Important note: Information in this article was accurate in 1985. The state of the art may have changed since the publication date.
Acquired immunodeficiency syndrome among patients attending hemophilia treatment centers and mortality experience of hemophiliacs in the United States.
Am J Epidemiol. 1985 Jun;121(6):797-810. Unique Identifier : AIDSLINE MED/85248395 Johnson RE; Lawrence DN; Evatt BL; Bregman DJ; Zyla LD; Curran JW; Aledort LM; Eyster ME; Brownstein AP; Carman CJ
Abstract:
The acquired immunodeficiency syndrome (AIDS) was first recognized among hemophiliacs in 1982. The authors have conducted investigations to determine the onset and incidence of AIDS among hemophiliacs and to determine trends in hemophilia mortality since the introduction of clotting-factor concentrates in the late 1960s. A survey of United States hemophilia treatment centers, supported by the Centers for Disease Control and the National Hemophilia Foundation, defined a population of hemophiliacs which was monitored for AIDS cases through June 1984. Death reports from the United States Vital Statistics System and from the hemophilia treatment center survey provided mortality trends for 1968-1979 and for 1978-1982, respectively. The results of these investigations demonstrate the following points. 1) The AIDS epidemic is a new and important cause of illness and mortality among hemophiliacs, although a very low incidence of AIDS among hemophiliacs prior to 1982 cannot be ruled out. 2) The AIDS cases who attended the surveyed hemophilia treatment centers were distributed throughout the United States and were older than hemophilia treatment center patients without AIDS. AIDS cases also used more lyophilized clotting-factor concentrate, but only a small number of cases were reported with this information. 3) Improved care for hemophilia, including the use of clotting-factor concentrates, dramatically reduced hemophilia mortality rates during the 1970s. 4) In 1982, hemorrhage was the major cause of death among hemophiliacs. Deaths from non-alcoholic liver disease were also increased. AIDS incidence among hemophilia treatment center attendees was stable at 0.6 cases per 1,000 hemophilia treatment center attendees per year during 1982 and 1983 but increased sharply to 5.4 cases per 1,000 during the first quarter of 1984.
Keywords: Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/MORTALITY/ PREVENTION & CONTROL Adolescence Adult Age Factors Ambulatory Care Facilities Blood Coagulation Factors/THERAPEUTIC USE Child Child, Preschool Christmas Disease/MORTALITY/THERAPY Health Surveys Hemophilia/*MORTALITY/THERAPY Human Infant Male Middle Age United States JOURNAL ARTICLE
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Important note: Information in this article was accurate in 1985. The state of the art may have changed since the publication date.
