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

被引：0
|
作者：
Varadarajan, Maithili [1 ,2 ]
Blackburn, Sophie [3 ]
Girometti, Nicolo [1 ]
Hicks, Alexandra [1 ]
Senkoro, Elizabeth [4 ,5 ]
Candela, Caterina [6 ]
Smith, Elizabeth Ridsdill [1 ]
Naous, Nadia [1 ]
Tong, Timothy [1 ]
Boffito, Marta [1 ,2 ]
机构：
[1] Chelsea & Westminster Hosp, 369 Fulham Rd, London SW10 9NH, England
[2] Imperial Coll London, London, England
[3] Hillingdon Hosp, London, England
[4] Ifakara Hlth Inst, Chron Dis Clin Ifakara, Morogoro, Tanzania
[5] Int AIDS Soc IAS, Mark Wainberg Fellowship Program, Geneva, Switzerland
[6] Univ Vita Salute San Raffaele, Milan, Italy
来源：
INTERNATIONAL JOURNAL OF STD & AIDS | 2025年 / 36卷 / 01期
关键词：
Human immunodeficiency virus; viral disease; Europe; antiretroviral therapy; ageing; DRUG-DRUG INTERACTIONS; OLDER-ADULTS; GERIATRIC SYNDROMES; ELDERLY-PEOPLE; FRAILTY; POLYPHARMACY; OUTCOMES;
D O I：
10.1177/09564624241286558
中图分类号：
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号：
100102 ;
摘要：
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.
引用
收藏
页码：65 / 71
页数：7
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