, & POOROLAJAL, JALAL. (2021). Survival Analysis of the Human Immunodeficiency Virus in Iranian Patients: A Multistate Model. ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ), 24(2 (150) ), 180-183. SID. https://sid.ir/paper/690722/en

Vancouver: Copy

AMIRI FATEMEH, ROSHANAEI GHODRAT, Olfati Far Meysam, Najafi Rasoul, POOROLAJAL JALAL. Survival Analysis of the Human Immunodeficiency Virus in Iranian Patients: A Multistate Model. ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ)[Internet]. 2021;24(2 (150) ):180-183. Available from: https://sid.ir/paper/690722/en

IEEE: Copy

FATEMEH AMIRI, GHODRAT ROSHANAEI, Meysam Olfati Far, Rasoul Najafi, and JALAL POOROLAJAL, “Survival Analysis of the Human Immunodeficiency Virus in Iranian Patients: A Multistate Model,” ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ), vol. 24, no. 2 (150) , pp. 180–183, 2021, [Online]. Available: https://sid.ir/paper/690722/en

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