<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902019000300031</article-id>
<article-id pub-id-type="doi">10.29193/rmu.35.3.2</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad por sida en Uruguay: perfil de las personas fallecidas en 2014]]></article-title>
<article-title xml:lang="en"><![CDATA[HIV-related mortality in Uruguay: profle of people who died of AIDS in 2014]]></article-title>
<article-title xml:lang="pt"><![CDATA[Mortalidade por AIDS em Uruguai: perfil das personas falecidas por AIDS em 2014]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meré]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Frantchez]]></surname>
<given-names><![CDATA[Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iglesias]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabeza]]></surname>
<given-names><![CDATA[Elisa]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio Salud Pública DIGESA Área Programática de ITS/VIH-Sida]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fondo de Población de las Naciones Unidas  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Cátedra de Enfermedades Infecciosas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>35</volume>
<numero>3</numero>
<fpage>31</fpage>
<lpage>57</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902019000300031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902019000300031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902019000300031&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el diagnóstico precoz del virus de la inmunodeficiencia humana y el acceso a un tratamiento antirretroviral temprano y continuado son estrategias clave para evitar el fallecimiento por sida. En Uruguay, desde el año 2005, luego de un ascenso continuo, se observa una estabilización de la mortalidad por sida, no presentando el descenso previsto. Se realizó un estudio con el objetivo de caracterizar el perfil clínico-epidemiológico de la población fallecida por sida en 2014 en Uruguay y valorar la distribución de las muertes en la cascada de continuo de atención.  Método:  retrospectivo y observacional, en base a información de registros en certificados de defunción e historias clínicas de personas de edad igual o mayor a 18 años fallecidas por sida durante el año 2014.  Resultados:  de los 175 fallecidos, se accedió a 124 registros, correspondiendo a 105 las muertes por sida; 77% del subsector público y 68% varones. Se caracterizó por ser una población de adultos jóvenes (43,7±11,6 años) y con condiciones de vulnerabilidad (alguna vez consumo de drogas 47,1%; situación de calle y privación de libertad 15,4%; 37,5% beneficiarios de planes sociales). El 71,4% presentó diagnóstico tardío y el 37,1% falleció en el primer año del diagnóstico. El 60% falleció sin haber logrado contacto o continuidad en la atención (11,4% previnculación, 48,6% sin retención en cuidados).  Conclusiones: la elevada proporción de pacientes fallecidos sin haber establecido vinculación y seguimiento en el sistema de salud, en una población con rasgos de vulnerabilidad social, evidencia la necesidad de adoptar estrategias integrales probadas para mejorar el acceso y la continuidad de la atención.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction: early diagnosis of HIV and early and continuos antirretroviral treatment constitute key strategies to avoid dying of aids. After a steady increase, HIV-related mortality has remained stable since 2005, although the expected reduction has not occurred. A study was conducted in order to characterize the clinical and epidemiological profile of the population that died of AIDS in Uruguay in 2014 and to assess the distribution of deaths in the continuum of care cascade.  Method: retrospective and observational study, based on information kept in files containing death certificates and medical histories of people who were 18 years old or older and died of AIDS in 2014.  Results:  we had access to 124 records of the 175 deaths, finding that 105 corresponded to HIV-related deaths, 77% of them came from the public subsector and 68% of them being men. Most of them were young adults (43.7±11.6 years old) and lived in vulnerable conditions (47.1% had used drugs; 15.4% were homeless or in prison; 37.5% benefited from social plans). In 71.4% of cases diagnosis was late and 37.1% died within the first year of diagnosis. 60% died without having consulted the health system or continued treatment (11.4% failed to seek health assistance, 48.6% interrupted treatment).  Conclusions: the increased proportion of patients who died without having sought health assistance or follow up in the health system within a population of social vulnerability evidences the need to adopt comprehensive strategies that have been proved successful to increase access and continuation of treament.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: o diagnóstico precoce da infecção por VIH e o acesso rápido e continuo ao tratamento antirretroviral são estratégias chaves para evitar a morte por AIDS. Desde 2005, depois de um crescimento continuo, observa-se no Uruguai, a estabilização da mortalidade por AIDS não apresentando o descenso previsto. Este estudo foi realizado com o objetivo de identificar o perfil clínico-epidemiológico da população falecida por AIDS em 2014 no país e avaliar a distribuição das mortes na cascada do continuo da atenção.  Método:  estudo retrospectivo e observacional, analisando a informação dos atestados de óbitos e prontuário de paciente de pessoas com 18 ou mais anos de idade falecidas por AIDS durante 2014.  Resultados: foram identificadas 175 mortes; 124 registros foram analisados, dos quais 105 eram mortes por AIDS, sendo 77% do subsetor público e 68% do sexo masculino. Era uma população de adultos jovens (43.7±11.6 anos) em condições de vulnerabilidade (consumo de drogas eventual 47.1%, morador de rua e privação de liberdade 15.4%; 37.5% beneficiários de planos sociais). 71.4% foi diagnosticado tardiamente e 37.1% faleceu no primeiro ano após o diagnóstico. 60% faleceu sem haver tido e/ou sem continuidade da atenção de saúde (11.4% pré vinculação, 48.6% sem retenção nos cuidados).  Conclusões:  a elevada proporção de pacientes falecidos sem ter estabelecido um vínculo e seguimento no sistema de saúde, em uma população com características de vulnerabilidade social, mostra a necessidade de adotar estratégias integrais provadas para melhorar o aceso e a continuidade da atenção.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mortalidad por sida]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de inmunodeficiencia adquirida]]></kwd>
<kwd lng="es"><![CDATA[Diagnóstico tardío]]></kwd>
<kwd lng="es"><![CDATA[Cascada de atención de VIH]]></kwd>
<kwd lng="en"><![CDATA[AIDS mortality]]></kwd>
<kwd lng="en"><![CDATA[Acquired immunodeficiency syndrome]]></kwd>
<kwd lng="en"><![CDATA[Delayed diagnosis]]></kwd>
<kwd lng="en"><![CDATA[HIV care cascade]]></kwd>
<kwd lng="pt"><![CDATA[Mortalidade por AIDS]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome de imunodeficiência adquirida]]></kwd>
<kwd lng="pt"><![CDATA[Diagnóstico tardío]]></kwd>
<kwd lng="pt"><![CDATA[Cascata do cuidado do HIV]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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