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Comparison of Missed Opportunities for Earlier HIV Diagnosis in 3 Geographically Proximate Emergency Departments by Michael S. Lyons; Christopher J. Lindsell; D. Beth Wayne; Andrew H. Ruffner; Kimberly W. Hart; Carl J. Fichtenbaum; Alexander T. Trott; Patrick S. Sullivan is a Medicine article available to read on EtoBox.
What is Comparison of Missed Opportunities for Earlier HIV Diagnosis in 3 Geographically Proximate Emergency Departments about?
## Objective: Differences in the prevalence of undiagnosed hiv between different types of emergency departments (eds) are not well understood. we seek to define missed opportunities for hiv diagnosis within 3 geographically proximate eds serving different patient populations in a single metropolitan area. ## Methods: For an urban academic, an urban community, and a suburban community ed located within 10 miles of one another, we reviewed visit records for a cohort of patients who received a new diagnosis of hiv between july 1999 and june 2003. missed opportunities for earlier hiv diagnosis were defined as ed visits in the year before diagnosis, during which there was no documented ed hiv testing offer or test. outcomes were the number of missed opportunity visits and the number of patients with a missed opportunity for each ed. we secondarily reviewed medical records for missed opportunity encounters, using an extensive list of indications that might conceivably trigger testing. ## Results: Among 276 patients with a new hiv diagnosis, 123 (44.5%) visited an ed in the year before diagnosis or received a diagnosis in the ed. the urban academic ed hiv testing program diagnosed 23 (8.3
Who reads Comparison of Missed Opportunities for Earlier HIV Diagnosis in 3 Geographically Proximate Emergency Departments?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Michael S. Lyons; Christopher J. Lindsell; D. Beth Wayne; Andrew H. Ruffner; Kimberly W. Hart; Carl J. Fichtenbaum; Alexander T. Trott; Patrick S. Sullivan
- Publisher
- Elsevier Science; Elsevier ; Mosby Inc.; Elsevier BV (ISSN 1097-6760)
- Published
- 2011
- Language
- EN
- Field
- Medicine (Health Sciences)