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Cause of death among HIV patients in London in 2016

HIV Medicine Oct 07, 2019

Croxford S, Miller RF, Post FA, et al. - Since 2013, Annual reviews of deaths among people with HIV are conducted by the London HIV Mortality Review Group in order to decrease avoidable mortality. Data reported by all London HIV care Trusts on 2016 patient deaths in 2017 revealed 206 deaths; 77% were among men. The cause of deaths was established for 82% of cases; the most common causes reported were non-AIDS-related malignancies and AIDS-defining illnesses. Tobacco smoking (37%), excessive alcohol consumption (19%), non-injecting drug use (10%), injecting drug use (7%) and opioid substitution therapy (6%) were the identified risk factors in the year before death. History of depression was reported in 39% of patients, chronic hypertension in 33%, dyslipidemia in 27%, coinfection with hepatitis B virus and/or hepatitis C virus in 17% and diabetes mellitus 14%. The majority of the patients were on ART and were virally suppressed. However, researchers identified several potentially preventable deaths. Given that people with HIV in the UK could not be represented by London HIV patients, they recommend performing a national mortality review.
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