HIV and Tuberculosis: A Growing Burden on Hospitalizations and Healthcare Costs

Between 1985 and 1990, the impact of HIV infection and tuberculosis on hospitalizations and healthcare costs in the United States continued to escalate. According to a study published in Annals of Internal Medicine, hospitalizations related to HIV infection increased sixfold, from 18 to 102 per 100,000 persons, while hospitalizations related to tuberculosis increased twofold, from 8 to 16 per 100,000 persons. The study highlighted a concerning trend of rising co-infection rates, with the prevalence of tuberculosis among HIV-infected patients increasing from 2.4% to 5.1% and the prevalence of HIV infection among patients with tuberculosis increasing from 11% to 39% between 1985 and 1990.

Key Takeaways:

  • Hospitalizations related to HIV infection increased sixfold, from 18 to 102 per 100,000 persons, between 1985 and 1990.
  • Hospitalizations related to tuberculosis increased twofold, from 8 to 16 per 100,000 persons, between 1988 and 1990.
  • The prevalence of tuberculosis among HIV-infected patients increased from 2.4% in 1985-1988 to 5.1% in 1989-1990.
  • The prevalence of HIV infection among patients with tuberculosis increased from 11% in 1985-1988 to 28% in 1989 to 39% in 1990.
  • The study used the National Hospital Discharge Survey, a nationally representative survey of discharges from U.S. nonfederal short-stay hospitals, and statewide billing information.
  • The study analyzed data from patients 15 to 44 years of age with a listed diagnosis of HIV infection (n=418,200) or active tuberculosis (n=77,700) during 1985-1990.
  • The study is significant in highlighting the growing burden of HIV and tuberculosis on hospitalizations and healthcare costs in the United States during the late 1980s and early 1990s.

Statistics:

  • 418,200 patients with HIV infection were included in the study.
  • 77,700 patients with active tuberculosis were included in the study.
  • Hospitalizations related to HIV infection increased from 18 to 102 per 100,000 persons, representing a 466% increase.
  • Hospitalizations related to tuberculosis increased from 8 to 16 per 100,000 persons, representing a 100% increase.
  • The prevalence of tuberculosis among HIV-infected patients increased from 2.4% to 5.1%.
  • The prevalence of HIV infection among patients with tuberculosis increased from 11% to 39%.

Sources:

  • Annals of Internal Medicine