HIV inpatient February 2015

Penny Lewthwaite

HIV inpatients June 30th 2014- February 2nd 2015

• 43 inpatients

30; 70%

1; 2%

4; 9%

1; 2%

3; 7%

3; 7%

1; 2%

Leeds

Barnsley

Dewsbury

Bradford

Wakefield

Huddersfield

Sheffield

HIV patient admissions to J20June 30th-October 31st 2014

n=19Nov 1st – February 3rd 2015

N=24

18; 95%

1; 5%

12; 50%

1; 4%

3; 13%1; 4%

3; 13%

3; 13%

1; 4%

Leeds

Barnsley

Dewsbury

Bradford

Wakefield

Huddersfield

Sheffield

In patient bed days

• 43 patients 653 inpatient bed days to date– Includes 5 current in patients– Range 1-83 days– Average length of stay 15 days, Median 7 days

CD4 < 200; 24; 56%CD4 >200; 17; 40%

CD4 no data; 2; 5%

CD4 count on admission

CD4 < 200

CD4 >200

CD4 no data

10; 23%

4; 9%

10; 23%

17; 40%

2; 5%

CD4 count on admission

CD4 <50CD4>50<100CD4 <200 but >100CD4 >200CD4 no data

Length of stay by CD4

CD4 Number of patients

Mean length of stay (days)

Range (days)

<200 24 22 (1 to 83)

200-<350 7 12 (4 to 44)

>350 10 4 (1 to 9)

No data 2 4 (1 to 6)

Length of stay by CD4

CD4 Number of patients

Mean length of stay (range)

Range

<50 10 25 (4 to 83)

50-<100 4 10 (7 to 19)

100-<200 10 23 (1 to 73)

200-<350 7 12 (4 to 44)

>350 10 4 (1 to 9)

No data 2 4 (1 to 6)

CNS other: 2 headache, 1 cerebellar infarct, I muscular neck pain Infection other: 2 UTI, 1 otitis externa, 3 URTI/LRTI, 1 Exacerbation of COPD1 non-specifically unwellNon-infection: 1 Alcoholic Liver Disease, 1 haematemesis, 1 malignant hypertension, 1 arthritis flare after infliximab

Additional notes

• 15 patients newly diagnosed• 2 patients representing after loss to follow up• 1 patient transferred after HIV +ve screen and

negative confirmatory test not included• CD4 count on admission or closest CD4 count

prior to admission used.

Acute Medicine Clinical Service Unit Referral and Reversal Pathway-”Right place at the right time”

Information for network partners intranet: contact details

• Please update contact information for return of referred inpatients- document being circulated

• Information for local intranets:All HIV patients needing admission or inpatient review for specialist HIV care should now be referred to the Infectious Diseases Consultant-led team based on Ward J20 at St James’s University Hospital , LTHT via :

Routine working hoursID secretaries 0113 (20)66614WardJ20 0113(20)69120ID Fax 0113 (20)66984

Out-of-hours ID Consultant via switchboard at LTHT 0113 2433144