Implementation of a multidisciplinary approach to care for people with HIV aged 80 years and over.

IF 1.4 4区医学 Q4 IMMUNOLOGY

International Journal of STD & AIDS Pub Date : 2025-01-01 Epub Date: 2024-09-30 DOI:10.1177/09564624241286558

Maithili Varadarajan, Sophie Blackburn, Nicolo Girometti, Alexandra Hicks, Elizabeth Senkoro, Caterina Candela, Elizabeth Ridsdill Smith, Nadia Naous, Timothy Tong, Marta Boffito

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引用次数: 0

Abstract

Background: Frailty adversely affects health and quality of life of people with HIV (PWH). A multidisciplinary-team (MDT) was established to perform a Comprehensive Geriatric Assessment (CGA) and to address modifiable risk factors in elderly PWH.

Methods: PWH aged over 80 years were reviewed by a dedicated HIV/geriatric clinic at Chelsea and Westminster Hospital. Descriptive statistics were used to report the variables of interest.

Results: Sixty-three PWH were reviewed, with a median age of 82 (IQR 80-86). Fifty-seven (88%) were men. The median number of co-morbidities was five (IQR 4-7) and polypharmacy was seen in 55 (85%), with a median of six (IQR 5-8) co-medications reported. The median Rockwood Clinical Frailty Score was two (IQR 2-5). Antiretrovirals were modernised in 18 (29%) individuals; co-medication changes and de-prescribing was recommended in 39 (62%).

Conclusion: A MDT approach helped reducing polypharmacy and frailty, suggesting that specialised tools and MDT input are key to identify medical and social concerns in elderly PWH.

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对 80 岁及以上的艾滋病毒感染者实施多学科护理方法。

背景：虚弱会对艾滋病病毒感染者（PWH）的健康和生活质量产生不利影响。我们成立了一个多学科小组（MDT），对老年艾滋病患者进行全面的老年病学评估（CGA），并解决他们身上可改变的风险因素：方法：切尔西与威斯敏斯特医院的艾滋病/老年病专科门诊对 80 岁以上的 PWH 进行了复查。采用描述性统计方法报告相关变量：接受复查的 63 名艾滋病患者的中位年龄为 82 岁（IQR 80-86）。其中 57 人（88%）为男性。合并疾病的中位数为 5 种（IQR 4-7），55 人（85%）患有多种药物，合并用药的中位数为 6 种（IQR 5-8）。罗克伍德临床虚弱评分中位数为 2（IQR 2-5）。18例（29%）患者的抗逆转录病毒药物得到了更新；39例（62%）患者被建议改变联合用药和取消处方：MDT 方法有助于减少多药治疗和虚弱，这表明专业工具和 MDT 投入是识别老年 PWH 医疗和社会问题的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of STD & AIDS 医学-传染病学

CiteScore

2.60

自引率

7.10%

发文量

144

审稿时长

3-6 weeks

期刊介绍： The International Journal of STD & AIDS provides a clinically oriented forum for investigating and treating sexually transmissible infections, HIV and AIDS. Publishing original research and practical papers, the journal contains in-depth review articles, short papers, case reports, audit reports, CPD papers and a lively correspondence column. This journal is a member of the Committee on Publication Ethics (COPE).