[Análisis de la concordancia entre la estratificación teórica y real en pacientes que viven con la infección por VIH atendidos en un hospital de tercer nivel].

Rocío Asensi-Diez, Ángel Ballesteros-Fernández, Manuel Rouco, Begoña Tortajada-Goitia, Aránzazu Linares-Alarcón
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Abstract

Introduction: To analyse the concordance between theoretical and actual stratification of people living with HIV infection attending a pharmaceutical care outpatient clinic in a tertiary regional hospital.

Methods: Observational, retrospective, analytical, cross-sectional and single-centre study in people living with HIV infection. Study period: April 2024. Inclusion criteria: patients with HIV infection aged over 18 years who had been receiving active antiretroviral therapy (ART) for at least two years prior to inclusion. The 2022 version of the pharmaceutical care stratification model for people living with HIV infection was used. Reliability was evaluated from a qualitative perspective using Cohen's Kappa coefficient.

Results: Of the 199 patients attended during the study period, 100 were consecutively selected, of whom 93 were ultimately stratified. Men accounted for 77.41% of the cohort, with a mean age of 47.81 ± 12.53 years. The obtained stratification percentages were: Priority 1: 7.52%; Priority 2: 26.88%; Priority 3: 65.59%. Quantitative analysis of concordance between the models yielded a Cohen Kappa value of K=0.866.

Conclusions: There is a good concordance between the distribution percentages of the theoretical stratification and the actual one obtained in our study.

[在三级医院接受治疗的艾滋病毒感染患者的理论分层与实际分层的一致性分析]。
前言:分析某三级地区医院药学门诊HIV感染者的理论分层与实际分层的一致性。方法:对HIV感染者进行观察性、回顾性、分析性、横断面和单中心研究。研究时间:2024年4月。纳入标准:年龄在18岁以上且在纳入前已接受活性抗逆转录病毒治疗(ART)至少两年的艾滋病毒感染患者。采用2022年版HIV感染者药学服务分层模型。信度采用Cohen’s Kappa系数从定性角度进行评估。结果:在研究期间参加的199例患者中,连续选择100例,其中93例最终分层。男性占队列的77.41%,平均年龄47.81±12.53岁。得到的分层百分比为:优先级1:7.52%;优先级2:26.88%;优先级3:65.59%。对模型之间的一致性进行定量分析,得出Cohen Kappa值K=0.866。结论:本研究所得的理论分层分布百分比与实际分层分布百分比有较好的一致性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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