Ruiz Marco, Cefalu Charles, Ogbuokiri Justina
Department of Medicine, Section of Infectious Diseases and Geriatric Medicine, Louisiana State University, New Orleans, LA, USA.
J Int Assoc Physicians AIDS Care (Chic). 2010 May-Jun;9(3):157-61. doi: 10.1177/1545109710367519. Epub 2010 Jun 7.
Clinicians caring for HIV-infected patients >60 years old encounter multiple clinical challenges. The use of a functional geriatrics screening for detection of significant comorbidities is important in this population.
The geriatrics screening evaluated functional capabilities, depression, cognitive dysfunction, nutrition, mobility, medicines used, and interactions.
As of July 2009, 57 patients were screened (average age 62.6, 39 males and 18 females). A total of 17 patients (9 males and 8 females) were referred to the geriatrics/HIV program because of identified problems in multiple domains: 10 with cognitive dysfunction, 8 with problems in basic or instrumental activities of daily living, 6 with nutritional issues, 5 with depression, 5 with mobility problems, 4 with visual issues, and 2 with hearing difficulties. The average age was 62.9. Median CD4 count and viral load were 285 (15-714) cells/mm(3) and 30 505 copies/mL (0-407 697), respectively.
The functional yearly screening of patients >60 years with HIV needs to be part of regular care of patients infected with HIV as multiple functional problems can be diagnosed and addressed.
为60岁以上感染HIV的患者提供治疗的临床医生面临多种临床挑战。对于这一人群，采用功能性老年医学筛查来检测严重的合并症很重要。
老年医学筛查评估了功能能力、抑郁、认知功能障碍、营养、活动能力、所用药物及相互作用。
截至2009年7月，共筛查了57例患者（平均年龄62.6岁，男性39例，女性18例）。共有17例患者（9例男性，8例女性）因在多个领域发现问题而被转诊至老年医学/HIV项目：10例存在认知功能障碍，8例存在基本或工具性日常生活活动问题，6例存在营养问题，5例存在抑郁，5例存在活动能力问题，4例存在视力问题，2例存在听力困难。平均年龄为62.9岁。CD4细胞计数中位数和病毒载量分别为285（15 - 714）个细胞/mm³和30505拷贝/mL（0 - 407697）。
对60岁以上HIV患者进行年度功能筛查应成为HIV感染患者常规护理的一部分，因为可以诊断并解决多种功能问题。
