Impact of Combination Therapy for HIV Infection on Inpatient Census

Abstract
St. Vincent's Hospital and Medical Center in New York is located in the Greenwich Village–Chelsea section of lower Manhattan, one of the areas with the highest density of human immunodeficiency virus (HIV) infection in the United States (3863 and 4744 cases of AIDS per 100,000 in Greenwich Village and Chelsea, respectively, in 1996). Over the past 10 years, the medical center has had annual increases in inpatient admissions and discharges, as well as increases in total days of inpatient care for HIV-related illnesses. Before the availability of protease-inhibitor therapy, the average daily inpatient census of patients with AIDS peaked at 136 patients in 1994. In December 1995, the first protease inhibitor, saquinavir, received approval from the Food and Drug Administration (FDA); in February and March 1996, ritonavir and indinavir, respectively, also received FDA approval.