HIV Infections, Inpatient Facility Diagnoses
Conditions
Keywords
HIV, linkage to care, hospital readmission
Brief summary
Exploring the effect of team-based ARTAS intervention in an inpatient setting on HIV linkage to care and hospital readmission rates.
Interventions
BEHAVIORALTeam Based Inpatient ARTAS
Infectious Disease Team will provide inpatient consultation. Social Work Team will provide 1 session of case management inpatient and up to 5 case management sessions within 90 days post discharge or until the client is linked to medical care as evidenced by visit with HIV specialist within 90 days post discharge.
BEHAVIORALStandard of Care
Subject admitted and seen by routine inpatient medical service.
Sponsors
Loma Linda University
Gilead Sciences
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
OTHER
Masking
NONE
Intervention model description
This is a prospective, observational cohort study design with patients enrolled at Loma Linda University Medical Center (LLUMC), evaluating a multidisciplinary inpatient linkage to care program compared to historical control.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years of age or greater * newly diagnosed HIV * Known diagnosis of HIV not on ART within 30 days of admission * Known HIV and not virally suppressed based on interview * Known HIV and has not been under the care of an HIV specialist within the past 6 months
Exclusion criteria
* All three criteria must be present for exclusion: * virally suppressed * actively taking ART * are under active care of an HIV specialist within the last 6 months * Less than 18 years of age (stand alone exclusion)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of linkage to HIV care post discharge | Up to 90 days post-study enrollment hospitalization discharge | Subject had one visit with HIV specialist post hospital discharge. This will be determined per medical chart review and phone interview with subject |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Readmission Rate after initial post-study hospitalization | Up to 90 days post-study enrollment hospitalization discharge | Subject had one emergency room visit or one inpatient admission post hospital discharge. This will be determined per medical chart review and phone interview with subject. |
Countries
United States
Contacts
CONTACTJennifer Veltman, MD
Outcome results
None listed