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Objective: To evaluate the association of comprehensive assessment scores with mortality in geriatric patients of a national reference hospital in Peru. The study: A prospective cohort study was conducted. Patients over 60 years of age were included during the period from November 1, 2021 to June 30, 2022. The data was collected from the clinical history. SOFA, KATZ, FAST and Charlson Index scores were included to evaluate the association with mortality. Findings: 93 participants were found. The prevalence of mortality was 32.3%. In the simple regression, an association was observed between SOFA score greater than or equal to 12 (RR:15.3), FAST score (RR:2.29) and the Charlson index (RR:2.46) with intrahospital mortality. In the multiple regression adjusted for age and sex, only the SOFA score maintained statistical significance (RR: 13.42 p<0.001). Conclusion: The SOFA score has a strong association with in-hospital mortality in geriatric patients admitted to an intensive care unit in Peru. [ABSTRACT FROM AUTHOR]

Introduction: Pulmonary tuberculosis (PTB) continues to be considered one of the infectious diseases, particularly affecting incarcerated individuals. Therefore, this study aimed to determine the distribution of self-reported cases of PTB in six Peruvian Penitentiary Centers (PCs) according to the level of overcrowding. The study: An observational, cross-sectional, and descriptive study was conducted using the database of the First National Penitentiary Census of 2016. Incarcerated individuals from the 6 PCs in the Lima department, which have the highest prevalence of intrapenitentiary tuberculosis nationwide, were included. Findings: The prevalence was calculated according to the level of overcrowding, categorized as low, medium, and high, with values of 4,834, 3,902, and 3,039/100,000 inhabitants, respectively. Conclusions: The distribution of PTB was predominantly homogeneous across PCs, regardless of the level of overcrowding. Self-reported cases of active PTB were present in all PC populations. [ABSTRACT FROM AUTHOR]

Introduction: Mortality from HIV/AIDS is one of the main indicators to monitor this public health problem. Objective: Analyze the changes in the trend in mortality and in the number of people infected with HIV/AIDS in Peru 2000-2021. Material and Methods: Ecological study based on open data on people living with HIV/AIDS in the period 2000-2021. Mortality rates were obtained from the Single National Health Information Repository. Data on new cases of HIV/AIDS were obtained from CDC Peru sources. A joinpoint regression analysis estimated trends using mean percentage change (APC); considering sex, life stages and regions, p values less than 0.05 being significant. Results: The general mortality trend had no significant changes (APC=-1.3 [95% CI: - 2.6; 0.1]); nine regions presented increasing mortality trends; mortality in women decreased (APC=-2.2 [95% CI: -3.7; -0.6]); an increasing trend was observed in adolescent mortality (APC=6.3 [95% CI: 2.3; 10.3]). An increasing trend was demonstrated in the number of people infected with HIV (APC=3.73 [95% CI: 2.6; 4.8]) and the trend of AIDS cases decreased from 2004 (APC=-2.54 [95% CI: -4.3; -0.7]). Conclusion: It was found that there are increasing trends in mortality from HIV/AIDS in adolescents and in a significant number of regions of the Peruvian highlands, being a key priority to deepen the management and approach of these populations. [ABSTRACT FROM AUTHOR]