Falls in HIV-infected patients: a geriatric syndrome in a susceptible population.
J Int Assoc Provid AIDS Care
; 12(4): 266-9, 2013.
Article
em En
| MEDLINE
| ID: mdl-23719236
ABSTRACT
BACKGROUND:
Falls is a common geriatric syndrome that has not been well characterized in HIV-infected populations.METHODS:
We retrospectively reviewed our database and identified patients who fell over the last 12 months.RESULTS:
Thirty-two patients were identified (incidence rate of 16 × 1000 patients per year). Twenty-five percent were female and 75% male. Sixty-seven percent were African American with 33% Caucasians. Average age was 48.19, number of years with HIV infection on average was 9.38 years, mean CD4 count 347.2 cell/mm(3), mean HIV viral load was 31 379 copies/mL. The average number of medications was 8.7 with a mean of 3.48 comorbidities. The mean vitamin D level was 27.20. Sixty-two percent of patients were compliant with antiretroviral therapy. Univariate and multivariate analysis showed that number of medications (< .005 medications; P < .005), more than 3 comorbidities (P < .005), and noncompliance (P < .001) were related to falls in this population.CONCLUSION:
Falls is a common geriatric syndrome. Associated risk factors in our cohort included number of medications, more than 3 comorbidities, and noncompliance. Larger studies are needed to properly characterize this geriatric syndrome in HIV-infected patients. As HIV-infected populations age, a shift into a more comprehensive geriatrics care including fall risk evaluation may be needed.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Acidentes por Quedas
/
Infecções por HIV
Tipo de estudo:
Etiology_studies
/
Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article