HIV-associated hospitalizations data through 2021 is now available on the ETE Dashboard. In 2021, there were 5,216 HIV/AIDS-associated hospitalizations in New York State, a 31% decrease from 2014 (7,612 to 5,216)¹. Hospitalization data on the dashboard comes from a publicly available dataset from Statewide Planning and Research Cooperative System (SPARCS), a comprehensive all-payer data reporting system initially created to collect information on hospital discharges. The Dashboard's visualization includes hospitalization counts and both rates among the total population and among people living with HIV, stratified by sex, age, race/ethnicity at the region and county level. 

Early in the HIV/AIDS epidemic, the majority of hospitalizations among people living with HIV (PLWH) were characterized by AIDS-defined illnesses (ADI). However, the success of antiretroviral therapy (ART) along with early identification and expanding access to care has made ADI rarer. As PLWH now live longer and healthier lives, non-AIDS-defining cancers (e.g. cardiovascular, gastrointestinal, and hepatic) and non-AIDS-defining infections are the leading causes of hospital admissions for PLWH today^2,3. The HIV-associated hospitalization rate among people living with diagnosed HIV has declined significantly from 101.5 per 1,000 PLWDH in 2010 to 50.2 in 2021.

While HIV-associated hospitalizations have declined in New York State over the past several years, disparities remain by sex, age, race/ethnicity, transmission risk, and region/county.  Rates are disproportionately higher for Black NYers at 95.2 per 100,000 total population in 2021 compared with 34.5 and 5.9 for Latino/Hispanic and White NYers respectively.

To access data on HIV/AIDS-associated hospitalizations, click here.

References

1. HIV/AIDS-associated hospitalizations are defined as the number of inpatient hospitalizations among people with a Diagnosis Related Group (DRG) associated with HIV infections. The number of hospitalizations includes multiple hospitalizations for individual patients during each calendar year.  
2. Thibaut Davy-Mendez, Sonia Napravnik, David A Wohl, Amy L Durr, Oksana Zakharova, Claire E Farel, Joseph J Eron, Hospitalization Rates and Outcomes Among Persons Living With Human Immunodeficiency Virus in the Southeastern United States, 1996–2016, Clinical Infectious Diseases, Volume 71, Issue 7, 1 October 2020, Pages 1616–1623, https://doi.org/10.1093/cid/ciz1043  
3. Lazar R, Kersanske L, Xia Q, Daskalakis D, Braunstein SL. Hospitalization Rates Among People With HIV/AIDS in New York City, 2013. Clin Infect Dis. 2017;65(3):469-476. doi:10.1093/cid/cix343