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Effectiveness of a virtual reality trainer for retention of tourniquet application skills for hemorrhage control among emergency medicine residents
AEM education and training
existing research people living hiv pwh covid19 pandemic primarily focused clinical outcomes critical gap remains understanding implications covid19 delivery inhospital care services pwh study aimed describe characteristics outcomes pwh hospitalised 2020 mexico city comparing patients admitted due covid19 vs patients admitted due causes pwh hospitalised 24 h four institutions mexico city january 1st december 31st 2020 included patients classified two groups according leading cause first hospitalisation covid19 noncovid19 characteristics among groups compared using chisquare kruskal tests cox model used describe risk death hospitalisation characteristics associated outcome mortality hospitalisation events compared data 2019 overall included 238 pwh hospitalised 2020 among 42 18 hospitalised due covid19 196 82 due noncovid19 causes mainly aidsdefining events ade pwh hospitalised due covid19 higher cd4 cell counts 380 cellsmm3 iqr 184580 vs 97 cellsmm3 iqr 34272 p 001 higher proportion virologic suppression vs compared hospitalised due noncovid19 causes 92 vs 55 p 001 adjusted hazard ratio ahr aids 31 95ci 1372 covid19 associated death ahr 09 95ci 0329 compared 2019 mortality significantly higher 2020 19 vs 9 p 001 hospitalisations decreased 57 pwh covid19 higher vs cd4 cell counts lower mortality compared hospitalised due noncovid19related causes often recently diagnosed hiv ades hospitalisations deaths 2020 pwh related advanced hiv disease increased mortality decreased hospitalisations pwh 2020 evidence impact interruption health services delivery pwh advanced disease due pandemic findings highlight challenges faced pwh 2020 country advanced hiv remains concern