The AIDS-defining diagnosis and subsequent complications: a survival-based severity index.

摘要: To define a survival-based severity measure for AIDS, we convened panel of AIDS experts who identified factors influencing prognosis and estimated the impact prognostic on survival time. The resulting conceptual model included 19 AIDS-defining conditions 80 subsequent AIDS-related complications. This was tested longitudinal disease histories 3,937 patients in New York State Medicaid Program diagnosed between 1983 1986 followed through 1988. initial diagnosis complications within 3 months onset were from coded diagnoses recorded inpatient outpatient claims. Three groups created; times least to most severe group 25, 10, 7 months. determine influence risk death, associated with combinations defining four levels determined. Median ranged 43 without early 12 serious matrix divided into categories significantly different curves. uses data commonly available clinicians researchers create distinct categories.