NCT04033718

Inpatient Package to Reduce HIV and AIDS-related Death in Zambia

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 72 (actual)
• Sponsor: University of Alabama at Birmingham · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Early post-discharge mortality is high among HIV-infected Zambians admitted to the hospital. Likely this is in part due to missed opportunities to identify lethal coinfections and optimize HIV care during admission (and before discharge). In this study the investigators will develop and pilot a new approach to inpatient HIV care that follows international guidelines for management of advanced HIV disease.

Conditions

• HIV/AIDS
• Transitions of Care
• Hospitalization
• Tuberculosis
• HIV Testing
• Cryptococcosis

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	Inpatient lab bundling	The investigators will provide patients a package of diagnostic tests at the time of admission to comprehensively assess for HIV coinfections and treatment failure. These labs are all recommended in advanced HIV guidelines but in this study we will provide all tests as a bundle rather than step-by-step as suggested in guidelines.
BEHAVIORAL	Inpatient navigation	Participants will be assigned a patient navigator who will support the patient and bedsider (treatment supporter/guardian) during the hospitalization. The navigator will be an HIV counselor who can provide counseling and health education, as well as support specimen transport, obtaining results, booking tests in other departments, linkages to ART clinic, and discharge planning

Timeline

• Start date: 2021-10-01
• Primary completion: 2024-06-30
• Completion: 2024-06-30
• First posted: 2019-07-26
• Last updated: 2024-08-09

Locations

1 site across 1 country: Zambia