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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1998-4-9
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pubmed:abstractText |
This study examined the relationship between the severity of acute human immunodeficiency virus type 1 (HIV-1) illness and disease progression and death. The population included 218 patients with acute HIV-1 illness and 41 asymptomatic patients who underwent HIV-1 seroconversion; the patients were followed up prospectively. We analyzed progression to Centers for Disease Control and Prevention clinical categories B and C (AIDS-defining conditions) and death according to an additive clinical score (CS) based on six predictive clinical features at the time of acute HIV-1 infection. Compared with patients with a CS of 0 (asymptomatic patients), those with a CS of 3-4 and 5-6 had faster progression to category B disease (adjusted hazard ratio [HR], 1.39; 95% confidence interval [CI], 1.01-1.92; and HR, 1.80; 95% CI, 1.34-2.40; respectively); those with a CS of 5-6 had faster progression to category C disease (HR, 1.37; 95% CI, 1.01-1.89) and death (HR, 2.05; 95% CI, 1.27-3.32). Thus, the number of symptoms and signs at the time of acute HIV-1 illness affects disease progression and survival, even in symptomatic patients who have undergone seroconversion.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
1058-4838
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
26
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
323-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9502449-Acute Disease,
pubmed-meshheading:9502449-Adult,
pubmed-meshheading:9502449-Female,
pubmed-meshheading:9502449-Follow-Up Studies,
pubmed-meshheading:9502449-HIV Infections,
pubmed-meshheading:9502449-HIV-1,
pubmed-meshheading:9502449-Humans,
pubmed-meshheading:9502449-Male,
pubmed-meshheading:9502449-Prognosis,
pubmed-meshheading:9502449-Prospective Studies,
pubmed-meshheading:9502449-Risk Factors,
pubmed-meshheading:9502449-Severity of Illness Index
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pubmed:year |
1998
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pubmed:articleTitle |
Severity and prognosis of acute human immunodeficiency virus type 1 illness: a dose-response relationship.
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pubmed:affiliation |
Hôtel-Dieu de Montréal, and the Department of Social and Preventive Medicine, University of Montreal, Quebec, Canada.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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