Berenguer Juan, Álvarez Daniel, Dodero Javier, Azcoaga Amaya
Unidad de Enfermedades Infecciosas/VIH, Hospital General Universitario Gregorio Marañón, Madrid; Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Madrid, España.
Dirección General, Fundación de la Clínica Universitaria, Universidad Rey Juan Carlos, Alcorcón, Madrid, España.
Enferm Infecc Microbiol Clin (Engl Ed). 2018 Sep;36 Suppl 1:45-49. doi: 10.1016/S0213-005X(18)30247-7.
Thanks to advances in antiretroviral therapy, the life expectancy of people infected with HIV is approaching that of the general population. In this new clinical scenario, comorbidities related to age and geriatric syn-dromes are gaining prominence. The experiences from various innovative initiatives for the care of patients with chronic diseases indicate that the optimisation of health outcomes not only depends on proper diagnosis and treatment, but also on the way in which care is managed. To cover the future needs of HIV-infected patients, we will have to implement care models that have proven effective in other types of chronic di-seases. This will require a reliable method to stratify patients according to their level of complexity or functional capacity to detect the most vulnerable cases.
得益于抗逆转录病毒疗法的进展,感染艾滋病毒者的预期寿命正在接近普通人群。在这种新的临床情况下,与年龄相关的合并症和老年综合征正日益突出。各种慢性病患者护理创新举措的经验表明,健康结果的优化不仅取决于正确的诊断和治疗,还取决于护理管理方式。为满足艾滋病毒感染患者未来的需求,我们将不得不实施已在其他类型慢性病中证明有效的护理模式。这将需要一种可靠的方法,根据患者的复杂程度或功能能力对其进行分层,以发现最脆弱的病例。