Does an Index Composed of Clinical Data Reflect Effects of Inflammation, Coagulation, and Monocyte Activation on Mortality Among Those Aging With HIV?
Author(s) -
Amy C. Justice,
Matthew S. Freiberg,
Russell P. Tracy,
Lewis H. Kuller,
J. Tate,
Matthew Bidwell Goetz,
David A. Fiellin,
Gary Vanasse,
Adeel A. Butt,
Maria C. RodriguezBarradas,
Cynthia L. Gibert,
Kris Ann Oursler,
Steven G. Deeks,
Kendall Bryant
Publication year - 2012
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cir989
Subject(s) - medicine , monocyte , human immunodeficiency virus (hiv) , inflammation , immunology , mortality rate , cohort , renal function , systemic inflammation
When added to age, CD4 count and human immunodeficiency virus type 1 (HIV-1) RNA alone (Restricted Index), hemoglobin, FIB-4 Index, hepatitis C virus (HCV), and estimated glomerular filtration rate improve prediction of mortality. Weighted and combined, these 7 routine clinical variables constitute the Veterans Aging Cohort Study (VACS) Index. Because nonroutine biomarkers of inflammation (interleukin 6 [IL-6]), coagulation (D-dimer), and monocyte activation (sCD14) also predict mortality, we test the association of these indices and biomarkers with each other and with mortality.
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