Infectious Disease

Examine outcomes present that folks with HIV are at increased danger for worse COVID-19 outcomes

February 12, 2021

2 min read

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Rosenberg does not report any relevant financial information. In the study you will find all relevant financial information from all other authors.

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People with HIV had worse COVID-19 results than people without HIV. This is based on a cohort study of residents of New York State published on the JAMA Network Open.

“These data seem to suggest that people diagnosed with HIV are more likely to develop serious complications that require hospitalization.” Eli Rosenberg, PhD, Associate professor of epidemiology and biostatistics at the University of the Albany School of Public Health, said Healio. “We found that the increased likelihood of serious illnesses unfortunately further increases the risk of death.”

Rosenberg quote

Rosenberg and colleagues evaluated the results of 2,988 people living with HIV who were diagnosed with COVID-19 between March 1 and June 15 last year. The mean age of the patients was 54 years.

People with HIV were hospitalized more often than people without HIV per population (sRR = 1.38; 95% CI, 1.29-1.47). In addition, mortality was higher in people with HIV per population (sRR = 1.23; 95% CI, 1.07-1.4) but not in hospitalized patients (sRR = 0.96; 95% CI, 0.83 -1.09).

Previous studies differed in their conclusions about the risks for people with HIV and COVID-19. A study conducted in New York City showed that COVID-19 outcomes were no worse in people with HIV, while studies in the UK and South Africa indicated that people with HIV were at increased risk of death. Rosenberg said the difference in results was likely due to the selection of patients who were already hospitalized as study participants.

“Once you are in the hospital, whether you have HIV or not, mortality seems to be the same or comparable,” he said. “We repeated that. The difference is the likelihood that you will need to go to the hospital first. If you start studying at the time of hospitalization, you are already a little too far away. “

Rosenberg also said that people living with HIV should be classified as a population at risk for COVID-19 vaccination and that the results of his study “hammer home” their need for vaccine access.

“The increased risk of death is there, it’s just a matter of figuring out what explains it,” he said. “We need more in-depth studies to find out, and these studies are more difficult to do and take more time.”

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