predictors of mortality among children on antiretroviral therapy at a referral hospital, northwest ethiopia a retrospective follow up study儿童死亡率的预测在抗逆转录病毒治疗转诊医院,埃塞俄比亚西北部一个回顾性随访研究.pdfVIP
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predictors of mortality among children on antiretroviral therapy at a referral hospital, northwest ethiopia a retrospective follow up study儿童死亡率的预测在抗逆转录病毒治疗转诊医院,埃塞俄比亚西北部一个回顾性随访研究
Koye et al. BMC Pediatrics 2012, 12:161
/1471-2431/12/161
RESEARCH ARTICLE Open Access
Predictors of mortality among children on
Antiretroviral Therapy at a referral hospital,
Northwest Ethiopia: A retrospective follow
up study
*
Digsu Negese Koye , Tadesse Awoke Ayele and Berihun Megabiaw Zeleke
Abstract
Background: An estimated 2.5 million children were living with HIV/AIDS at the end of 2009, 2.3 million (92%)
in sub-Saharan Africa. Without treatment, a third of children with HIV will die of AIDS before their first birthday,
half dying before two years of age. Hence, this study aimed to assess magnitude and predictors of mortality
among children on Antiretroviral Therapy (ART) at a referral hospital in North-West Ethiopia.
Methods: Institution based retrospective follow up study was carried out among HIV-positive children from January
1st, 2006 - March 31st, 2011. Information on relevant variables was collected from patients’ charts and registries.
Life table was used to estimate the cumulative survival of children. Log rank tests were employed to compare
survival between the different categories of the explanatory variables. Multivariate Cox proportional hazards
model was fitted to identify predictors of mortality.
Results: A total of 549 records were included in the analysis. The mean age at initiation of treatment was 6.35
±3.78 SD years. The median follow up period was 22 months. At the end of the follow up, 41(7.5%) were dead and
384(69.9%) were alive. Mortality was 4.0 deaths per 100 child-years of follow-up period. The cumulative probabilities
of survival at 3, 6, 12, 24, and 60 months of ART were 0.96, 0.94, 0.93, 0.92 and 0.83 respectively. Majority (90.2%)
of the deaths occurred within the first year of treatment. Absence of cotrimoxazole preventive therapy (adjusted
hazard
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