Patients living with HIV in the modern era: Postoperative outcomes and healthcare utilization

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2026-06-01 Epub Date: 2026-03-06 DOI:10.1016/j.amjsurg.2026.116918

Michael Guo , Michael Budu , Jason Trigg , Tian Shen , Robert Hogg , Sam M. Wiseman

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引用次数: 0

Abstract

Introduction

Despite advances in antiretroviral therapy (ART), surgical outcomes in people with HIV (PWH) remain poorly understood. This study compared postoperative outcomes and healthcare use between PWH and matched people without HIV (non-PWH) undergoing general surgery in British Columbia, Canada.

Methods

Linked HIV-related and health administrative data (Jan 2008–Mar 2020) identified PWH and matched non-PWH. Outcomes included 30-day readmissions, 30-day re-operations, 30-day mortality, one-year mortality, and healthcare utilization.

Results

Among 1252 PWH and 5008 non-PWH, HIV status was not associated with odds of 30-day readmissions, re-operations, or deaths. However, PWH had higher odds of mortality within one year post op (OR 1.75, 95% CI: 1.12–2.73), shorter hospital stays (RR 0.64, 95% CI: 0.55–0.73), higher likelihood of lab (RR 2.11, 95% CI: 1.86–2.39), and specialist visits (RR 1.16, 95% CI: 1.01–1.35) compared to non-PWH.

Conclusion

PWH experienced similar short-term outcomes but higher one-year mortality and distinct care patterns, suggesting factors beyond perioperative care influence outcomes.

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现代艾滋病患者：术后结果和医疗保健利用

尽管抗逆转录病毒治疗（ART）取得了进展，但艾滋病毒感染者（PWH）的手术结果仍然知之甚少。本研究比较了加拿大不列颠哥伦比亚省接受普外科手术的PWH患者和匹配的无HIV（非PWH）患者的术后结果和医疗保健使用情况。方法将hiv相关和卫生管理数据（2008年1月至2020年3月）联系起来，确定PWH和匹配的非PWH。结果包括30天再入院、30天再手术、30天死亡率、1年死亡率和医疗保健利用率。结果在1252名PWH患者和5008名非PWH患者中，HIV感染状况与30天再入院、再手术或死亡的几率无关。然而，与非PWH相比，PWH术后一年内的死亡率更高（OR 1.75, 95% CI: 1.12-2.73），住院时间更短（RR 0.64, 95% CI: 0.55-0.73），实验室（RR 2.11, 95% CI: 1.86-2.39）和专科就诊（RR 1.16, 95% CI: 1.01-1.35）的可能性更高。结论pwh短期预后相似，但1年死亡率较高，护理模式不同，提示围手术期护理以外的因素影响预后。

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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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.