Risk of death and readmission among individuals with heart failure and HIV: A systematic review and meta-analysis

作者：Yaqin Zhou, Xuezhixing Zhang, Yanxiao Gao, Raza M. Alvi, Sebhat Erqou, Yuqing Chen, Honghong Wang, Wenru Wang, Xianhong Li, Markella V. Zanni, Tomas G. Neilan, Sten H. Vermund, Han‐Zhu Qian, Frank Qian · 发表于：Journal of Infection and Public Health · 年份：2023 · DOI：10.1016/j.jiph.2023.11.004 · 被引用次数：6 · 研究领域：HIV-related health complications and treatments、Pneumocystis jirovecii pneumonia detection and treatment、HIV/AIDS drug development and treatment

The association between human immunodeficiency virus (HIV) status and readmissions and death outcomes in patients with established heart failure (HF) remains unclear. We conducted a systematic search of PubMed, EMBASE, Cochrane Library, and Web of Science up to March 1st, 2023, for cohort studies of adult patients (≥18 years) diagnosed with HF and recorded HIV status at baseline. Our analysis included 7 studies with 10,328 HF patients living with HIV and 48,757 HF patients without HIV. Compared to HF patients without HIV, those with HIV had a higher risk of all-cause deaths (HR: 1.20, 95% CI: 1.15-1.25). HIV infection was also associated with increased risks of HF-associated readmission (HR: 1.34, 95% CI: 1.03-1.75) and all-cause readmission (HR: 1.27, 95% CI: 1.10-1.46). Our study highlights the independent association between HIV and poor HF outcomes, emphasizing the need for improved management in individuals living with HIV.