BACKGROUND: The number of older adults with HIV is increasing. The authors conducted a retrospective study to determine the prevalence of selected comorbidities that may affect the delivery of oral health care to this population. METHODS: The authors reviewed the charts of 162 patients with HIV who were 50 years or older who had sought dental treatment from 2000 through 2006. The authors abstracted patients' self-reported clinical comorbidities and laboratory-verified HIV-related and hematologic values. RESULTS: A total of 88.8 percent of the study subjects had at least one comorbidity. Comorbidity prevalence was 44.4 percent for hepatitis C virus, 41.4 percent for hypertension, 16.7 percent for psychiatric disorders, 16.1 percent for chronic obstructive pulmonary disease, 15.4 percent for anemia and 14.8 percent for heart disease. Significantly more subjects with a CD4+ cell count of less than 200 per cubic millimeter were anemic compared with subjects with counts of 200/mm(3) or more. CONCLUSIONS: HIV-positive patients 50 years or older have a broad range of comorbidities that may affect the provision of oral health care. CLINICAL IMPLICATIONS: Whether these patients have clinically severe or less well-controlled comorbidities that may require modification of oral health care treatment remains to be determined.
BACKGROUND: The number of older adults with HIV is increasing. The authors conducted a retrospective study to determine the prevalence of selected comorbidities that may affect the delivery of oral health care to this population. METHODS: The authors reviewed the charts of 162 patients with HIV who were 50 years or older who had sought dental treatment from 2000 through 2006. The authors abstracted patients' self-reported clinical comorbidities and laboratory-verified HIV-related and hematologic values. RESULTS: A total of 88.8 percent of the study subjects had at least one comorbidity. Comorbidity prevalence was 44.4 percent for hepatitis C virus, 41.4 percent for hypertension, 16.7 percent for psychiatric disorders, 16.1 percent for chronic obstructive pulmonary disease, 15.4 percent for anemia and 14.8 percent for heart disease. Significantly more subjects with a CD4+ cell count of less than 200 per cubic millimeter were anemic compared with subjects with counts of 200/mm(3) or more. CONCLUSIONS: HIV-positive patients 50 years or older have a broad range of comorbidities that may affect the provision of oral health care. CLINICAL IMPLICATIONS: Whether these patients have clinically severe or less well-controlled comorbidities that may require modification of oral health care treatment remains to be determined.
Authors: Sapna M Patel; April D Thames; Natalie Arbid; Stella E Panos; Steven Castellon; Charles H Hinkin Journal: J Clin Exp Neuropsychol Date: 2013-04-03 Impact factor: 2.475
Authors: Erin E Morgan; Jennifer E Iudicello; Erica Weber; Nichole A Duarte; P Katie Riggs; Lisa Delano-Wood; Ronald Ellis; Igor Grant; Steven P Woods Journal: J Acquir Immune Defic Syndr Date: 2012-11-01 Impact factor: 3.731
Authors: E E Morgan; S P Woods; S L Letendre; D R Franklin; C Bloss; A Goate; R K Heaton; A C Collier; C M Marra; B B Gelman; J C McArthur; S Morgello; D M Simpson; J A McCutchan; R J Ellis; I Abramson; A Gamst; C Fennema-Notestine; D M Smith; I Grant; F Vaida; D B Clifford Journal: J Neurovirol Date: 2013-02-14 Impact factor: 2.643
Authors: Jennifer E Iudicello; Erin E Morgan; Assawin Gongvatana; Scott L Letendre; Igor Grant; Steven Paul Woods Journal: J Neurovirol Date: 2014-01-28 Impact factor: 2.643