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Health Care Index (HCI) Score of Podlekareva et al for Predicting Mortality of a Patient Infected with Both HIV and Tuberculosis

Description

Podlekareva et al reported a Health Care Index (HCI) score to predict the mortality rate for a patient infected with both HIV and tuberculosis. This can help to determine if a patient is getting appropriate health care. The authors are from multiple universities in Europe and Argentina participating in the HIV-TB Study Group.


 

Patient selection: HIV patient diagnosed with tuberculosis

 

Parameters:

(1) drug susceptibility testing (DST)

(2) initial tuberculosis treatment

(3) combination antiretroviral therapy

 

Parameter

Finding

Points

drug susceptibility testing

not performed

0

 

performed

1

initial TB therapy

with isoniazid, pyrazinamide and rifamycin

2

 

other

0

antiretroviral therapy

started before or up to 1 month after TB diagnosed

2

 

not started or started more than a month after TB diagnosed

0

 

where:

• Drug susceptibility testing implies a culture isolate which means that a definitive diagnosis is made. It also means that the patient’s therapy is likely to be adjusted for any resistance identified.

 

total HCI score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 5

• The higher the score the better the survival.

 

HCI Score

1 Year Mortality Rate

0

39%

1

32%

2

21%

3

15%

4 or 5

9%

 


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Specialty

ICD-10