INPATIENT CARE FOR SYMPTOMATIC, HIV-INFECTED PERSONS - A LONGITUDINAL-STUDY OF HOSPITALIZATIONS, INPATIENT DRUG-USE, AND RELATED COSTS

Patterns in the costs of hospital in-patient care and in-patient drug treatment of 121 symptomatic, HIV-infected patients ave described for a university hospital between 1987 and 1991. Trend analyses have been performed on quarterly and yearly data using parametric and non-parame tric statistical techniques. During the 5-year study period the demand for hospital beds almost quadrupled despite a constant number of admi ssions per person-year and a 40% decrease in the average length of sta y. The demand for beds was highest in the autumn and winter months. Th e impact of female and/or heterosexual subgroups on the yearly utiliza tion of resources increased and reasons for hospitalization became mor e diverse; there were fewer hospitalizations for Pneumocystis carinii pneumonia infection. Antimicrobial drug treatment accounted for the in creased drug treatment costs. The implications for AIDS-treating speci alists, hospital managers, and scenario analysts are discussed.