Social Precariousness and the Outcome of Critical Illnesses in People with HIV: A Multicenter Cohort Study - Summary - MDSpire

Social Precariousness and the Outcome of Critical Illnesses in People with HIV: A Multicenter Cohort Study

  • By

  • Piotr Szychowiak

  • Thierry Boulain

  • Étienne de Montmollin

  • Jean-François Timsit

  • Alexandre Elabbadi

  • Laurent Argaud

  • Stephan Ehrmann

  • Nahema Issa

  • Emmanuel Canet

  • Frédéric Martino

  • Fabrice Bruneel

  • Jean-Pierre Quenot

  • Florent Wallet

  • Élie Azoulay

  • François Barbier

  • November 12, 2025

  • 0 min

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Objective:

To assess the association of social precariousness, defined as socioeconomic instability affecting access to care, with in-hospital and 1-year mortality in HIV-positive individuals requiring ICU admission.

Key Findings:
  • Out of 939 HIV-positive patients, 136 (14.5%) were classified as precarious.
  • Precarious migrants were younger and had fewer comorbidities; others had lower viral suppression rates.
  • Overall in-hospital mortality was 17.8% and 1-year mortality was 24.2%.
  • Precariousness was not independently associated with increased in-hospital or 1-year mortality.
Interpretation:

While precarious HIV-positive patients exhibit distinct clinical features, their social vulnerability does not correlate with higher mortality rates during hospitalization or within one year, highlighting the need for improved healthcare access.

Limitations:
  • Retrospective design may introduce selection bias, potentially affecting the generalizability of results.
  • Data on long-term health outcomes beyond one year were not assessed.
Conclusion:

Social precariousness in HIV-positive individuals requiring ICU admission is linked to specific clinical characteristics but does not increase mortality risk.

Original Source(s)

Social Precariousness and the Outcome of Critical Illnesses in People with HIV: A Multicenter Cohort Study

  • by Piotr Szychowiak, Thierry Boulain, Étienne de Montmollin, Jean-François Timsit, Alexandre Elabbadi, Laurent Argaud, Stephan Ehrmann, Nahema Issa, Emmanuel Canet, Frédéric Martino, Fabrice Bruneel, Jean-Pierre Quenot, Florent Wallet, Élie Azoulay, François Barbier

  • November 12, 2025

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