Life challenges make this population very difficult to treat, but interventions that take their issues into account may improve matters.
BOSTON — Social adversity is associated with worse survival among patients with pulmonary hypertension , according to a new retrospective study of a New York City population. Among patients with HIV with heart failure , PH was associated with about a threefold increase in all-cause mortality, but that risk increased to about sevenfold when social adversity, identified by a licensed social worker, was also present.
“Almost the majority of patients that we treat have either some social adversity or no insurance or are undocumented, so as a group of residents, we decided to study the impact of these factors on their health and the care that can be provided.
The researchers established two cohorts: One consisting of patients with HIV and heart failure who may or may not have had PH and one comprising patients with PH with or without HIV and heart failure. In the HIV/heart failure group, PH without social adversity was associated with a nearly threefold increase in all-cause mortality , whereas PH with social adversity was linked to a more than sevenfold increase in all-cause mortality .
PAH - Pulmonary Arterial Hypertension PAH Heart Failure HIV Antiretroviral Therapy Antiretroviral Therapy For HIV Atazanavir Darunavir Etravirine Tipranavir HIV Therapy HIV ART Hypertension HIV Infection HIV Disease HIV Pulmonary Hypertension Heart Residency Residents Medical Life Physician Lifestyle Medical Lifestyle Resident Lifestyle
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