Brañas Fátima, Ryan Pablo, Troya Jesús, Sánchez-Conde Matilde
Geriatrics Department, Infanta Leonor University Hospital, Avda. Gran Vía del Este 80, 28031, Madrid, Spain.
HIV Unit, Internal Medicine Department, Infanta Leonor University Hospital, Madrid, Spain.
Eur Geriatr Med. 2019 Apr;10(2):259-265. doi: 10.1007/s41999-018-0144-1. Epub 2018 Dec 10.
The scenario of people living with HIV has dramatically changed, and nowadays older adults with HIV constitute almost half of the HIV population-and the percentage is growing. Frailty and geriatric syndromes have been highly demonstrated among older adults with HIV; therefore, the application of geriatric medicine principles to their approach has become essential. Geriatric-HIV Medicine, specific, collaborative work between HIV specialists and geriatricians, is a young discipline that has the goal of ensuring a global and specific approach to older patients that is focused on function and the continuum of care. The geriatrician's role adds value to the care of older people living with HIV through Comprehensive Geriatric Assessment for those patients who can benefit but goes beyond the clinical approach and involves generating scientific evidence that impacts and changes the current model of care.
艾滋病毒感染者的情况已发生巨大变化,如今老年艾滋病毒感染者几乎占艾滋病毒感染者总数的一半,而且这一比例还在不断上升。在老年艾滋病毒感染者中,身体虚弱和老年综合征极为常见;因此,将老年医学原则应用于他们的治疗已变得至关重要。老年艾滋病毒医学是艾滋病毒专家和老年病医生之间的一项专门的协作工作,是一门年轻的学科,其目标是确保针对老年患者采取全面且专门的治疗方法,重点关注功能和连续护理。对于那些能够从中受益的患者,老年病医生通过全面老年评估,为老年艾滋病毒感染者的护理增添价值,但这一角色超越了临床治疗方法,还包括生成影响并改变当前护理模式的科学证据。