实施多学科方法来照顾80岁及以上的艾滋病毒感染者
Maithili Varadarajan1,2, Sophie Blackburn3, Nicolo Girometti1
1Chelsea and Westminster Hospital, London, UK.
International journal of STD & AIDS
|September 30, 2024
概括
使用综合老年评估的多学科团队方法有效地减少了艾滋病毒 (PWH) 的老年人中的多药性和脆弱性. 这凸显了为这一群体提供专业护理的重要性.
科学领域:
- 老年病的医生 老年病的医生
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 虚弱会对艾滋病毒感染者 (PWH) 的健康和生活质量产生负面影响.
- 老年PWH经常面临复杂的健康挑战,包括多种并发症和多种药物.
- 多学科团队 (MDT) 方法对于管理这些复杂的需求至关重要.
研究的目的:
- 评估MDT在老年PWH中提供的综合老年病学评估 (CGA) 的有效性.
- 识别和解决可修改的风险因素,有助于脆弱和多药在这个人群.
主要方法:
- 在专门的艾滋病毒/老年诊所对63名80岁以上的PWH进行了回顾性审查.
- 描述性统计数据用于分析患者的人口统计,并发病,多药和脆弱性得分 (洛克伍德临床脆弱性得分).
- 干预措施包括抗逆转录病毒现代化,同时服用药物的改变和取消处方.
主要成果:
- 参与者的平均年龄为82岁,其中88%是男性.
- 参与者中位数有五种并发症,并且正在服用中位数六种并发症药物.
- 在29%的患者中,MDT的干预导致了抗逆转录病毒药物现代化,在62%的患者中,MDT的干预导致了抗逆转录病毒药物现代化,并在62%的患者中推了同时服用药物的改变/取消处方.
结论:
- 采用综合老年评估的多学科团队方法,可以有效地减少艾滋病毒感染的老年人的多药性和脆弱性.
- 专门的工具和MDT输入对于识别和管理这种脆弱人群中的医疗和社会问题至关重要.
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