Evasão hospitalar de pacientes com HIV/AIDS em um hospital de referência do Amazonas

Abstract

To determine the frequency and factors associated with hospital evasion among people living with HIV/AIDS. Method: Quantitative, retrospective study based on the analysis of 129 medical records of patients hospitalized for HIV/AIDS who presented hospital evasion between 2020 and 2022. Sociodemographic, clinical, and institutional variables were analyzed, expressed in absolute and relative frequencies, means, and standard deviations. Results: There was a predominance of males (74.4%), age group 30 to 39 years (40.6%), and urban origin (89.1%). About 49.6% belonged to socially vulnerable groups, especially drug users (34.9%) and alcoholics (29.5%). Most had a single evasion (74.4%), with an average of 1.54 ± 0.98 occurrences. The average number of hospitalizations was 6.04 ± 4.62. The main cause of evasion was refusal to remain hospitalized (79.1%), followed by abstinence from psychoactive substances (14.0%). Internal notification was the most frequently recorded institutional measure, although there was a lack of complementary follow-up actions. Conclusion: Hospital evasion among people living with HIV stems from the interaction between social vulnerability and failures in continuity of care. It is imperative to strengthen institutional protocols and multidisciplinary strategies that promote adherence, reduce recidivism, and ensure comprehensive care.