Resum

Purpose: To analyze the GESIDA Quality of care (QOC) indicators and describe its fulfillment in two spanish hospitals during the 2009-2018 period. Method: Observational retrospective study that included adult HIV-infected patients followed-up at the Son Espases (HUSE) and Son Llátzer (HSLL) hospitals in Palma de Mallorca between 1/1/2009 and 12/31/2017. Required data for analysis of the QOC indicators was collected from proprietary software (eVIHa) using an automated process. Results: 2931 patients were included with a mean age of 48 years. Main characteristics at diagnosis are presented in Table 1. The epidemiological characteristics (average age, sex, risk group of acquisition of HIV infection were similar in both hospitals). We appreciated some differences in the uptake of patients (median days, percentage of patients with late diagnosis). The percentage of patients on ART was very high in both centers, with an increase in the % of patients on ART at 90 days of diagnosis (but still with low percentages of 55-40%). Other indicators of kidney function evaluation process, cardiovascular risk, vaccination against pneumococcus were performed regularly in both centers (Table 2). The outcome indicators were very similar between both hospitals: CV < 50 in weeks 24 and 48 of the start of ART, changes in ART in the first year, mortality rate and percentage of patients requiring admission. Conclusion:- Although improved in the last years, the pecentage of late diagnosis is still high in the included centers. An improve in the delay of ART start was also observed. - Both centers comply with GESIDA QOC indicators of follow-up including renal function measuring, pneumococcal vaccination and cardiovascular estimation.