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.
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-infectedpatients. As HIV-infected populations age, a shift into a more comprehensive geriatrics care including fall risk evaluation may be needed.
Authors: Julie A Womack; Terrence E Murphy; Christopher T Rentsch; Janet P Tate; Harini Bathulapalli; Alexandria C Smith; Jonathan Bates; Samah Jarad; Cynthia L Gibert; Maria C Rodriguez-Barradas; Phyllis C Tien; Michael T Yin; Thomas M Gill; Gary Friedlaender; Cynthia A Brandt; Amy C Justice Journal: J Acquir Immune Defic Syndr Date: 2019-11-01 Impact factor: 3.731
Authors: Katherine Tassiopoulos; Mona Abdo; Kunling Wu; Susan L Koletar; Frank J Palella; Robert Kalayjian; Babafemi Taiwo; Kristine M Erlandson Journal: AIDS Date: 2017-10-23 Impact factor: 4.177
Authors: Anjali Sharma; Donald R Hoover; Qiuhu Shi; Susan Holman; Michael W Plankey; Amber L Wheeler; Kathleen Weber; Michelle Floris-Moore; Hector H Bolivar; David E Vance; Wendy J Mack; Elizabeth T Golub; Marcia McDonnell Holstad; Michael T Yin Journal: Antivir Ther Date: 2016-07-18
Authors: Michael Ssonko; Fiona Stanaway; Harriet K Mayanja; Tabitha Namuleme; Robert Cumming; John L Kyalimpa; Yvonne Karamagi; Barbara Mukasa; Vasi Naganathan Journal: BMC Geriatr Date: 2018-05-29 Impact factor: 3.921